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Archive for the ‘patient testimonials’ Category

Patient Testimonial: Upper Blepharoplasty (Eyelid Lift) Surgery

Tuesday, December 24th, 2013

 

Blepharoplasty (Upper Eyelid Lift)

Upper Blepharoplasty Eyelid Lift Dr Barry Eppley Indianapolis‘I never thought I would ever have plastic surgery for any cosmetic reason. I had worn glasses for many years but when I retired at age 65 I started to have more trouble seeing because of what was happening around my eyes. Everything just seemed a little more dim and I just can’t see as well. After seeing Dr. Eppley I realized that the skin on my forehead, brow and around the eyes had loosened and fallen to partially obstruct my vision. Trying to strain to see even gave me some issues with headaches. Having having my eyelid surgery by Dr. Eppley I could not only see better but I actually like the cosmetic improvements as well. I was not initially concerned with any cosmetic enhancement but I now see that as a pleasant bonus! Thank you Dr. Eppley for your surgical expertise and kind encouragement to go through the procedure. You were right, it was not as bad as I thought it would be.’

Bill

Carmel, Indiana

Commentary

There is probably no plastic surgery procedure that is more satisfying to a patient than an upper blepharoplasty procedure, also known as an eyelid tuck or an eyelid lift. This is so not only because of its aesthetic effect but because of the removal of the heavy feeling on the upper eyelid and an improvement in one’s visual field if the excessive skin is significant enough. It is its combined aesthetic and functional benefits that makes the upper blepharoplasty a winning procedure for those that undergo it. It is also a fairly ‘simple’ plastic surgery procedure to undergo with minimal pain afterwards albeit with some swelling and light bruising that takes about 10 days to go away completely.

Dr. Barry Eppley

Indianapolis, Indiana

Patient Testimonials: Chin Reduction

Sunday, November 17th, 2013

 

CHIN REDUCTION

I got a chin reduction with an incision under the chin few months ago. I wanted to give an update. I think Dr Eppley was right about this approach. The chin is smaller. I think it could be a little bit smaller but I definitely think the procedure was worth it. The scar has gotten smaller and I hope it will completely resolve or at least become less noticeable. As always, I’m satisfied and happy with Dr Eppley’s work.  Thanks a lot!

Carmen

Knoxville, Tennessee

Commentary

Reducing a large chin has historically been a difficult problem. Traditionally chin reductions were attempted from intraoral approaches, burring down the horizontal portion of the chin bone. While perhaps effective for a few macrogenia (large chin) patients with vertical bone excess (osteotomy with wedge bone removal), this approach is inadequate for most. Horizontal bone burring often left a soft tissue excess that subsequently sagged, creating the classic ‘witch’s chin’ deformity. For many large chins, the tissue problem is multidimensional and involves both bone and soft tissue. This is why a submental approach for most chin reductions offers a more effective solution. From underneath the bone of the chin can be both horizontally and vertically reduced if necessary as well as soft tissue excess removed and tightened. All tissues problems of the large chin can be simultaneously treated. This does result in a submental scar and keeping the length if the scar underneath the arc of the symphysis (curved chin bone) is crucial for a satisfying scar outcome.

Dr. Barry Eppley

Indianapolis, Indiana

Patient Testimonials: Skull Reshaping

Friday, November 15th, 2013

SKULL RESHAPING

    It ‘s exactly a year – to the day – you performed surgery on me for my dysmorphic skull. (anterior and posterior cranioplasty with HA and PMMA) I want to thank you for the excellent conditions under which happened for my surgery and your warm welcome and your patience and amiability in answering all my questions. All these factors helped me to have the surgery for my long-standing skull disfigurement.With hindsight I can evaluate the result to be 80 % of what I hoped (percentage by which I am very satisfied because of the severity of dysmorphia, a persistent posterior flattening ) and I am convinced that this is the maximum that we can correct. I am very surprised at the result of the anterior cranioplasty, it is perfect  and impossible to notice. My scar  is better than before (Except for my 13 year old daughter, nobody noticed anything) I want to thank you for getting me out of a very long nightmare ….I found again the joy of living…thank you very much!!

