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Archive for the ‘plastic surgery humor’ Category

Plastic Surgery Humor – The Redistribution Effect

Monday, December 7th, 2015

plastic surgery redistribution effect

Part of many procedures in plastic surgery create a redistribution effect. For example a facelift relocates sagging tissues from the jowls and neck and moves them back up into a better place. Rhinoplasty takes down a hump and lifts up a low tip. A Mommy Makeover makes the breasts bigger and perkier with tightening and narrowing the waistline. These are just a few examples of how plastic surgery just ‘changes things around’ for a better aesthetic appearance.

Another part of these redistribution efforts is that tissues may also be removed from one area and relocated to another. Historically this is known as grafting and is part of many aesthetic and reconstructive plastic surgeries. A classic example would include cartilage grafting in rhinoplasty from the septum, ear or ribs. The most contemporary example of the redistribution principle in plastic surgery, and one with very wide broad application, is that of fat grafting. Fat can be harvested from a large number of donor site options and placed by injection into any facial or body area that one desires to be augmented. Facial fat grafting is done for a variety of rejuvenative procedures such as lip and cheek augmentation and done with facelift surgery . Augmentation of the breasts and buttocks is very popular as the appeal of using one’s own tissues, and get a simultaneous slimming effect from the harvest, creates a dual benefit.

As this cartoon implies, many people have undesirable things in one body area that would do much better if it was relocated to another body area. Plastic surgery can be seen to have a broad redistribution effect.

Dr. Barry Eppley

Indianapolis, Indiana

Plastic Surgery Humor – Realistic Expectations in Plastic Surgery

Monday, November 30th, 2015


Realistic Plastic Surgery Dr Barry Eppley IndianapolisPlastic surgery offers a wide variety of changes to the face and body that in many cases can produce outstanding results. Many of these results are well publicized across the internet and on many plastic surgeon’s websites. But just because a great result can be obtained on one person does not necessarily mean that it can occur in every case or that another person may be able to achieve a similar outcome on themselves.

There are limits as to what plastic surgery can achieve when it comes to any type of physical change. The combination of one’s own natural anatomy and tissue qualities as well as a patient’s expectations determines the satisfaction with the surgical outcome. Many ‘complications’ in plastic surgery are aesthetic in nature and strive to take an acceptable result to an even better degree of improvement.

But unlike this plastic surgery humor cartoon, not any change is possible with plastic surgery and one does not always ‘leave as you wish’. The key to a successful outcome in any aesthetic plastic surgery procedure is a well educated patient beforehand who has been appraised of what is and what is not possible.

Dr. Barry Eppley

Indianapolis, Indiana

Plastic Surgery Humor – Facelift

Thursday, March 6th, 2014


Plastic Surgery Humor Facelift Dr Barry EppleyAlmost everyone’s concept of a facelift is one that is pulled too tight. This misconception undoubtably comes  from celebrities who have made somewhat of a career and perpetual jokes about their own facelifts. Such notables include Phyllis Diller and Joan Rivers. They made a good living poking fun at themselves and their own taut faces. So entrenched is this belief that in almost every facelift consultation that I see today, the patient inevitably wants to now if they will be pulled too tight and look unnatural. Interestingly all of these patients are women since, not only do they make up the majority of facelift patients, but the overdone facelift concept goes back to women decades ago. This may change in the near future, as such celebrities as Kenny Rogers and Bruce Jenner, will have men sensitized to the same concept for decades into the future.

But the reality is that such facelifts results are in the minority and are often the result of poor technique or poor surgical judgment. With few exceptions, the vast majority of patients want a natural result  and ‘less is sometimes more’, particularly if it means a less noticeable result. Such fears are also why doing smaller types of facelifts earlier in life helps maintain a more natural appearance and never exposes one’s face to a drastic change when one is older.

Dr. Barry Eppley

Indianapolis, Indiana

Plastic Surgery Humor: Snowcone Breast Implants

Wednesday, December 25th, 2013


Plastic Surgery Humor Snowwoman Breast Augmentation Dr Barry Eppley IndianapolisOne of the classic topics of plastic surgery humor is breast implants. Whether it be a snowman or just about any other recognizeable figure or animal, breast implants have been placed on them to signify that they have had plastic surgery or been ‘done’ as a piece of humor.  A snow woman would be one of the easiest inanimate objects on which to place two snow cones for breast implants…and a perfect thing to see on someone’s front lawn over Christmas! This classic plastic surgery humor indicates a common belief that any woman that gets breast implants will be instantly recognized as having had the procedure. While this may be true for large breast implants and may be highly noticeable depending upon what one wears, this very often is not true. Many women that undergo breast augmentation can’t be discerned that they have the procedure and often don’t want to be. Unlike the snow woman, human women are seen in public with clothes on and this usually does a good job of camouflaging the obvious effects of newly enlarged breasts.

Dr. Barry Eppley

Indianapolis, Indiana

Plastic Surgery Humor – Silicone in Plastic Surgery

Wednesday, September 4th, 2013


The association of silicone materials and plastic surgery dates back almost fifty years when silicone oil injections were first used for breast enhancement and facial rejuvenation in the late 1960s. While silicone oil injections have been banned in the U.S. for a long time due to adverse tissue reactions, silicone gel remains as a mainstay component of many modern day breast implants. Silicone elastomers (more solid in form than a gel) are also what all other types of aesthetic face and body implants are made of including cheeks, nose, chin and jaw angles as well as chest, shoulder, arm, buttock and calf implants. Thus it is no surprise that one could envision a body full of implanted silicone materials. Because silicone is generally soft to the touch when made for human implants, it is perceived that it can melt if exposed to heat. And while silicone implants can be made to melt, it takes temperatures close to 300 degrees F to see that happen. Human body tissues would long suffer irreversible damage if exposed to high heat while silicone implants will remain unchanged. Hundred to thousands of years from now human skeletons will be found with soft silicone implants at various locations throughout some bodies…I wonder what future archeaologists will think.

