Aesthetic Surgery of the Facial Skeleton

Lipostructure for the facial skeleton

Key points • Facial aging is characterized by fat atrophy and gravitational descent of facial soft tissue. • Careful facial analysis is crucial for optimal outcomes. • Fat grafting provides a minimally invasive technique to improve facial contouring in aesthetic…

Soft tissue assessment, optimization, and planning

• Soft tissue evaluation is a crucial step in planning any aesthetic facial procedure. • Patient assessment of all aging components and selection of procedures that address specific patient concerns are important. • A combination of surgical and nonsurgical procedures…

Aesthetic orbital surgery

Key points • The anterior and posterior ethmoid foramen are the intraoperative anatomical landmarks to visualize for the level of a subcranial osteotomy. Violation of the frontal bone via an orbital osteotomy above these landmarks carries the risk of cerebrospinal…

Anaplastology and facial prosthetics

Key points • An implant-retained prosthesis has an average expected lifespan of 18-36 months. • Successful rehabilitation with osseointegration requires the presence of viable bone in the area of reconstruction and a good surgical candidate. • Maintaining realistic expectations of…

Osseointegration and prosthodontic considerations

Key points • Prosthodontics is the art and science of the aesthetic and functional restoration of the hard and soft tissues of the oral cavity. • Osseointegration is arguably the most significant contribution to prosthetic dentistry and has become a…

Aesthetic cranioplasty

Key points • Augmentation, feminization, masculinization, and other adjustments to the cranium can be done with implants, osteotomies, hydroxyapatite bone cements, and autogenous bone grafts. Soft tissue can further be augmented with fat grafting, filler materials, or free tissue transfer.…

Principles of rhinoplasty

• Preoperative evaluation must include assessment of nasal function as well as aesthetic goals. • Each approach should be individualized to the patient. Surgical planning must take into consideration form, function, age, gender, and ethnic background. • Computer imaging and…

Rhinoplasty: Dimensional analysis and planning

Key points • Thorough analysis of the whole face and the nose, along with full understanding of the nasal dynamics, are required for planning a successful rhinoplasty outcome. • An optimal rhinoplasty outcome requires congruity between the nose and the…

Alloplastic augmentation of the chin and the mandible

Key points • Chin augmentation can often result in asymmetry, an irregular transition between the implant and the underlying bone, excessive width, or unaesthetic disproportion. • Optimization of results requires careful preoperative analysis, refinements in surgical technique, and appropriate implant…