A not infrequent request by male clients is the “six pack” stomach and if there is a cosmetic procedure to enhance/produce it. The look of a “six pack” stomach is created by a very well trained midline muscle group – two about 10cm wide muscles on each side of the midline running from the chest […]
Fronto-orbital advancement for correction of craniosynostosis
Numerous craniofacial deformities are characterized by orbital dystopia and anterior skull base deformities. Examples are Crouzon’s syndrome, Apert’s syndrome, coronal and metopic craniosynostosis. Two concepts developed by Paul Tessier (the father of craniofacial surgery) in the 1960’s are crucial to the understanding of the correction of these deformities. Firstly, the superficial skeleton of the eyesocket […]
A Cleft Pastiche
Aesthetic Craniomaxillofacial Surgery of the Midface
The techniques of skeletal surgery of the midface were originally developed to treat problems related to congenital and posttraumatic deformities affecting the occlusion. Occlusion – the way the upper and lower teeth come together – is determined by the position of the tooth bearing arches of the upper and lower jaws relative to each other. […]
Cleft Lip and Palate – Yardsticks for Perfection
Cleft lip and palate implies an often 20+ years rehabilitation process for the affected individual starting a few days after birth. The reward of this multistage, interdisciplinary process can be a near normal appearance. The luxury of this treatment in a global perspective is restricted to a privileged few in highly affluent countries. Children born […]
Writing for the gallery
It has been said that it is the secret dream of any surgeon to leave this world with his or her name attached to at least one instrument. This is what makes craniofacial surgery real fun as Paul Tessier had his name attached to almost all instruments on an average craniofacial surgery instrument tray. So […]
Plastic Surgery – A Plastic Surgeon’s Perspective
Despite its overwhelming media presence plastic surgery continues to be the most misunderstood surgical specialty. It is my contention that this is the case because plastic surgery does not claim any specific disease (e. g. coronary artery disease in case of cardiac surgery) as its own nor does it focus on any single organ system […]
Electrical Injuries – The “Great Masquerader” in Burn Surgery
Electrical injuries comprise only a small fraction of burn injuries admitted to specialized centers. High voltage injuries may not be survivable. The flow of current through the body interferes with tissues conducting electricity on their own (nerves, heart) and expends its energy on tissues with highest resistance, the bones, causing high temperature damage from the […]
CEO Announcement: Aesthetic Medicine and Skin Therapy
I am pleased to announce the cooperation of Trinidad Institute of Plastic Surgery and A. M. E. Skin Care Center. A. M. E. Skin Care Center is a full service skin therapy clinic, owned an operated by Areana Emmanuel, certified aesthetician. A native of Trinidad, Areana has been intrigued with the beauty industry from a […]
Correcting Crooked Noses and Faces
The correlation between structure and appearance is most straightforward when the skeleton is involved. Today’s case involved a young women after a motor vehicle accident more than a decade ago. The forehead was uneven, the brows in unequal position, old hardware palpable over the roof of the eye socket and the nose was crooked and […]