Category: technical strategies | temporal reduction

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…

Technical Strategies – The Midline Chin Positioning Guide in Custom Jawline Implants

Custom jawline implants are the definitive method for lower jaw/facial augmentation. By controlling all dimensions of the implant shape it is very much like expanding the bone boundaries of the entire lower jawbone. (specifically the inferolateral border from one jaw angle to the other) While patients understandably pay enormous attention and put a lot of Read More…

Technical Strategies – The Pennant Transposition Corner of Mouth Lift Concept

Downturning of the corner of the mouth is a frequent aesthetic request for change. While most commonly associated with aging some people have it as a natural shape of their mouth. In my experience it occurs more commonly in people who have a horizontal smile pattern as opposed to a superior-oblique pattern regardless of their Read More…

Technical Strategies – A Three Piece Placement Technique For Large Custom Jawline Implants

Custom jawline implants provide the most effective and complete method of creating a more distinct and augmented lower third of the face. Because of its connected design from one jaw angle to the other (wrap around) it augments the entire inferolateral border of the jawline. While creating such jawline implants creates impressive changes on the Read More…