Category: plastic surgery case study | shoulder reduction

Plastic Surgery Case Study – Clavicle Reduction Osteotomies Using A Telecoping Technique For Narrowing Asymmetric Shoulders

Background: Reductive shoulder reshaping, often called shoulder narrowing surgery, works by shortening the length of the clavicles. Through a small incision located in the supraclavicular fossa a segment of the clavicle is removed and the ends reapproximated. This pulls in the distal clavicle and shoulder because the medial end of the clavicle, its sternoclavicular joint Read More…

Plastic Surgery Case Study – Female Shoulder Narrowing by Clavicle Reduction Osteotomies In Prior Clavicle Fracture Repair

Background: Clavicle fractures are a very common type of orthopedic bone injury with a reported occurrence of up to 4% of all fractures. Such fractures may be treated surgically with the placement of plates, screws and pins as well as non-surgically with post-injury shoulder immobilization slings/garments. With such a common type of bone injury it Read More…

Plastic Surgery Case Study – The Shoulder Shape Change from Clavicle Reduction Osteotomies (Shoulder Reduction)

Background: In the treatment of shoulder dysphoria due to excessive size/width the goal is to make the shoulders smaller. This is commonly perceived as making the shoulders more narrow. And while that effect from shortening the length of the clavicle does occur an equal contribution comes from a change in the shape of the shoulders. Read More…

Plastic Surgery Case Study – Shoulder Narrowing in the Thin Clavicle Patient with Prominent Show

Background: Shoulder narrowing surgery works by its obvious shortening of the horizontal length of the clavicle bone. In so doing the most critical step is putting back together the bone with its new shortened length using plate and screw fixation. That step is what most significantly differentiates it from clavicle fracture repair where the goal Read More…

Plastic Surgery Case Study – Clavicle Bone Size Differences Across The Fixation Site in Shoulder Narrowing Surgery

Background: Shoulder narrowing surgery works by shortening the length of the clavicle bone. While this concept is straightforward as well as the execution of the surgery to do it, the clavicle is not a straight segment of bone. Its lazy-S shape combined with its various cross-secttional diameters throughout its length makes certain aspects of the Read More…

Plastic Surgery Case Study – Shoulder Reduction Surgery in Tall Females with Large Clavicles

Background: In shortening the clavicles in shoulder reduction surgery there are two factors to consider. Howe much bone length can be removed? How much fixation hardware is needed to support it for uncomplicated healing? Since all patients do not have the same clavicle lengths some adjustments have to be made in the length not bone Read More…

Plastic Surgery Case Study – The Benefits of a Two Stage Approach to Shoulder Narrowing Surgery

Background: Reshaping the shoulder for a less wide and more rounded shape can be effectively done by reducing the length of the clavicle bone. The location of the bone removal is performed on the inner half of the bone as the scar can be less visible in the supraclavicular fossa. The interesting side benefit of Read More…

Plastic Surgery Case Study – Clavicle Reduction Osteotomies (Shoulder Narrowing Surgery) in the Cis-Female Patient

Background: Shoulder reduction through clavicle reduction osteotomies can successfully reshape the outer appearance of the shoulders. It is most commonly requested in the transfemale patient where shoulder dysphoria can be significant. It has a high patient satisfaction rate andcomplication rates have been few. The need for secondary hardware removal has been limited to a handful Read More…

Technical Strategies – Single vs Double Plate Fixation in Clavicle Reduction Osteotomies (Shoulder Narrowing Surgery)

Chin implants are a very commonly used method of facial augmentation that has been around for fifty years. Despite this long history and common use there continues to be a lack of understanding of the gender differences between the male and female chin and how to select a successful chin implant for them. In shoulder Read More…

Plastic Surgery Case Study – Clavicle Bone Alignment and Apposition in Shoulder Narrowing Surgery

Background: Shoulder narrowing is a conceptually straightforward reduction of the length of the clavicle bone. But executing it successfully within the confines of a small skin incision imposes some technical challenges. And there is little room for error in ensuring that a successful bony union occurs across the gap between the two bone ends. Getting Read More…