Category: technical strategies | testicular implants

Technical Strategies – Funnel Insertion of Large Custom Testicle Implants

The placement of large custom implants in the testicular enhancement patient will pose challenges through the smaller midline scrotal incisions used. When looking at the implant diameter:incisional length ratio it usually almost two to one. And while scrotal skin is very elastic and ultrasoft silicone testicle implants very compressible it can still be a challenge Read More…

Technical Strategies – Wedge Bone Grafting in Clavicle Reduction Osteotomies

The clavicle reduction osteotomies used in aesthetic shoulder narrowing surgery is conceptually straightforward. Remove a specific length of bone, pull the remaining two ends of the bone back together and put a plate and screws to hold it together so it heals. This would be fairly easy if one is working on a skeletal model Read More…

Technical Strategies – Achieved the Muscular Jaw Angle Look in Custom Jawline Implants

The intricacies of the shape of the lower jaw can not be appreciated looking at plain x-rays like a panorex where it has been most commonly seen in its entirety. It is often perceived as largely being a smooth surface around its perimeter which it certainly is based on plain x-rays. And very many types Read More…

Technical Strategies – Maintaining Implant Separation in Testicular Implant Enhancement Surgery

Testicular enhancement, or the enlargement of one’s testicles, can be done by one of two implant methods. The most logical one is the encasement of the testicles with a wraparound implant. One’s natural testicle fits inside the wraparound implant who’s external diameter is the size one desires. While conceptually appealing it has no complications of Read More…

Technical Strategies – Correcting the Asymmetric Square Chin Implant with a Corner Overlay

The custom chin implant is the most assured form of augmentation of the lower anterior third of the face. This approach is particularly needed when a specific chin size or shape is desired. Given the unique shape requirements of a square chin shape and the lack of a really effective standard square chin implant a Read More…

Technical Strategies – Capsular Plication of the Asymmetric Pectoral Implant Pocket

Pectoral implants are the only effective surgical method of chest muscle augmentation. They are typically placed through a high axillary incision for direct access to the submuscular pocket between the pectoralis major and the pectoralis minor. The creation of the submuscular pocket is done using instruments through the axillary incision and is essentially done blind Read More…

Technical Strategies – The Bolster Technique For Temporal Implant Malpositioning and/or Replacements

Implants provide a permanent method for augmentation of temporal hollowing. Placed at the sub fascial level they create a muscle augmentation effect as an interpositional material between the muscle and the overlying fascia. As of today there are two styles of standard temporal implants. For hollowing that is limited to the lower half of the Read More…

Technical Strategies – Bilateral Parietal-Temporal Skull Excisions for Head Width Reduction in the Brachycephalic Head Shape

Certain head shapes are known to have a wide skull width. This is particularly evident in those skulls that have a brachycephalic tendency. (flat back of the head) With a flat and wide back of the head the sides are pushed outward creating a noticeable wide skull from the front and back views. This increased Read More…

Technical Strategies – Hairline Placement of Temporal Implants with Temporal Lifts

There are a variety of methods of temporal augmentation including synthetic fillers, fat injections and implants. All of these methods have their advantages and disadvantage is but the only assured permanent method is with the use of a temporal implant. Temporal implants are unique facial implant as they are the only one that is not Read More…

Technical Strategies – Submental Chin Asymmetry Correction after Bony Genioplasty

One of the most common forms of changing the shape of the chin is the bony genioplasty. While once used exclusively for a horizontal chin augmentations hence the term ‘sliding geniopasty’, its use today has expanded for a variety of more complex chin shape changes. Significant vertical chin lengthening and now the every popular mini Read More…