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Triangular Vermilion Flap Transposition for Corner Mouth Lift

Surgical treatment of the downturned corner of the mouth has historically been associated with two common themes. First it is a procedure by history that has been largely done in age-related drooping mouth corners. (older patients) Two, it is a laterally-based procedure that lives visible scars with a high rate of adverse scarring. Both trends Read More…

OR Snapshots – Making A Tapered Chin Implant For Females

The chin implant is often perceived as a simple procedure with a high success rate. It is often a secondary procedure as a complement to a primary procedure, most notably rhinoplasty surgery. Placing an implant on a solitary projecting edge through incisional approaches that do not require trespassing through complex anatomy can make an aesthetic Read More…

Earlobe Reduction of the Age-Related Long Ear

The earlobe is a unique part of the ear in having no structural cartilaginous support. It is composed of skin and fat soft tissue only. As a result it is subject to a variety of deforming forces which can change the shape that it had earlier in life. One of these potential deformations is lengthening Read More…

Management Strategies for Lateral Pectoral Implant Displacement

Pectoral implants, although far less commonly done than breast implants, share some similarities with its more well known female counterpart. The implant pocket location is almost the same (submuscular) and the location of the incision is one that is often used in breast implants as well. (transaxillary) But beyond these two similarities the male and Read More…

Iliac Crest Implants For Aesthetic Widening of the Bony Hips

The pelvis is large collection of conjoined bones that provides soft tissue support between the abdomen and the thighs. It extends from the lower back by the sacrum and coccyx and extends forward on both sides by a pair of hip bones. These hip bones have three sections to them which include the top (ilium), Read More…

Three-Dimensional Implant Reconstruction of the Cranial Vault Book Chapter

In the new textbook OPERATIVE TECHNIQUES IN CRANIOFACIAL SURGERY I wrote a chapter on skull reconstruction entitled ‘Three- Dimensional Implant Reconstruction of the Cranial Vault’. In this chapter I describe my experience of over 25 years of designing and placing computer-generated skull implants for a wide variety of  defects. The use of a computer design Read More…

Subfascial vs Submuscular Pockets for Biceps Implants

Of all aesthetic arm implants that are placed, the most common is that of the biceps muscle. Technically known as the biceps brachii, because of its two muscle heads, it is perceived on the outside as a single muscle…which it ultimately becomes at the mid-upper arm level and as it approaches and attaches into the Read More…

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