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Dr. Barry Eppley

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Posts Tagged ‘breast lift’

Case Study – Breast Reduction with Breast Lift

Sunday, July 12th, 2015


Background: Breast reduction persists as one of the most common of all body plastic surgery procedures. Breasts that are too large  and heavy are common and ultimately the back shoulder and neck pain that they create is best relieved by making the breasts smaller and more uplifted. The improvement is musculoskeletal symptoms is as much the  result of the lift as it is from the volume of breast tissue removed…contrary to popular perception.

Many patients ask whether there is a lift that is done with the breast reduction or whether the breast reduction leaves the breasts smaller but still hanging. When looking at the design of how a breast reduction is done, the marked skin pattern that is drawn on the breasts represents the lift that will result. Thus a breast reduction can not be done without a breast lift but a breast lift can be done without a breast reduction.

Case Study: This 44 year-old male had always had large breasts since she was a teenager. But with getting older and having children her breasts actually became somewhat larger but had fallen and gotten very heavy. They were now so large that she was embarrassed to wear a swimsuit and would not do any water sports which her family loved to do.

Large Breast Reduction results front viewLarge Breast Reduction result oblique viewUnder general anesthesia, an inferior pedicle breast reduction was performed. The amount of breast tissue removed was 450 grams per side. The amount of skin removal and tightening exceeded visually the amount of breast tissue removed. The areoalas were reduced in diameter from 65 mms to 40 mms in diamater.

Large Breast Reduction result side view Dr Barry Eppley IndianapolisHer postoperative results showed much smaller and more uplifted breasts. She was thrilled with the result as she felt more comfortable with her breast size and could now resume all water sport activities with her family. Like all breast reductions and/or full breast lifts the scar burden is significant but well worth the tradeoff for the psychological and pain relief benefits.


1) Every breast reduction is a breast lift also. Thee relief of musculoskeletal symptoms is a result of a combination of both effects.

2) Breast reduction produces a fair amount of breast scarring but is usually viewed as a worthwhile tradeoff.

3) Nipple sensation preservation through retained attachment and mound relocation is usually successful.

Dr. Barry Eppley

Indianapolis, Indiana

GalaFLEX Mesh Use In Breast Lift Surgery

Saturday, December 27th, 2014


Early Breast Lift results Dr. Barry Eppley IndianapolisBreast lift surgery has been around for almost a hundred years in a variety of different excisional patterns based on the amount of breast sagging. While the initial breast lift results can be very satisfying, many long-term results have lost some of that early luster. This is caused by the so called ‘bottoming out’ effect due to loss of tissue support from the lower pole of the breast. What holds up the breast tissue is the skin envelope which is very prone to stretching on the lower half of the breast. This can allow the breast mound to relax or fall over the lower lower breast fold. This always results in loss of upper pole fullness which will mar any long-term breast lift result.

Adding support to the lower pole of the breasts during a breast lift procedure has been done with a wide variety of methods. These have included autologous methods using sutures to resuspend and support the lifted breast mound as well as repositioning/reshaping the breast mound itself. A number of mesh or slings of various materials have also been used, most recently allogeneic dermis (e.g., Alloderm) and synthetic fibers. (e.g., Siri) All have been associated with a variety of successes and also complications. (e.g, infection) The perfect breast lift material/method remains to be developed and/or determined.

Galaflex Mesh in Breast Lifts Dr Barry Eppley IndianapolisGalaflex Mesh Indianapolis Dr Barry Eppley Plastic SurgeryGalaFLEX mesh is the newest material that has become available for use in breast lift surgery. It is an FDA-approved material for soft tissue reinforcement. While synthetic meshes are not new, GalaFLEX is unique because it is completely resorbable. It is a knitted mesh that is composed of P4HB (poly-4-hydroxybutyrate) which is a synthetic polymer that is broken down by hydrolysis (water absorption) and eliminated as natural breakdown products of carbon dioxide and water over a time period of 12 to 18 months after implantation. But as it is resorbed it is replaced by collagen ingrowth that has been demonstrated to persist as a supporting scaffold long after the material has been absorbed. This has been reported to make the lower breast pole tissues up to 4 to 5 times stronger than they were before surgery.

