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Archive for the ‘arm implants’ Category

Technical Strategies – Biceps Implants

Wednesday, February 10th, 2016

 

tricep muscleAugmentation of the upper arm is a combination of development of the biceps and triceps muscles. The biceps is the most recognized of the two upper arm muscles and the most pursued in terms of exercise development and arm flexing. The biceps muscle is a two-headed muscle that extends on the anterior surface of the upper arm from the shoulder down to the elbow. The muscle originates on the scapular bone and inserts across the elbow on the upper forearm bones. Its main function is to flex and rotate the forearm

While weight training and other forms of exercise are the best way to develop a larger and more prominent biceps muscle, there are biceps implant surgeries to bypass the natural augmentation methods. Biceps implants can be placed in the subfascial location over the muscle to enhance its muscular profile.

Biceps Implants Markings and Incision Dr Barry Eppley IndianapolisThe location of biceps implants is placed over the length of the muscle. But it is very important when making the implant location markings that it takes into account the shortening or contraction of the muscle. The distal length of the muscle should be marked when the muscle is maximally contracted when the elbow is bent at 90 degrees and the forearm is supinated.

Biceps Implants Incision and Pocket Dissection Dr Barry Eppley IndianapolisBiceps implants surgery is done in the supine position through an incision placed high in the armpit. This is the identical incision used for the placement of pectoral implants. Iyt does not need to be more than 3.5 to 4cms in length. This iincision is up under the lateral edge of the pectoralis muscle so it will be fairly hidden when it heals.

Biceps Implants Incision and Closure Dr Barry Eppley IndianapolisThe biceps muscle fascia can be identified under the fat underneath the incision down towards the arm. The fascia is incised and the subfascial pocket is dissected with a long smooth instrument down to just above elbow. A silicone contoured carving block (Implantech) is used and carved to length as needed. The implant is easily inserted along the full length of the subfascial pocket.

The fascia is closed and the overlying skin closed in two layers. An ace wrap along the full length of the arm is used as the only dressing.

Biceps implant surgery produces an instant muscle enhancement effect.The subfascial pocket approached from an axillary incision avoids any major neurovascular structures and enters the fascia where the two heads of the biceps muscle become unified.

Dr. Barry Eppley

Indianapolis, Indiana

Contemporary Body Implant Augmentation Surgery

Sunday, May 26th, 2013

 

Muscular enhancement of certain body parts can be done through the use of synthetic implants. Everyone knows about breast implant augmentation although this is not a true muscular enhancement but a breast tissue enlargement. Historically the most recognized body implants were for the chest, buttocks and calfs. The number of such implants combined pale in comparison to the number of breast implants that are placed but that makes them no less useful.

The number of body implant surgeries that are performed have continued to increase over the past decade. Greater awareness and acceptance of body augmentations has fueled demand as well as improvement in  implant materials and surgical techniques. Body implants, unlike breast implants, are made of a solid but very soft and compressible silicone elastomer material. This makes them capable of being inserted through small incisions and to have a feel that is similar to what they intended to enhance…muscle. Because they are a completely polymerized non-liquid material they will never rupture, degrade or need to be replaced.With these better materials has come an expansion of body implants to new and innovative areas of augmentation. These have included such areas as the arms, shoulders and even the hips to create muscle prominences and increased curves.

Muscle implants are used to surgically build-out an underdeveloped area of muscle in the body. These muscle deficiences can be caused by a birth defect, a traumatic injury, or an aesthetic desire for body shape improvement. Aesthetic desires for body implants (pectoral, calf, arm implants) comes from an inability to build up the muscle adequately from exercise. There are also recent fashion and body image trends for an increased gluteal size. (buttock implants) Birth defects can also drive the need for implants and include club foot and Spina Bifida for calf implants, chest wall deformities from Pectus and Poland’s syndrome for pectoral implants and Sprengel’s deformity for deltoid implants.

An overview of old and new body implants includes the following.

PECTORAL IMPLANTS Male chest enhancement is done by transaxillary implant placement under the pectoralis major muscle but staying within the outline of the muscle. (unlike breast implants) They are available in different oval and more square shape forms.

BUTTOCK IMPLANTS Intramuscular or subfascial pocket placement in regards to the gluteus maximus muscle is used for implant location. I prefer the intramuscular location to reduce the risk of potential complications even if it poses size limitations (< 400ccs implant volume) and a longer recovery.

CALF IMPLANTS Being the smallest of all body implants, they have a cigar-type shape that are available in different lengths, widths and thickness. They may be used to build up the inside of the leg (medial head gastrocnemius muscle) or combined with outside of the calf augmentation as well. (lateral head gastrocnemius muscle)

ARM IMPLANTS The top (biceps) and bottom (triceps) of the arm can be build up for those men that either can’t get enough muscle bulk by exercise alone or want to maintain a more muscular arm shape with less long-term exercise maintenance.

DELTOID IMPLANTS While there are no true shoulder implants, they can be made by either modifying existing body implants used for other areas or hand making the implants from performed silicone blocks.

HIP IMPLANTS Placing implants placed below the muscular fascia below the prominence of the greater trochanter of the hip can build out an otherwise straight leg line.

Body implant surgery is both safe and effective when done by a surgeon who has good experience with these  materials and has anatomical knowledge of the different and varied parts of the body where these implants go. While fat injection augmentation has a valuable role in the enhancement of certain body areas also, synthetic implants offer a permanent and assured solution to body augmentation that has the trade-off of an implanted material and a longer recovery.

Dr. Barry Eppley

Indianapolis, Indiana


Dr. Barry EppleyDr. Barry Eppley

Dr. Barry Eppley is an extensively trained plastic and cosmetic surgeon with more than 20 years of surgical experience. He is both a licensed physician and dentist as well as double board-certified in both Plastic and Reconstructive Surgery and Oral and Maxillofacial Surgery. This training allows him to perform the most complex surgical procedures from cosmetic changes to the face and body to craniofacial surgery. Dr. Eppley has made extensive contributions to plastic surgery starting with the development of several advanced surgical techniques. He is a revered author, lecturer and educator in the field of plastic and cosmetic surgery.

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