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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...
The use of a sliding genioplasty for chin reshaping dates back half a century and is the most recognized facial osteotomy procedure. Unlike jaw surgery which affects the tooth-bearing part of the jaw and introduces some restrictions with mouth opening, downfracturing the mandibular symphysis (chin) does not. The chin bone is the only true aesthetic Read More…
Many sliding genioplasty procedures involve a forward movement of the chin bone. As a result this creates a classic bony step off as evidenced by the commonly used stair step bone plate use to secure it into its new position. While effective this creates an unnatural shape to the outer cortical surface of the bone Read More…
Background: A sliding genioplasty is the autologous option for chin augmentation. It is a versatile chin reshaping procedure that can provide horizontal projection, vertical length and even width reduction. The only dimension it can not achieve is chin widening. (which is the antithesis of what an implant can’t do…chin narrowing) Speaking of chin width it Read More…
Background: Orthognathic surgery provides functional (occlusal) and certain aesthetic benefits in some patients. It primary role is almost always functional where it be for improved jaw function or in the treatment of sleep apnea. While cutting and moving the jaw bones has a long history of a high rate of successful bone healing, the rearrangement Read More…
The classic debate, and sometimes an actual controversy, is whether chin augmentation is best done with an implant or by moving the chin bone. While patients and surgeons often try and compare them by their level of invasiveness, that is really an irrelevant and short-sighted thought process to that decision. That discussion more likely emanates Read More…
Changing the position of the bony chin through an osteotomy is the alternative to that of an implant for certain chin reshaping effects. Unlike an implant, however, a bony genioplasty is capable of a wider array of dimensional changes. The bony chin position can be changed in all three dimensions from increasing horizontal projection, adding Read More…
Background: Chin augmentation is the most common facial reshaping procedure behind rhinoplasty. While most chin augmentations are done by an implant due to its ‘simplicity’ and ease of the procedure, it is not appropriate for all types of chin augmentation. An implant works best for pure horizontal augmentation that are of moderate amounts of change. Read More…
The sliding genioplasty is a well known chin reshaping procedure that is most commonly associated with a horizontal advancement augmentation. In so doing it is recognized that there will be a resultant ‘step off’ that did not previously exist. As the lower downfractured bone segment is brought forward underneath the fixed superior bone segment, a Read More…
Background: Chin augmentation is most commonly done by the placement of an implant on the end of the bone. Its primary objective is to provide a horizontal increase of the most anterior chin projection point, the pogonion, as best seen in a profile view. Such horizontal chin implants today most commonly have long lateral extensions Read More…
Background: Patients that have major lower jaw deficiencies with malocclusions should be ideally treated by a combined orthodontic-orthognathic surgery approach. This is particularly relevant when the patient is young. But some patients never seek treatment for their jaw deficiency until they are older or do not have the desire or resources to go through this 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...