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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…

Aesthetic brow bone augmentation and even brow bone contour reconstruction is almost always best done with a custom implant approach. Using the patient’s 3D CT scan the precise shape and projection of the brow bones can be preoperatively designed. This is a far superior approach to creating the complex topographic anatomy of the brow bones Read More…

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…

A custom jawline implant creates the most significant change to the lower third of the face as any other surgical procedure. In many cases it creates an even greater change than a sagittal split mandibular osteotomy even if combined with a sliding genioplasty. This is because it can add significant jawline width which no mandibular Read More…

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…

Horizontal and Vertical Lengthening Bony Genioplasty The ability to make this simultaneous two-dimensional chin augmentation change is an historic advantage of a bony genioplasty over that of an implant. While some argue that a chin implant can be positioned lower on the bone to create this effect, this effect is limited and such implant positioning Read More…