Category: buccal lipectomy | technical strategies

Technical Strategies – Buccal Lipectomies Through A Small High Vestibular Intraoral Incision

The buccal fat pad is as well known collection of facial fat that is the frequent site of surgical extraction. Unlike aesthetic fat removal from almost anywhere else in the body, which is by liposuction, the buccal fat pad is removed en bloc. Unlike subcutaneous fat and as the name implies it is a discrete Read More…

Technical Strategies – Antibiotic Powder Application in Jaw Angle and Custom Jawline Implants

Jaw angles implants are the complement to chin implants for aesthetic enhancement of the back of the jaw. Custom jawline implants is the best option for complete lower facial augmentation. Besides their unique aesthetic effects they also share the need for intraoral incisions for insertion and positioning. While numerous type of facial implants are placed Read More…

Technical Strategies – Placement of an ePTFE Midface Implant After LeFort I Osteotomy

The lower midface consists of the central pyriform aperture or the bone around the base of the nose. Its forward development plays a major role in the projection of the nose and how the nose appears in relation to the upper lip. It is the most projecting part of the central midface where the rest Read More…

Technical Strategies – Intraoperative Placement and Positioning of Custom Skull Implants

Aesthetic augmentations of the head can be most effectively done using a custom skull implant approach. Using the patient’s 3D CT scan implants can be designed to contour large surface areas of the external skull bone surface. While these skull implant designs can be made of any of the traditional materials, solid silicone is the Read More…

Technical Strategies – The Minimal Incision Sliding Genioplasty

The sliding genioplasty is one of the most well known chin reshaping procedures. Separating the chin bone by a bone cut done from inside the mouth allows the bone to be moved in a variety of different positions for various chin shape changes. The new position of the chin bone is fixed into position by Read More…

Technical Strategies – Percutaneous Screw Fixation of Jaw Angle Implants

Jaw angle implants are the only other lower jaw augmentation site than that of the chin. Despite being a paired structure, jaw angle augmentation is done far more infrequently for a variety of reasons. While jaw angle implants have been around since the 1990s they have only more recently been clinically used with any regularity. Read More…

Technical Strategies – Custom Skull Implant Split Techniques For Limiting Scalp Incisional Lengths

The use of custom skull implants has made a wide range of aesthetic head shape changes possible. Using 3D scans and design software implants can be designed for any skull surface(s) to create the desired effect. Such skull implants are far larger than any type of facial implants and their introduction through scalp incisions must Read More…

Technical Strategies – Medpor Chin Implant Removal and The Biologic Reactions To The Material

Medpor implant material is well know to create vigorous soft tissue attachments due to its irregular surface contour. Such soft tissue adherence has both advantages and disadvantages. A major disadvantage is if the implant needs to be adjusted and/or removed. Getting the Medpor implant out has been stated by some to be impossible and most Read More…

Technical Strategies – Earlobe Reduction Technique During Facelift Surgery

The most common major facial rejuvenation procedure is a facelift. While facelift surgery is available in many different variations, one fundamental principle of its performance is the need to place incisions in and around the ears. This almost always involves the earlobes which is also critical during the closure of these incisions at the conclusion Read More…

Technical Strategies – The Slot Technique in the Placement of Custom Skull Implants

In the placement of custom skull implants consideration must be given to not having a large scalp incision to do so. While a scalp incision is necessary for the surgery keeping it as small as possible is an important aesthetic requirement. As a result of keeping the scalp incision small it then becomes necessary to Read More…