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Clinical Outcomes in Rib Removal Surgery for Waistline Reduction
Rib removal surgery represents the elimination of the last anatomic...
The Surgical Technique of Clavicular Osteotomies in Shoulder Width Reduction
Shoulder width reduction is done by shortening the length of the...
The shape and appearance of the forehead is highly influenced by...
Background: The evolution of rhinoplasty surgery over the past twenty years...
Rhinoplasty like all facial reshaping surgeries undergo an evolution during the healing process. There is the immediate appearance of the various aspects of the nose as they appear to the surgeon during surgery. And then there is the much longer healing process, up to one year after surgery, in which the nose continues to change Read More…
Asymmetry of the nose occurs for a variety of anatomic reasons. Septal deviation, nasal bone asymmetries, upper lateral and lower alar cartilages differences and even the thickness of the nasal skin are all well recognized contributors to nasal asymmetries. Many standard rhinoplasty maneuvers can help improve the centric alignment of nasal appearance. One less recognized Read More…
Background: The shape of the African-American nose is typified by several common features. The nasal bridge is typically low, the nasal tip is wide and under projected and the nostrils are often flared or wide. These osteocartilaginous features combined with thick nasal skin create a nose that needs a combination of increased hard tissue support, Read More…
Background: The LeFort I osteotomy is a well known midface procedure that repositions the upper jaw bone. To perform the procedure a complete subperiosteal undermining is needed across the entire maxilla including around the pyriform aperture. A well known adverse aesthetic sequelae of this procedure is widening of the nostrils due to the lateral pull Read More…
Rhinoplasty can have a wide variety of pleasing aesthetic effects. But there are also some undesirable nose shape changes that can occur particularly in the tip area. The tip of the nose is prone to the greatest number of undesired aesthetic changes from surgical manipulation because of its unique anatomic composition. It is the union Read More…
The most effective method to treat undereye hollows and flat cheeks associated with a skeletal deficiency (as evidenced by a negative orbital vector) is with custom infraorbital-malar implants. By augmenting the associated and connected skeletal parts around the eye and out onto the cheek produces a smooth augmentation that can look natural because of the Read More…
Preservation of nasal airway breathing is an essential element of rhinoplasty surgery. One of the frequently used maneuvers in nose reshaping is dorsal hump reduction which is the most frequent causes of decreasing airflow due to internal nasal valve collapse. To prevent this adverse postoperative event the use of middle vault spreader grafts has been Read More…
Revisional rhinoplasty frequently needs cartilage grafts to be successful. This is particularly relevant when structural deficiencies has occurred resulting in an underprojected nose, breathing difficulties due to middle vault collapse or both. Often, however, the regional harvest sites of the septum and ear have been exhausted or have insufficient volume for the needed nasal support Read More…
Rib cartilage provides a plentiful source of graft material for any rhinoplasty need. While its benefit is the volume it provides, its disadvantage is in its shape. Rib cartilage has variable thicknesses, is round in shape and is rarely straight. Carving it into the form needed for dorsal augmentation is always required and with that Read More…
The use of cartilage grafts is an essential need in many primary and revisional rhinoplasty surgeries. Most such grafts come from either direct anatomic proximity (septum) or from a regional source. (ear) But when these sites are inadequate due to lack of graft material or the volume of material exceeds their capacity, the more distant Read More…
Clinical Outcomes in Rib Removal Surgery for Waistline Reduction
Rib removal surgery represents the elimination of the last anatomic...
The Surgical Technique of Clavicular Osteotomies in Shoulder Width Reduction
Shoulder width reduction is done by shortening the length of the...
The shape and appearance of the forehead is highly influenced by...
Background: The evolution of rhinoplasty surgery over the past twenty years...