Moustafa

Lyon, France

Commentary

Perhaps surprising to some, the shape of one’s head/skull to some can be as disturbing as just about any other face or body part. Head shape concerns of areas of flatness, too much projection or asymmetries from either natural skull development or from prior surgery or trauma affect people’s self-esteem. Skull reshaping or cranioplasty can offer some very effective improvements for many of these skull shape concerns that can be tremendously gratifying as this patient’s e-mail demonstrates a year after surgery. Patients often know quite specifically what about their head shape they do not like and can draw a diagram of  how they would like it changed. (as this patient did)   Augmentation of the skull can be done more effectively than reduction in most cases if the overlying scalp permits the expansion.

Dr. Barry Eppley

Indianapolis, Indiana

Patient Testimonials: Corner of Mouth Lift

Saturday, November 2nd, 2013

Corner of Mouth Lift

‘Thank you very much for my corner of mouth lift. My mouth has changed now. I came home from United States last week and my friend saw me with my new mouth and she was amazed. She said to me that my mouth is marvelous and is much better now. She was happy and told me that my smile  is much improved. A big thank you for the operation on my mouth corners. I am very happy and am feeling much better as my mouth was getting very droopy in the past few years.’

Gwen H.

United Kingdom

Commentary

While many plastic surgery operations make big changes in how one’s face looks, few operations that are so small can make such a big difference as the corner of the mouth lift. The mouth that turns down, either from how it naturally developed or from aging due to the descent of surrounding tissues, makes one look sad or even mad. This appearance is usually quite contradictory to how one actually feels but the droopy mouth corners create that impression nonetheless. While Botox and injectable fillers can help push up the downturned mouth corners they offer only temporary fixes…and if not done well the mouth lifting effects can be less than desired. A corner of the mouth lift offers a permanent fix to the sagging mouth corner by removing the skin overhang and changing the position of the mouth corner (commissure) upward. Small scars at the corner of the mouth result from the lift but, if well placed and not overdone, they are not a long-term aesthetic issue. When done as a stand alone procedure, corner of the mouth lifts are done as an office procedure under local anesthesia.

While the corner of the mouth lift seems new, it is really an old procedure that was done long before Botox and injectable fillers were even in development. When there was no other way to change the corner of the mouth but skin excision, the old’ valentine’ corner of mouth lift was done. (the skin excision pattern was shaped like a heart)

Dr. Barry Eppley

Indianapolis, Indiana

Patient Testimonials: Prominent Facial Artery Ligation

Friday, October 11th, 2013

Pulsing Prominent Facial Artery Ligation

‘The procedure when so smoothly and the pulsations from the artery on my face are gone. The bandage is off and I am sooo amazed!! So grateful!!

One week later It looks better then my scars from a year and half ago!! You are the man and you have been so helpful!! Thanks again:)

Mick B.

Santa Monica, CA

Commentary

A very uncommon cosmetic procedure is that of the reduction/removal of prominent blood vessels on the face. By far the most common area is that of the temples and the forehead. Some patients may have prominent veins which are very blue in color. Other patients will have very visible pulsations of the temporal arteries that are aesthetically disturbing on the  side of the head that extends into the forehead. These facial vessels can become extremely prominent when exercising, in hot weather and even when drinking alcohol. While the presence of these blood vessels are normal, they are not usually seen in most people. Why they appear so prominent in some people is not known and is likely just the natural size and blood flow through them or the lack of any subcutaneous fat to camouflage them. While not commonly known or even considered as a cosmetic procedure is the ligation of these vessels to reduce or completely eliminate their prominence due to the blood flow in them. This is usually done as a relatively simple procedure under local anesthesia through very small discrete incisions. The vessels are identified and tied off. In some cases of temporal artery ligation, it must be tied off at multiple points to eliminate backflow which can cause an immediate return of the pulsations. In this more rare case of prominent facial artery pulsations at the side of the mouth, a single point of ligation was sufficient. It is important for the surgeon to be aware of the anatomy of the blood vessels and the location of the facial nerves to avoid any after surgery problems.

Dr. Barry Eppley

Indianapolis, Indiana

Patient Testimonials: Tummy Tuck and Breast Reduction (Mommy Makeover)

Monday, September 30th, 2013

 The Mommy Makeover – Tummy Tuck and Breast Reshaping (Reduction)

I couldn’t remember if I sent you guys an after surgery picture. I just wanted to thank you guys again for all your help with the tummy tuck and breast reduction. I’ve been exercising 2 hours a days and eating right. I am not quite where I am want to be yet but I am getting a lot closer!

