Category: fat grafting | fat injections | technical strategies

Technical Strategies – Fat Injections for Lower Eyelid Ectropion

Lower eyelid retraction, known as ectropion, occurs for a variety of reasons. The most common reasons are after an elective aesthetic lower blepharoplasty and/or midface lift or after repair of an orbital floor or cheek bone fracture. The lower eyelid retracts downward due to loss of support in one or several of its layers Read More…

Technical Strategies – Postoperative Foam Dressing for Abdominal Etching Liposculpture Surgery

Abdominal contouring is commonly done using liposuction. Most of the time this is fat debulking or overall volume reduction to get rid of larger volumes of fat. But in thinner patients, almost always men, they desire a more refined type of liposuction described more appropriately as liposculpture. This is the removal of smaller amounts of Read More…

Technical Strategies – Fixation of Tear Trough Implants

Treatment of the tear trough has become quite common since it has been recognized as an aesthetic deformity. A sunken in appearance in the inner aspect of the lower eyelid creates an indentation or trough that creates a shadow and the appearance of being tired or older. Its treatment has become popularized due to the Read More…

Technical Strategies – Rolling of Hand Fat Injections

One of the well known changes that happens in woman’s hands is a thinning or skeletonization look that can develop to them with aging. This is due to the loss of the subcutaneous fat on the back of the hands, creating greater exposure of the extensor tendons and the space between the bones of the Read More…

Technical Strategies – Pretrichial Approach to Forehead Craniotomy Defect Reconstruction

Craniotomies that involve the frontal and/or frontotemporal bones are commonly done for a variety of intracranial problems such as bleeding from trauma or for access to tumors. While the bone flap is put back into position using low profile plates and screws and the detached temporalis muscle resuspended, residual skull deformities are common. Frontal skull Read More…

Technical Strategies – Burring for Sagittal Ridge Skull Reduction

One of the most common of all aesthetic raised skull deformities is that of the sagittal ridge. As a result of the fusion of the midline sagittal suture, bone thickening can occur between the original anterior and posterior fontanelles. In its fullest expression such sagittal suture fusion becomes a craniosynostosis. But there are numerous smaller Read More…

Technical Strategies – A Simplified Cheek Dimpleplasty Method

The cheek dimple is an anatomic anomaly that is often inherited. They can occur on just one side of the face but more commonly are bilateral. They can be present only when one smiles or is always present and just gets deeper when one smiles. Cadaveric studies have shown that it is created by a Read More…

Technical Strategies – Temporal Reduction in Head Narrowing Surgery

A head that is too wide is marked by excessive convexity in the posterior temporal region above the ears. Often the width of the skin (even without hair) may stick out as much as the projection of the ear…and in some cases even more than that of the ear. There is no question that the Read More…

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…