Category: shoulder reduction | technical strategies

Technical Strategies – Single vs Double Plate Fixation in Clavicle Reduction Osteotomies (Shoulder Narrowing Surgery)

Chin implants are a very commonly used method of facial augmentation that has been around for fifty years. Despite this long history and common use there continues to be a lack of understanding of the gender differences between the male and female chin and how to select a successful chin implant for them. In shoulder Read More…

Technical Strategies – Intraoperative Fabrication of the Female Tapered Chin Implant

Technical Strategies – Testicle Implant Capsulectomies and Capsulotomies

Testicular implants are the smallest aesthetic body implant. Despite its small size it shares several features to that of another body implant that is far more commonly used, breast implants. The similarities may not seem obvious and the implant compositions are different. (testicle implants are soft solid implants while breast implants are soft gel-filled implants) Read More…

Technical Strategies – Modified Wedge Excisions for Nostril Flaring Reduction

Rhinoplasty surgery is fundamentally about altering the osseocartilaginous framework of the nose. It’s primary soft tissue effect, the redraping of the nasal skin over and around the altered support framework, is largely out of the surgeon’s direct control. But there is one soft tissue element of the nose which can be changed and that is Read More…

Technical Strategies – Elbow Wraps after Shoulder Narrowing Surgery

Shoulder narrowing surgery is accomplished by the straightforward concept of removing a segment of the clavicle bone which pulls the shoulder inward. While there are certainly technical challenges in performing this surgery the operation is completed in about 2 1/2 hours. The formidable part of the surgery to me is the postoperative recovery. Most patients Read More…

Technical Strategies – Five Important Steps in Performing Buccal Lipectomies

The buccal fat pad is a unique facial structure located in the deep midface area whose exact function remains uncertain. What makes it unique is that it is an encapsulated fat collection that has its own pedicle blood supply. Being a discrete fat mass in the face that can be readily accessed it has long Read More…

Technical Strategies – Forehead Bump Reduction Using Skull Rasps

There are a variety of small contour irregularities (lumps and bumps) that can occur on the forehead from either congenital or traumatic origins. Such bony prominences, even if they are small in. size can be very visible on the broad expanse of the forehead. The reflection of the light from various angles on the forehead Read More…

Technical Strategies – Use of Medpor Sheet in Intraoral Chin Pad Ptosis Correction

For many cases of chin pas ptosis intraoral technique are used and can be effective. Such techniques rely on a method to secure the mobilized chin pad upward and to hold in there for a prolonged time as it heals…and hopefully stays there. The most common techniques used is securing the chin pad to screws Read More…

Technical Strategies – Placement of Custom Jawline Implants

A custom jawline implant offers a 3D augmentation effect on the lower face. Since it is a wrap around implant, the largest aesthetic implant that can be placed on the face, its covers the entire inferolaterakl surface area of the lower jaw. In essence it is like placing a new jaw on top of the Read More…

Technical Strategies – Limited Open Approach for Nasal Implant Placement

The most common method of facial augmentation performed around the world is a nasal implant. While there are two different methods of placing a nasal implant, open vs closed, the method used depends on what else is being done to the nose. If the nose is being opened anyway then how the implant is introduced Read More…