GalaFLEX is currently available in typical mesh configurations which must be cut and shaped to provide the desired lower pole sling effect. Once shaped it is sutured into position onto the chest wall and acts like a cradle to support the lifted breast tissue. But new GalaFLEX shapes specifically for breast lift and/or breast reduction surgery are being developed that will make it more of an ‘out-of-the-box’ device that requires minimal manipulation of the material for proper placement.

The concept of adding support to maintain upper pole fullness and prevent/reduce secondary breast sagging has long been recognized as being needed for some breast lift patients. This support is always done the easiest by adding a graft or implant to achieve it. Whether GalaFLEX is the best choice out of all our current material options will ultimately be determined by the proverbial test of time.

Dr. Barry Eppley

Indianapolis, Indiana

Case Study: Full Breast Lifts To Uplift and Reshape Sagging Breasts

Monday, December 23rd, 2013


Background: Sagging of the breasts is an almost expected sequelae for most women as they go through life. The effects of gravity and body changes of pregnancy and weight loss will make just about any breast mound drop. This is particularly so when one starts out with some significant breast volume making it very prone to sagging even early in life.

In correcting breast sagging, some type of breast lift is needed. There are several types of breast lifts that can be used which differ in the amount of scar created and how much the breast is lifted. The type of breast lift used can also be influenced by whether an implant is going to be simultaneously placed for volume improvement as less of a breast lift may be needed.

Breast lifts can be classified into four types, crescent nipple lifts (I), periareolar donut lift (II), vertical lollipop lift (III) and a full anchor lift. (IV) Like lifts, the amount of breast sagging is also classified into types (I – IV) based on where the position of the nipple sits relative to the inframammary fold. In theory, the type of breast lift matches the type (degree) of breast ptosis. (sagging)

Case Study: This 38 year-old female wanted to improve the shape of her sagging breasts. She had always had large breasts since she was a teenager but, after two pregnancies, they had fallen with the nipples well below the inframammary folds. She was not interested in a bigger breast size, just a better uplifted breast shape.

AncrraesPrior to surgery, a full breast lift design was marked out on the breasts which would elevate the nipple from a 26 cm vertical position (from the sternal notch) to an 18 cm vertical position. Under general anesthesia, all skin within the preoperative marks  and around the areola was removed. (de-epithelized) Skin flaps were raised by going along the breast mound down to the chest in a near circumferential fashion around the breast mound. The breast mound was then elevated upwards and the skin flaps wrapped around and underneath it and closed. The new position of the nipple was marked out at 5 cms above the inframammary fold, the overlying skin removed, and the nipple-areolar complex delivered and closed. This created a full full upper pole of the reshaped breast and a lower pole that seemed short and blunt.

btasertThe breast mound settled into a more natural shape (less upper pole fullness and a rounder lower pole) by six weeks after surgery. Final healing of all incisions, including any extrusions of sutures and a well healed inverted T junction took a full seven weeks after surgery.

;iqwjfA full Type IV breast lift can significantly lift and reshape a sagging breast at the expense of the scars that it creates. When there is adequate breast volume, such a breast lift can create both an uplifted and fuller breast that has greater upper pole volume. It is necessary to ‘over correct’ the lift to factor in some expected breast mound settling.

Case Highlights:

1) Significant sagging of the breasts requires a full breast lift which can be done without the removal of any breast volume.

2) A full Type IV breast lift creates the classic anchor scar pattern which is necessary to get a maximal breast lift and reshaping result.

3) While a full breast lift creates considerable scar lengths, half of the scare remains hidden along the inframammary crease.