 Amanda

Indianapolis, Indiana

Commentary

Tummy tuck surgery done with liposuction can produce some dramatic body change by the sheer amount of skin and fat tissue removed. But when tummy tucks are combined with a lot of personal effort after the surgery, the results can be even more strikingly dramatic. Patients who take advantage of the catabolic effects of wound healing after major body contouring surgery can really drop a lot more weight than what was ever removed during the procedure in the immediate after surgery period. But some patients take the changes that have occurred from surgery and become very motivated to do even better. A few even see it as the chance to make a total break from a body that had spun out of control for years for a multitude of reasons. This is a phenomenon I call ‘accomplishment feedback’ in which one positive change motivates one to raise the level of the obtained result even higher. While plastic surgery is a physical process, its potential effect on one’s self-image and psyche can create even greater effects. This woman’s dramatic body transformation illustrates what a powerful effect the combination of physical and mental changes can be.

Dr. Barry Eppley

Indianapolis, Indiana

Patient Testimonials: Brow Bone Reduction/Forehead Reshaping

Sunday, August 25th, 2013

Brow Bone Reduction and Forehead Reshaping

‘Had brow bone and forehead bone reshaping done recently by Dr. Eppley. The results are amazing. I had a really big protruding brow bone that made me look like a Neanderthal man. The whole process was very smooth and transparent. A large amount of bone was removed, some of it was reshaped and put back. This way not only sinus size was reduced, but also brow bone on the sides and along orbits was made smoother. Recovery was very quick, I was able to return to work two weeks after the procedure. 

If you have this kind of forehead problem I would recommend this surgery. I would get a 3D CT scan, as Dr. Eppley suggested to me, to make the consultation more productive and results more predictable.

Victor Z.

Durham, North Carolina

Commentary

For brow bones that are really prominent, particularly in men, the only really effective reduction method is going to be the osteoplastic bone flap technique. The anterior wall of the frontal sinus (visible brow bone ridge) is very thin, often less than 3 or 4mms, so to expect a significant change from burring is not going to happen. The entire brow bones must be removed, reshaped and then put back in place. By so doing up to 10mms of brow bone setback can be achieved. But no matter how brow bone reduction is done it requires a scalp incision to do it. Whether it is way back in the hairline or along the edge of the frontal hairline (women only) a turn down scalp flap is needed.

While all of this sounds quite ghastly the procedure actually is fairly easy to go though and has a quick recovery. Most patients have little pain after surgery and the biggest issue is some eyelid swelling and occasional bruising. By a week after surgery most people look good enough to walk around in public or even be at work without detectable signs of  having had surgery.

Dr. Barry Eppley

Indianapolis, Indiana

Patient Testimonials – Shaped Breast Implant Augmentation

Friday, June 28th, 2013

 

Shaped Breast Implants (Breast Augmentation)

Thank you for doing my recent breast augmentation which was two months ago already. I was very concerned about getting breast implants and couldn’t decide which ones to get. I was afraid I might be too big and look too round and unnatural. But you took the time and introduced me to the new gummy bear shaped implants which had the best chance to look natural. This was a good choice for someone of my age of 48. They are very soft and have a beautiful shape that matches my body perfectly.  I was very self conscious about even considering getting breast implants at my age but you gave me the confidence to move forward. You’ve made a difference in my life.  We’re lucky to have you here in Indy.  Thank you again.

Jeannie R.

Fishers, Indiana

Commentary:

Breast augmentation surgery today has a dirth of implant options ranging from either saline or silicone gel fillers with many different volumes and profiles. But one of the newer breast implant  options is in their shape. Traditionally used as a round implant (doesn’t mean they always look that way when one is standing up), breast implants now come in shaped or anatomic designs. This means that the implant has a tear-drop shape in which essentially 2/3s of the implant volume is in the mid- to lower pole, regardless of whether one is standing up or laying down. Its primary benefit is that it will not leave one with a round looking breast after augmentation, meaning the upper pole will be less full than the lower pole. These shaped implants are good choices for many women over 40 or 45 years old who want a natural look or has a little bit of ptosis or breast sagging. The greater lower pole volume can help pick up some of this loose breast skin and do it without overwhelming the whole breast in size.

