Category: skull reshaping | technical strategies

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…

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…