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Rib 9 Osteotomy Technique for Ribcage Narrowing

In rib removal surgery for waist modification, the free-floating 11th and 12th ribs have historically been the primary targets. This preference is due to their relative accessibility and lack of distal structural attachments. However, more recent surgical experience and anatomical analysis have demonstrated that ribs 10 and 11 possess longer and wider segments than rib Read More…

Nasal Implant Modification Technique for Tissue Ingrowth

Nasal Implant Modification Case Study Introduction Nasal implants are synthetic materials placed inside the nose to enhance its structure or shape. They are commonly used in primary and revision rhinoplasty—particularly when patients require additional support or volume along the nasal bridge. Most often, this refers to strengthening or augmenting a low or weak bridge, a Read More…

Technical Strategies – Custom Forehead Implant Placement Guides

Introduction Custom forehead implants are designed to enhance or reshape the forehead and brow region—often to achieve aesthetic balance or for gender-affirming purposes. These implants are individually fabricated from silicone or PEEK (polyether ether ketone) using a 3D CT scan of the patient’s skull, ensuring a precise fit that follows the natural contours of the Read More…

Ensuring Proper Orientation of Pectoral Implants

Pectoral implants remain the most effective option for male chest enhancement. While fat injections can add volume, they do not replicate true muscle definition. Instead, they often create a rounded, mound-like contour that lacks the masculine shape most patients desire. Because pectoral implants are placed beneath the pectoralis major muscle, they provide a direct augmentation Read More…

Chin Lengthening Surgery: How Bone Grafting Helps Healing

When the chin is lengthened through a surgical technique called vertical lengthening genioplasty, a small gap is created in the bone. A fixation plate and screws hold the new chin position securely in place and set the amount of lengthening. However, the plate itself does not determine whether the gap fills in with bone over Read More…

Aesthetic Augmentation of the Midface: Maxillary Implant Options

Aesthetic Augmentation of the Midface: Maxillary Implant Options Historically, midface enhancement has been achieved using commercially available, off-the-shelf cheek implants. These come in two primary styles: malar and submalar. Malar implants primarily augment the cheekbone itself. Submalar implants target the underside or concave area of the cheekbone, extending into the upper soft tissues of the Read More…

Modified Vertical Oblique Osteotomies for Maximal Cheekbone Width Reduction

Reduction of wide cheeks can only be effectively achieved by moving the bone inward through osteotomies. Simply shaving the cheekbone is of limited value because it cannot adequately address the widest part of the cheekbone. Furthermore, the extensive soft tissue dissection required for shaving can lead to postoperative soft tissue sagging. The Concept of Bone Read More…

Techniques in Occipital Knob Skull Reduction

The occipital knob is a well known aesthetic skull deformity which falls into the category of more minor aesthetic skull reshaping surgery. It is easily recognizable as a midline protrusion on the back of the head at the lower end of the visible occipital bone. While it presents with varying degrees of severity it always Read More…

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