All shaped breast implants have a textured and not a smooth implant shell. This is necessary to prevent implant shifting afterwards which can result in a funny looking or cock-eyed breast given the preformed implant’s shape. Textured breast implants must be placed through a lower fold (inframammary) incision to make sure the implant is oriented correctly by direct visual inspection.

Dr. Barry Eppley

Indianapolis, Indiana

Patient Testimonials: Male Chest and Abdominal Sculpting

Sunday, April 28th, 2013

 

Chest and Abdominal Liposuction, Six Pack Abdominal Etching, Nipple Lifts

Dr. Eppley, thank you for your good work. My body looks awesome!  My six-pack is showing really well and I have the lines that I always wanted. The lipos got rid of that little lower stomach pooch and those pesky small love handles that I had. The nipple lifts gave my chest a big improvement. I’m getting lots of good comments and compliments again. Back on good diet and in gym. Still under pre-operation weight (was 157 pounds and now 152), but that should come up a little over time. I’m happy that I’m back to having 30”pants loose on me like a couple years ago. Still have just a little tube of tissue on the side of right chest, but interestingly it disappears if I raise back my right shoulder a bit. The entire process took me longer and was harder than I thought it would be…but it is all worth it now!

Richard W.

Columbus, IN

Commentary

Body reshaping efforts for men almost always involves liposuction. While for many men these liposuction efforts are primarily about ‘debulking’ and simply trying to get rid of too much fat. But there is a subset of men who are fairly athletic and lean and are having liposuction to create better definition and refinement. This type of liposuction could well be called liposculpture as this is effectively what one is trying to accomplish. These athletic males are trying to be more than just lean but to have a ‘cut’ definition of the chest and the abdominal area. Small cannula liposuction when done in a linear fashion can create the 4-, 6- or 8-pack abs that are very hard to get for some men no matter how much they exercise. Pectoral definition can be achieved by liposuction of the lateral triangle just below the outer border of the pectoralis muscle to create a concavity to better show the muscular border. In some men, particularly those who are a little older, the nipples can drift lower on the chest wall and be a little ‘droopy. By doing a superior crescent nipple lift, they are very effectively moved up a little higher to remove the droop.

Dr. Barry Eppley

Indianapolis, Indiana

Patient Testimonials: Facial Fat Injections

Sunday, February 17th, 2013

 

Just want to thank you…for two actually three reasons

First… It was a 100% HIT… That’s exactly where I wanted the fat grafts placed and needed it and I think you actually filled in the atrophic scar!! My learning experience with where to place it is that no matter where I think I need it, higher is better than lower as the youthfulness part comes from loss higher first then lower so replacing higher instantly youthens.

Second… Doing it under local…So much better!!! I would rather do two or three small timer hits under local than a major hit under general any day… Got to get up, walk out and fly home!

Thirdly, thank you and your staff for getting me… Ms impulsive and impatient… in so promptly!

Thanks again!

Tonya M

Atlantic City, NJ

Commentary

Fat grafting over the past decade has brought in an entirely new treatment option for facial contouring and rejuvenation. Using your own fat, which was once merely discarded after liposuction, has become recognized as the safest and most effective method for larger volume facial fills. Almost everyone has some fat available for harvest that can be processed and put in the face. With specific innovative techniques, fat can be harvested from the stomach, hip, inner thighs or knees and injected into the face for a variety of aesthetic issues from softening deep folds and lines, filling in acne scars, and augmenting weak skeletal features. But the greatest use of facial fat injections is in the aging face. The ability to restore loss volume in the face and reinflate a sagging hollow appearance can not be done very well or economically with most off-the-shelf synthetic injectable fillers. Your own fat has numerous unique advantages over any foreign material injected into your face. New advances in harvesting, concentrating and injecting your own fat has made it an important part of facial restoration and anti-aging treatments today. No longer is lifting and tightening alone the only way to turn back the hands of time on one’s facial appearance.

For the patient who does not have significant loss skin but has only lost volume (facial deflation) as in this patient’s testimonial, fat injections are an ideal treatment. No longer does one have to wait until the facial aging is so severe that major facelift surgery is warranted. Many fat injections can be done under local anesthesia and ‘spot fills’ can be selectively done to treat the earliest signs of facial volume loss.

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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