Category: rhinoplasty | technical strategies

Technical Strategies – Cartilage Spreader Grafts in Primary Rhinoplasty

The middle third of the nose is usually viewed as a mere bridge between the top of the nose and the tip. But it actually has a very significant functional purpose as what lies beneath it and is created by it is the internal nasal valves. Formed by the junction of the septum and the Read More…

Technical Strategies – Muscle Resuspension in Vertical Chin Reduction

While a short chin is both common and easily treated by an implant or bony in most cases, the long or big chin is a much more challenging aesthetic issue. The tissue excess over the front end of the lower jaw makes its reduction fraught with problems of redundancy and potential tissue sag. Where does Read More…

Technical Strategies – Dermal-Fascial Suturing in Lower Buttock Lifts

There are numerous strategies to improving the shape of the buttocks of which the most popular is the Brazilian Butt Lift. (BBL) While this buttock augmentation method is called a lift, it really does not lift the buttocks at all. It fills out the buttocks to make it bigger or more round but is not Read More…

Technical Strategies – Fat Injections for the Bony Shoulder (Clavicular Knob)

Bony or skeletonized shoulders are when a hard prominence is clearly seen rising above the surrounding profile of the shoulders. This could be due to a lack of adequate muscle development of the deltoid and trapezius muscles. It can also be caused by a prominent acromioclavicular (AC) joint interface due to its natural development or Read More…

Technical Strategies – Small Cannula Power-Assisted Liposuction in the Lower Extremity for Cankles

Liposuction is done for two fundamental purposes, to either debulk larger fatty areas or treat smaller areas for more refined shaping. The latter is often referred to as ‘liposculpture’. Such finesse or refinement liposuction is often done on smaller body areas which are resistant to improvement through diet and exercise and often escape awareness that Read More…

Technical Strategies – Softer Testicle Implants

The purpose of any body implant is to replicate what is missing or deficient in size or volume. Most of the time this is done for muscle augmentation for most body implants with the exception of the breast. The other lone exception is that of the male testicle. Testicle implants are designed to replace a Read More…

Technical Strategies – Combining Chin Implant and Sliding Genioplasty for Large Chin Augmentations

Chin augmentation can be done by a variety of surgical methods including a chin implant and a sliding genioplasty. Each of these aesthetic chin techniques has a role to play and they have their own advantages and disadvantages. But both have the same limitation…a limit to how much the chin can be horizontally projected. Chin Read More…

Technical Strategies – A Modified Suture Technique in Chin Dimple Creation Surgery

Cheek dimples are indentations in the central area of the chin soft tissue pad of varying degrees of depth. They are caused by a defect in the mentalis muscle and thickness of the overlying fat that causes the skin to be drawn inward. It is a genetically-inherited trait and has been associated with chromosome Read More…

Technical Strategies – Exparel for Rapid Recovery Breast Augmentation

Breast augmentation remains one of the most popular and commonly performed elective body contouring procedures. The most frequent location for breast implants is under the pectoralis major muscle, technically a partial submuscular location known as the dual plane pocket. While this implant pocket location has numerous advantages long-term, the elevation of the muscle does Read More…

Technical Strategies – Sonopet Ultrasonic Aspirator for Facial Bone Contouring

Reshaping of different parts of the facial bones is often required to either reduce or smooth certain facial prominences to get a desired contour. This is traditionally done with a handpiece and burr with saline dripped over it to reduce heat build-up and prevent bone ‘burning’. Using a high speed rotary instrument inside small and Read More…