Dr. Barry Eppley

Indianapolis, Indiana

Case Study: The Pseudolifting Effect of Breast Implants

Tuesday, August 13th, 2013


Background: There is a common perception that an implant can lift up a sagging breast. The reality is that nothing could be further from the truth. In most cases of sagging breasts (breast ptosis) an implant will actually making the breast shape worse. It will fill out the upper pole of the breast while having no positive shape effect on the downturned breast tissue which contains the nipple. This is why a lift with an implant is almost always needed for reshaping and lifting of the sagging breast.

There are a few instances of apparent breast sagging, however, in which an implant can have a breast lifting effect. If the breast mound is small and the sagging is largely restricted to the nipple, implant enlargement can create the perception of an uplifted breast. By making the breast base diameter bigger in both a vertical and horizontal dimension, the location of the nipple on the mound is changed as the mound is expanded.

Such positive benefits of an implant alone on a sagging breast almost always occurs when the initial breast size is small. Large breasts create a big sleeve of overhanging breast tissue as it has shrunken due to pregnancy or weight loss. This type breast already has a small base diameter and the droop is more nipple-related than mound-related. With careful assessment one can see that the low hanging nipple position does not fall below the level of the inframammary fold. (lower breast crease)

Case Study: This 40 year-old Hispanic female wanted breast enlargement after having had two children. She never had large breasts even though she had a wide chest. She wanted silicone implants and wanted at least a D cup breast size afterwards.

Under general anesthesia she had 550cc high profile gummy bear silicone implants placed through lower breast fold incisions. Using a no-touch funnel device technique, the implants were inserted through 3.5 cm long incisions in a dual-plane submuscular position. At least half of her mound expansion was on the lower pole with the creation of a new lower breast fold.

With implant augmentation in the smaller droopy breast, the entire lower pole of the breast is expanded lower. This makes a new inframammary fold location well below the location of the presurgical smaller breast mound. This is how the breast becomes ‘lifted’. The nipple position actually stays relatively the same, it is the breast mound around that changes. With a larger and lower breast mound the nipple ends up acquiring a central position. This could really be called a pseudolifting effect.

The expansion in the breast mound also creates an important issue for the actual placement of the breast implants. Since the breast mound will lower the existing inframammary fold, it is important to make that consideration into the incision location. The inframammary fold incision will need to be made at 2 cms. lower than the existing breast fold. If this is not done the incision will end up above the fold and on the actual lower pole of the breast is a more visible location.

Case Highlights:

1) It is a common belief that breast implants can lift a sagging breast which is rarely true.

2) Very small breasts that have a little droop due to involution, however, can be effectively ‘lifted’ with breast augmentation alone.

3) Larger breast implants achieve their lift by enlarging the lower pole of the breast making the nipple appear higher on the new breast mound.

Dr. Barry Eppley

Indianapolis, Indiana

Case Study: Breast Lift with a Little Reduction

Sunday, July 7th, 2013

Background:  Breast reshaping surgery includes three basic manuevers, making the breast smaller (reduction), uprighting a saggy breast (lift) or adding volume.(implant vs. fat injections) They can be done alone or in almost any combination depending upon the patient’s aesthetic breast desires.

Breast reduction surgery is very common and extremely effective at not only reshaping the breasts but alleviating many of the musculoskeletal symptoms from their weight. Contrary to the concerns and perceptions of some patients, every breast reduction is also a full breast lift. It is simply not possible to do a satisfying reduction without elevating the nipple position and repositioning the breast mound  back up onto the chest wall at the same time. That is exactly why the breast is so measured and marked before surgery, that represents the pattern of skin removal to create the lift and the resultant inverted T or anchor scar pattern seen afterwards.

Conversely, breast lifts can and are often done without removing any breast tissue. If the patient’s breast volume is adequate, the excess skin is removed and tightened around the existing volume to reshape and lift the breast mound. But is some cases of breast lifts, there is a little too much volume to accomodate the amount of lifting needed. This is usually in the upper pole of the breast and it can prevent the ‘stuffing’ of the breast mound tissue into the reduced and tightened mound skin without causing undue tension on the wound closure.

