Category: technical strategies | temporal artery ligation

Technical Strategies – The Potential 4th Ligation Site In the Multi-Level Treatment of the Prominent Anterior Branch of the Superficial Temporal Artery

The sometimes aesthetically prominent and often pulsatile artery that crosses from the temporal hairline into the forehead is the anterior branch of the superficial temporal artery. This can be very effectively treated by a multilevel ligation technique through very small incisions. Typically three microincisions are used located at the temporal hairline, lateral forehead and right Read More…

Technical Strategies – The Wavy Midline Scalp Incision in Sagittal Crest Skull Reduction

The sagittal crest deformity is a common skull reduction surgery. This is an elevated sagittal suture line which appears as a midline crest on top of the head. It may be due to a thickened sagittal suture line, a naturally narrow head shape with parasagittal-temporal deficiency or a combination of both. When it occurs because Read More…

Technical Strategies – Suture Fixation Assembly of Large Custom Skull Implants

A custom implant is the most assured method for creating almost any form of skull augmentation. This becomes an absolutely essential approach when the skull surface area coverage of the implant is substantial. (aka a large custom skull implant) With large custom skull implants there are two considerations of great relevance that does not exist Read More…

Technical Strategies – Custom Skull Implant Capsulotomies for Implant Edge Correction

The custom skull implant provides the most effective method of correction of various flat skull areas (e.g., planiocephaly) or a desire for a larger skull shape. Such computer-designed implants made from a solid silicone material offer the most advantages in skull augmentation because they can be placed through the smallest scalp incision…an important consideration in Read More…

Technical Strategies – High Speed Burring Reduction of Traumatic Subcostal Rib Prominences

The ribs are comprised of 12 pairs, all of which have a bony and cartilage component. The ratio of cartilage to bone depends on what rib it is and whether it attaches to the sternum or not. The first ten ribs do attach to the sternum and have varying cartilages in those attachments as it Read More…

Technical Strategies – Masseter Muscle Botox Injections and the Facial Equator Line

The masseter muscles of the lower jaw can be large either by natural development or by over use. The most common over use cause is clenching or bruxism. Regardless of its etiology successful muscle reduction, although not usually permanent, is through injections of neuromuscular deactivating agents. (e.g., Botox, Dysport, Xeomin) Direct injection into the masseter Read More…

Technical Strategies – Modifying the Wrap Around Testicle Implant To Reduce The Risk of Extrusion

Testicular enlargement for aesthetic enhancement can be done with one of two implant techniques…side by side and a wraparound concept. The choice between the two depends on the natural size of one’s testicles. With very small testicles (3.5cms or less) displacement by much larger sized implants (the operative words here are much larger) is usually Read More…

Technical Strategies – Bicortical Screw Plate Fixation in Clavicles Osteotomies in Shoulder Narrowing Surgery

Shouldering narrowing surgery is based on a straightforward premise of shortening the length of the clavicle on each side. Besides the length of the clavicle bone removed the success of the procedure is bases on satisfactory bone healing. Like bone fractures elective bone osteotomies can successfully heal if the two bone ends are held rigidly Read More…

Technical Strategies – Pre Plate Application Before Bone Segment Removal in Shoulder Narrowing Surgery

Shoulder narrowing is now an established feminine body contouring surgery. It is conceptually straightforward in that a specific length of the clavicle bone is removed which brings the outer width of the shoulders in as well. While the concept is simple, its execution is not. Since this is an aesthetic surgery a small incision is Read More…

Technical Strategies – Designed Internal Wedges for Custom Skull Implants for Flat Back of Head Augmentation

Custom skull implants are the most contemporary and effective method for correction of various flat spots on the head. One of the most common locations to do so is the back of the head which is the common affected skull region due to in utero and after birth head positioning. While there are limits as Read More…