Category: jawline reshaping | technical strategies

Technical Strategies – Creating a Non-Linear Jawline Shape By Mid-Body Ostectomies

The shape of the jawline can be changed by a variety of bone reshaping procedures. Some of these procedures are for augmentation purposes (sliding genioplasty, chin wing osteotomy) while others are for jaw reduction. (v line surgery) These technique are usually for an overall jaw size change, not necessarily changing its shape while keeping it Read More…

Technical Strategies – The Occipital Skull Extension Implant for Back of Head Reshaping

A flat back of the head is typically treated by skull augmentation, most commonly done by a custom implant design. In doing many of these back of head augmentations one quickly becomes aware that the location of the bone on the back of the head is much higher than almost anyone realizes. It does not Read More…

Technical Strategies – The Split Placement Technique in Large Surface Custom Skull Implants

Custom skull implants provide an unparalleled ability to reshape the head when an augmentative effect is needed. Whether the implant augmentation is completely on bone or involves resting on the soft tissues on the side of the head, the ability of the implant to produce a smooth contour that blends into the surrounding skull surface’s Read More…

Techical Strategies – The Angulated Muscle Cut in Temporal Reduction Surgery

Temporal reduction is an effective strategy for reducing the width of the side of the head. The temporal region makes up the entire width of the head and is uniquely different from the rest of the skull. It is the only area of the skull in which a large muscle layer exists which contributes significantly Read More…

Technical Strategies – ePTFE Paranasal Implant Intraoral Incisions

Augmentation of the central midface involves augmenting along the pyriform aperture bone that surrounds the nasal cavity. These include the options of premaxillary, paranasal or combined premaxillary-paranasal augmentations. Numerous materials and grafts have been used for these nasal base augmentations, all of which can be successful with good surgical technique and material/graft handling. One effective Read More…

Technical Strategies – Hand Modification for Custom Skull Implant Edging

Custom skull implant designs are the most effective approach to just about any aesthetic head augmentation problem. By using a preformed implant with a design based on the patient’s 3D skull CT scan the desired head shape change is more likely to be achieved than using older bone cement techniques where intraoperative hand shaping of Read More…

Technical Strategies – Penoscrotal Webbing Correction by Bilateral Triangular Skin Resections

One aesthetic condition at the penile-scrotal junction that can occur is webbing. Normally there is a sharp near 90 degree angle between the shaft of the penis and the frontal surface of the scrotum. But when excessive skin develops a turkey neck or web appears between these two structures, hence the term penoscrotal webbing. There Read More…

Technical Strategies – Hydroxyapatite Bone Cement in Orbital Floor/Rim Augmentation in Vertical Orbital Dystopia Correction

In vertical orbital dystopia (VOD) one eye sits lower than the other which is the direct result of a lower orbital floor and infraorbital rim. While it is uncommon that the lower bony floor of the eye is the only abnormal part of the hard and soft tissue orbital box and the resultant eye asymmetry, Read More…

Technical Strategies – Midline Percutaneous Screw Fixation of Custom Brow Bone Implants

Custom brow bone implants are the only permanent and aesthetically effective method for this specific type of aesthetic augmentation of the lower forehead which is most commonly done in men. The implant is placed using an endoscopic technique that in many ways is similar to an endoscopic brow lift, at least in terms of the Read More…

Technical Strategies – Low Level Forehead Bump Reduction With A Rasping Tool

Bumps and contour irregularities are not uncommon across the large convex surfaces of the skull. Where they are the most aesthetically bothersome is on the forehead , whether it is on a man or woman, due to its exposure on the face. Some forehead bumps are distinct osteomas with a raised distinct border and a Read More…