Category: rhinoplasty | technical strategies

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…

Technical Strategies – Cheek Dimpleplasty as a Cheek Contouring Procedure

Cheek dimples are well known facial features that are congenital in origin and appear in about 20% of the population. They are inherited and as a result occur in families. Their anatomic origin is a defect in the zygomaticus major muscle. This muscle originates at the zygomatic arch and inserts at the corner of the Read More…

Technical Strategies – The V-Y Mucosal Lower Lip Advancement

The most common form of lip augmentation is injectable fillers and typical aesthetic reason for doing so is for bigger or more full lips. Far more lip augmentations are done on the upper lip than the lower lip due to the frequent occurrence of the lower lip being bigger. Such size matches are based on Read More…

Technical Strategies – Combining Subnasal Lip Lifts with V-Y Mucosal Advancement Flaps

The subnasal lip lift is a commonly performed upper lip reshaping procedure. Its primary indication is to shorten the long upper lip which an injectable filler can not do. By removing tissue from under the base of the nose the upper lip is truly lifted and shortened. As a sequelae of the lift the central Read More…