Category: cheek reduction | technical strategies

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…

Technical Strategies – The Extended Occipital Hairline Incision In Secondary Facelifts

While facelift surgery has many variations in technique in its objective in most patients it is a neck-jowl lifting procedure. There are numerous deeper tissue manipulations (SMAS and deep plane) but a major component of the procedure is the location, or more importantly, the extent of the incisions used to perform the procedure. In the Read More…

Technical Strategies – Mesh Implant for Small Surface Area Minimal Thickness Skull Contour Defect

Aesthetic skull augmentations today are most effectively done by a custom skull implant design. Gone are the days of the use of PMMA bone cements, which may be fine as an inlay method for skull bone defects which is their history. But PMMA bone cements is not a highly effective method as an onlay contouring Read More…

Technical Strategies – Female High Cheekbone Implants

Cheek implants have a long clinical history most of which have been designed for females to create an apple cheek effect. This cheek augmentation outcome is created by having a cheek implant of which part of it is positioned below the cheekbone (zygomatic major) into the submalar space. This results in a rounded prominence which Read More…

Technical Strategies – Modest Permanent Temporal Augmentation By Standard Implant Modification

Ultrasoft solid temporal implants are a permanent method of temporal augmentation. Placed on top of the muscle but under the deep temporal fascia the implant essentially augments the thickness of the muscle. To create different temporal augmentation effects a variety of temporal implant styles (standard vs extended) and thicknesses (4 and 6mm) exist. But even Read More…

Technocal Strategies – The Trancutaneous Approach to Jaw Angle Implant Repositioning

Jaw angle implants are a common form of aesthetic facial augmentation. They are unique from some other types of facial implants because of their need for bilateral placement as well as accessing the very remote jaw angle area intraorally. As a result jaw angle implant malposition is not rare and, given that many patients have Read More…

Technical Strategies – Intraoperative Modification of Testicle Implants

Solid ultrasoft testicle implants are available in standard sizes or can be custom made. Standard sizes exist up to 5cms while anything larger requires a custom implant design. The whole purpose of making custom implants is to address any size or shape iterations that the patient needs. But at 5cms or below the size changes Read More…

Technical Strategies – Release and Dermal-Fat Grafting in the Treatment of Lower Lip Tightness After A Sliding Genioplasty

There are a lot of great benefits to a sliding genioplasty chin augmentation procedure but, like all procedures, it has its own unique complications and adverse postoperative sequelae. One of these postoperative issues that can occur is lower lip tightness. Like the upper lip the lower lip is very flexible through the depth of the Read More…

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…