Case Study: This 46 year-old female had saggy level III ptosis of her breasts that she felt were a little too big. She was not entirely displeased with their size (44 DD) but they had sagged a lot over the years after children and with age. She also had near constant pain in her back, neck and shoulders from what she thought had to be from her saggy breasts.

Right before surgery, the markings were made for an inferior pedicle type breast reduction. Under general anesthesia, the same areolar size was maintained and all skin within the keyhole pattern was de-epithelized. Skin flaps of 1 cm thickness were raised over the entire breast mound down to the pectoralis fascia. The skin flaps were wrapped around the breast mound and temporarily sutured together but it could be seen  that the closure was very tight. After taking the flaps apart, breast tissue was removed from the upper pole of 110 grams per side. The flaps were put back together, sutured closed and the nipple-areolar complex brought through a new site at the upper end of the vertical closure. Drains were not used.

Her recovery was typical for any breast reduction or lift patient. Swelling and bruising in the skin flaps persisted for just under 3 weeks after surgery. She did not have opening of the junction of the vertical and horizontal incision lines which many such patients do. Interestingly, even with very little breast reduction, her musculoskeletal pain was relieved.

Breast lift surgery can include a bit of a breast reduction if for no other reason than  to reduce the tension on the wound closure if necessary. Such reduction will not significantly reduce the final breast size.

Case Highlights:

1) Breast lifts can incorporate varying amounts of reduction (removal of breast tissue) at the same time if desired.

2) Breast reduction surgery, however, can not be performed without doing a full breast lift at the same time

3) Both breast reduction and full breast lifts use the same incisional pattern and resultant scars. (anchor pattern)

Dr. Barry Eppley

Indianapolis, Indiana

The History of Breast Lift Surgery

Monday, April 15th, 2013


Cosmetic reshaping of the female breast is a collection of well known procedures such as implants and various forms of lifting and reduction. These breast procedures are so well accepted that it seems they have been around forever. But this is largely a cultural perception as what we know today or grew up with always seems like it has always been so.

While the history of aesthetic breast surgery is relatively short, it has been around now much longer than one realizes. Breast implants had their introduction now fifty years ago starting in 1968. But breast lifting and reduction dates back much longer, almost 100 years ago. While the surgical techniques may have started to develop then, the societal acceptance to actually do it was much different. This became very apparent to me in helping to create an english translation of the book entitled ‘ Deformities and Cosmetic Operations of the Female Breast’ originally written by Dr. Herman Beisenberger from Vienna Austria in 1930. In the first chapter of the book he writes the justification for female breast reshaping procedures.

‘Is cosmetic correction of the female breast deformed in some manner indicated even if no grave reasons propose it, if only the desire of thewoman or girl exists? As we are already been used to performing corrections of other regions of the body upon desire of the patient for a considerable period of time, we should not make an exception if mammaplasty is concerned, although we have to admit that the correction of the female breast, regardless if we deal with ptosis or hypertrophy of the breast, is always a major surgical procedure, which should be reserved for the hand of the experienced surgeon. We correct a hallux valgus of only moderate degree without reservation even if it causes no complaints but represents only a minimal malformation of the foot of its owner. We move protruding ears operatively closer to the head to satisfy a long standing desire of their bearer, who imagines appearing ridiculous because of his ears. We remove supernumerary digits of the hand of a child if desired by the parents as well as a vascular or pigmented nevus of the cheek; we correct the saddle nose or humps and all other deformities of this organ to protect its bearer from being conspicuous and free him from often only imagined ridicule; the overhanging panniculus is removed operatively; bents in legs not impairing ambulation in any way but regarded as unaesthetic experience surgical correction. We could add further to this examples of correcting deformities of the human body only because of patient desires. We also should not overlook that the wish to correct even a minimal malformation of a body part may, if constantly rejected, eventually result in depressive symptoms and maybe even in a feeling of physical inferiority. The refusal to alleviate a fault in the body’s appearance can therefore under very special circumstances result in the end in pathologic processes, which have to be taken seriously and necessitate treatment by a psychiatrist.Based on these considerations and taking into account the consequences alluded to, which could result, we will neither discount a priori the justification of the desire to have breast correction nor reject a well founded wish. The already large number of successful mammaplasties proves that surgeons have been acting along the above lines for a couple of years and additional testimony is provided in particular by respected authors such as Lexer, Kraske, Holländer, Axhausen and others preoccupying themselves with operative breast corrections and describing new operative methods or improvements of existing ones verbally and pictorially. Eiselsberg expressed this attitude regarding breast correction as well in 1928 when he performed such an operation as a demonstration for foreign guests giving the following introductory statement:

