Category: rib removal | shoulder reduction

Combining Shoulder Reduction and Waistline Narrowing Body Contouring Surgeries – Who Is A Good Candidate?

Two uncommon but successful aesthetic body contouring procedures are shoulder reduction (clavicle reduction osteotomies) and waistline narrowing. (rib removal) Each contour reduction procedure is partially or totally based on bone removal to achieve their effects. These are also body contouring procedures done on females, whether it is transgender or cis females. Each procedure has its Read More…

Plastic Surgery Case Study – Shoulder Narrowing Surgery with Reduction Osteotomies on Square-Shaped Clavicles

Background: The success of shoulder width narrowing by clavicle reduction osteotomies depends on stable plate and screw fixation. Holding the bones in place until the body starts to knit the two cut ends together requires them to be held in stable proximity for the first month after surgery. Such fixation success depends on having a Read More…

Clavicle Reduction Osteotomies in Shoulder Narrowing Surgery – What Lies Underneath?

In aesthetic shoulder reduction surgery a segment of the clavicle from the inner aspect of its length is removed to achieve the narrowing effect. The first step in the process is to isolate the clavicle bone circumferentially to safely perform the bone removal and inward shoulder movement. There are numerous muscular attachments along its length Read More…

Loss Of 2.5cm Clavicle Length Does Not Affect Shoulder Function

Shoulder reduction surgery works by a removing a medial segment of the non-linear clavicle bone. When putting the bone back together the outer shoulder moves inwards creating the desired effect. The good quality bone at the reapproximated clavicle ends provides a high level of assurance that the bone will heal across the osteotomy gap. The Read More…

Do The Plates and Screws Need To Be Removed After Shoulder Narrowing Surgery?

The success of shoulder narrowing surgery is ultimately determined by complete healing of the ostectomy site. This is made possible by the application of rigid fixation using 2.7mm plates and bicortical screws. To date all patients have gone on to complete healing of their clcvciicl shortening sites. Once healed the long-term question is whether the Read More…

Technical Strategies – Bicortical Screw Plate Fixation in Clavicles Osteotomies in Shoulder Narrowing Surgery

Shouldering narrowing surgery is based on a straightforward premise of shortening the length of the clavicle on each side. Besides the length of the clavicle bone removed the success of the procedure is bases on satisfactory bone healing. Like bone fractures elective bone osteotomies can successfully heal if the two bone ends are held rigidly Read More…

Technical Strategies – Pre Plate Application Before Bone Segment Removal in Shoulder Narrowing Surgery

Shoulder narrowing is now an established feminine body contouring surgery. It is conceptually straightforward in that a specific length of the clavicle bone is removed which brings the outer width of the shoulders in as well. While the concept is simple, its execution is not. Since this is an aesthetic surgery a small incision is Read More…

Bone Healing After Clavicle Reduction Osteotomies For Shoulder Narrowing

Shoulder narrowing surgery is an effective procedure based on a removal of a segment of the clavicle. As the clavicle is reduced in length the outer shoulder width moves inward in a near linear relationship of the bone that is removed. While shoulder width reduction is the objective of the procedure, its success is also Read More…

Plastic Surgery Case Study – Outcome Assessment of Transgender Male to Female Shoulder Narrowing Surgery

Background: Gendor dysphoria affects many aspects of the face and body in the male to female transitioning patient. For the body wide shoulders is one of the top priorities to change, even surpassing that of breast or buttock augmentation for many transgender patients. Fortunately an operation does exist that directly addresses that concern by shortening Read More…

Technical Strategies – Modified Method of Plate and Screw Fixation Application in Clavicle Reduction Osteotomies in Shoulder Narrowing Surgery

The concept of shoulder narrowing by removing a segment of the clavicle bone is straightforward. Since the clavicle is a horizontally oriented bone that keeps the shoulder from collapsing into the sternum, shortening its length will move the outer contour of the shoulders inward. And as a result there is a good correlation between the Read More…