Dr. Barry Eppley

Plastic Surgery Humor – The Patient’s Problem

Friday, August 2nd, 2013

I can think of quite a few patients whom after meeting,  that I was glad I had the opportunity to read their chart before entering the room and meeting them for the first time. As what jumped out at me as to why they came in for a plastic surgery consultation was quite different from their physical concerns. Sometimes the most striking of physical characteristics does not really bother someone that much at all while very minor anatomic variations can be tremendously bothersome to them. There simply is no understanding why a certain physical shape is of concern anymore than figuring out why someone likes a piece of art or food item. In essence, what bothers people about their face and body is not always logical but it is most certainly always deeply emotional. It may have been an issue since they were teased as a child, rejected in relationship, jealous of a sibling or friend or even today poked fun at on Facebook. Plastic surgeons don’t try and figure out why something bothers a patient, instead, we focus intently on whether what we can do will be sufficient to satisfy the patient (changing their emotional perception).  Designing and executing surgery is a logical process, the interpretation of its outcome however can be open to differing interpretations.

Dr. Barry Eppley

Plastic Surgery Humor – Non-Invasive Abdominal Etching

Saturday, July 6th, 2013


This is is the fastest way that I know that the ‘six-pack’ abdominal look can be achieved…even if it is not permanent. But what creates those stomach lines that many of us envy and would like to have and the fence wires have created? Those are known as the abdominal inscriptions. These are tendinous insertions within the rectus abdominus muscles that are usually at the level of the belly button, just below the sternum and about halfway between those two. If well defined, these can create a ‘six-pack’ look. In some people there is also a tendinous insertion below the belly button and this creates an ‘eight-pack’ look. The ability to have a six- or eight pack look is not only dependent on having good muscular definition but also a low body fat percentage due to either being an athlete or simply a young teenager with low body weight. What is the purpose of these tendinous insertions? They assist the rectus abdominus muscle with forward flexion of the lumbar region of the vertebral column, creating forward bending at the waist. If the rectus muscles did not have tendiinous insertions, forward bending at the waist would still be possible but just not as far. Without them one may not be able to bend over and pick up an object or stretch forward.

One can cheat to get a six- or eight pack abdominal look through liposuction. Small cannula liposuction can remove linear lines of fat along the horizontal areas where the inscriptions would be as well as a midline vertical line where the two paired rectus abdominal muscle meet. This plasic surgery technique is known as abdominal etching. It works best on thinner patients who do not have a lot of abdominal fat and have a fairly lean and more athletic build. And it looks better and more natural on this type of patient as well.

Dr. Barry Eppley

Plastic Surgery Humor: Exercise and Weight Loss

Saturday, June 15th, 2013


It is commonly perceived that excess body fat and being overweight is better treated by diet and exercise than having plastic surgery. And this is most certainly true. Plastic surgery is not a substitute for making one’s best effort at being at the best body weight possible and getting off those excess bulges. But the reality is that not everyone can lose all of their bulges or are even capable of dropping as much weight as they desire. For some people their genetics, their body type and their natural internal metabolic thermostat, prevent them from doing what others think may be possible. In addition, some patients have irreversible body changes (excess hanging skin and fat rolls) from pregnancy or extreme amounts of weight loss that can never be changed by any amount of exercise. (you can not work off extra skin or tighten it) These are the types of patients that truly benefit by having plastic surgery to help make new body contours and get them over the hump so to speak. Also, plastic surgeons are usually quite resistant to operating on overweight patients. Obesity is one well known contributing factor in causing complications after surgery and creating outcomes that are less than what is usually expected.

Dr. Barry Eppley

Plastic Surgery Humor – Being Plastic

Monday, June 10th, 2013


Because plastic surgery has the word ‘plastic’ in it, many have historically assumed that much of this surgical endeavor involves putting in plastic materials to achieve its effects. Besides the material, many overdone cosmetic procedures such as very tight-looking facelifts or having abnormally enlarged breasts have become associated with looking ‘plastic’. Thus the name Plastic Surgery connotes to some both a material use and a potential effect of its efforts.

To a small degree, both perceptions have some truth in them. Many procedures in plastic surgery do involve the placement of synthetic materials to create various cosmetic facial and body contouring effects. Technically most of these face and body implants are not really plastic by material composition but differing polymeric materials that are nonetheless synthetic. Augmented body parts that are in disproportion to the rest of the body does often make for tighter skin which can look a little unnaturally smooth and ‘plastic’ in appearance.

But the reality is that the name Plastic Surgery has a much more nobler heritage. The name is actually derived from the Greek word Plastikos , meaning to mold, shape or form. For from a broader perspective that is what all plastic surgery procedures ultimately achieve whether it is for reconstructive or aesthetic purposes. And this field of medicine has been around long before plastic materials were ever invented or overdone cosmetic changes were even possible or envisioned.

Dr. Barry Eppley

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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