If I had been approached ten years ago to operate on a

ptotic breast for merely cosmetic reasons I would have

refused. You see, we have gone with the times, have

changed our point of view to take into account the wishes

of the public but without undiscerningly and uninhibitedly

accommodating arbitrary desire.

As can be seen from these very flowery but passionate writings from Dr. Beisenberger way back in 1930, reshaping a breast has an important psychological effect on a woman’s body image. It is not a recent phennomenon that has been merely promoted by contemporary fashion and beauty standards. The issue today is not whether it is morally appropriate for a plastic surgeon to perform a breast lift but whether the patients can accept the scars to do so.

Dr. Barry Eppley

Indianapolis, Indiana

Common Questions About Mommy Makeovers

Sunday, March 24th, 2013


Mommy Makeover is a descriptive term that has worked its way into the plastic surgery nomenclature in a very short time. Introduced just a few years, women are increasingly requesting this type of surgery. While the term may be recent, the plastic surgery operations used in it have been around for over half a century. To help reverse the effects of pregancies, a Mommy Makeover combines two or more plastic surgery procedures in a single operation…most commonly breast and abdominal reshaping. Here are some of the most common questions asked about a Mommy Makeover.

What is A Good Age For A Mommy Makeover?

In theory, it can be done at almost any age. But, by far, the majority of these procedures are done between the ages of 35 to 50. This is an age range where women are done having children and have proven to themselves that diet and exercise just can’t get the body improvement they desire. Coincidentally plastic surgery statistics show that the majority of aesthetic surgery is done in patients over the age of 35 years old.

How Soon After Pregnancy Can I Have Surgery?

Some women want the procedure done just as soon after delivery as possible. But one should be fully recovered from pregnancy and have lost much of their baby weight. This means that the minimum time is 3 months after pregnancy, six months is even better. One should also be finished breastfeeding.

Why Can’t Diet And Exercise Remake My Post-Pregnancy Body?

The effects that pregancy has on a woman’s body are largely irreversible in many cases by natural efforts for many women. Loose or separated abdominal muscles (rectus diastasis) can not be made to fuse back together by any amount of abdominal situps. Abdominal skin that has been stretched out and partially torn (stretch marks) can not hav elasticity restored by situps, creams or weight loss. Breasts that have lost volume and sag can not be lifted up by chest exercises or alleged skin tightening creams. The thing a women can do is lose her pregnancy weight but all other changes require outside help.

What Are The Benefits Of A Mommy Makeover?

The benefits of choosing a Mommy Makeover versus several separate procedures: Depending on the procedures selected, combining surgeries can reduce cost by several thousand dollars. When combining two surgeries in a mommy makeover, patients are only charged one operating room fee and anesthesia fee instead of two! The most common mommy makeover combines a breast augmentation and a tummy tuck. By opting to have these surgeries performed at once, you can reduce your recovery time by as many as six weeks. Cost and time savings not enough? 68% of female body contouring patients noticed an improvement in their sex life after the procedure.

What Is The Recovery From A Mommy Makeover?

