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Plastic Surgery Case Study – Custom Infraorbital-Malar-Maxillary Implants for a Permanent Facial Augmentation Effect Based on Prior Radiesse Injectable Filler

Background: The most common form of cheek or midface augmentation is with the use of injectable materials. While fat is the most frequently used method of surgical injections as it is often performed along with other procedures, synthetic fillers even exceeds the use of fat because it is non-surgical. A wide variety of synthetic filler Read More…

Pseudo Fat Herniation of the Lower Eyelid In Custom Infraorbital-Malar Implants

The face is prone to a variety of aesthetic skeletal deficiencies of which the most common is that of the chin. Because it is a solitary projecting structure on the front edge of the lower face it is easy to recognize a deficiency as it also has an effect on the shape of the neck. Read More…

Postoperative 3D CT Scanning for Custom Skull Implant Placement

Custom skull implants are the definitive method of any type of significant aesthetic skull augmentation. With a design based on the patient’s 3D CT scan implants can be designed to achieve almost type of head augmentation a patient desires. (provided the implant volume does not exceed the scalp’s ability to stretch to safely accommodate it) Read More…

Plastic Surgery Case Study – Secondary Custom Forehead Implant for Completion of Increasing Anteroposterior Skull Length

Background: The forehead is the most visible part of the face and skull because of its large non-hair bearing surface area. While its coverage area is broad it does not have a flat shape nor does it have a completely vertical slope. In men the forehead usually has a slight backward angulation particularly at the Read More…

Plastic Surgery Case Study – Minimal Incision Occipital Knob Skull Reduction

Background: The occipital bone on the back of the head has a trapezoidal shape that forms the lower and back part of the cranium. It is not a snoot bone and has various ridges and prominences due to the attachment of numerous neck muscles. But there is one often seen and well described bump on Read More…

Plastic Surgery Case Study – Multi-Surface Skull Reductions of Sagittal Crest and Occipital Ridges

Background: Bony prominences of the skull can occur anywhere on its five surfaces in wide variety of shapes and sizes. But there are some consistent types of bony protrusions seen on each skull surface. These include sagittal crests on the top of the head, occipital buns and knobs on the back of the head, bossing Read More…

Technical Strategies – Longitiudinal LD Muscle Resection in Rib Removal Surgery for Waist Narrowing

Rib removal surgery is the internal framework modification approach for waistline reduction/narrowing. While much focus is on the removal or changes in shape of the lower ribcage, particularly the unattached #11 and 12 ribs, there are other tissue reductions that are done as well. At least this is true in the rib removal approach but Read More…

Use of Custom PEEK Implants for Aesthetic Forehead Augmentations

While implants have been used to aesthetically augment the lower two-thirds of the face, less implant augmentations have been done in the upper third of the face in the forehead. The main reason, of course, is that there are historically no standard forehead implants available and part of the reason for this is that the Read More…

Technical Strategies – Preventing Recurrent Infection in Facial Implant Re-Insertions

While the incidence of infection in facial implants is fairly low, 1% to 2%, it is not zero. The definitive treatment for any facial implant infection is removal. This works 100% of the time for a successful resolution of the infection. But more times than not the patient will want an implant eventually replaced whether Read More…

Do Sliding Genioplasties Provide Any Oropharyngeal Airway Benefit?

Repositioning of the jaws is a well known method of treating obstructive sleep apnea (OSA) with substantial forward movements. This works because the base of the tongue is pulled forward as dentoalveolar portion of the jaw moves forward and the soft palate similarly does so with the maxillary advancement. A smaller osteotomy on the lower Read More…