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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…

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…

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…