Because it is combining procedures, the recovery time is addictive and longer than most projections state. A general statement often made is that one will need at least two weeks off of work to recover before returning to normal activities. Such a statement is the absolute minimum time and represents an underestimation for most women. The recovery prediction should be pushed up to a minimum of three weeks or longer. While the recovery will vary based on the procedures done and the individual woman, the common Mommy Makeover of a breast implant and/ or lift with some form of a tummy tuck is lot closer to three weeks than two…and even then this phase of recovery is about performing a minimal level of daily and work activities.

Dr. Barry Eppley

Indianapolis, Indiana

Common Myths of Breast Lift Surgery

Monday, January 7th, 2013


Lifting of the sagging breast is one of the most challenging of all body contouring procedures. While measurements and angles are marked out for a breast lift, there is real artistry in choosing the design of the operation and executing it so that optimal symmetry exists between the breasts. Since every woman’s breasts are so different, often even in the same patient, this adds to the difficulties in achieving an optimally uplifted and fully shaped result.

For many women who desire fuller and more perky breasts, a lift is a necessity. While no patient likes scars, all lifts cause differing amounts of them that serve as the trade-off for better shaped breasts. But along with the certainty of scars comes the uncertainty of other important issues that should factor into each woman’s decision to have a breast lift. Many of these considerations are often poorly understood or are simply myths. Here are several of the most common breast lift myths.

A breast lift will make the breasts permanently lifted and perky. While a breast lift makes an immediate and often dramatic change in the position and shape of the breasts, the result will age just like any other part of the body. While a lift initially moves up a lot of the breast volume to behind the nipple and above it into the upper half of the breast, gravity and tissue relaxation will cause some of this tissue to move south over time. While few lift results ever return to where they once were, they are still subject to drooping in the future…it will just be from a different starting point than from where they originally were. How much recurrent dropping may occur  is affected by several factors. The simultaneous insertion of a breast implant helps prevent it. Pregnancy and weight loss will really exacerbate recurrent sagging.

The nipple is removed and put back on in a breast lift. There is no breast lifting procedure where the nipple is taken off and reapplied like a skin graft, thus permanently losing feeling and erectile capability. There are some breast reduction operations, now uncommonly done, where nipple grafting is used but never in a cosmetic breast lift. The nipple position is moved upward in a breast lift by keeping it attached to the underlying mound of breast tissue. It is the skin around it that is removed and tightened, pushing the breast mound upward and the nipple with it. This ensures normal feeling and function of the attached nipple.

Scars are needed to do all breast lifts. While this is a concept that I don’t like to counter, some women may get a  breast lift result from having implant augmentation alone. If the breast skin is in good shape and the sagging is minimal, some lift will occur with the push of underlying implants.  It all centers around how much sagging exists and where is the position of the nipple relative to the lower breast fold. If the nipple sits just above the fold or even on it, the nipple will be lifted up slightly. (maybe a half-inch) But don’t assume that if the nipple sags lower than the lower breast fold that really big implants will provide the push that is needed to create a lifting effect. In this situation, the implants will actually make the sagging look worse.

Despite the challenges that breast lift surgery poses, when carefully chosen and skillfully done, it can provide long-term breast shape improvement…and that is no myth.

Dr. Barry Eppley

Indianapolis, Indiana

The Risk of Reoperation in Combined Breast Implant and Lift Surgery

Saturday, December 29th, 2012


Of the many women who present for consideration for a breast lift, the vast majority do not end up with a breast lift alone. While the various forms of breast lifting do successfully move the nipple position higher and tighten breast skin around it, it does not increase the size of the breast or in any way make it appear much fuller long-term. This is a surprise to most patients and, as a result, many breast lift patients opt to receive an implant as well.

The combination of an implant with a breast lift, known medically as an augmentation mastopexy, is far more common than a breast lift alone. But when you combine two different cosmetic procedures on a breast, even though the final result is better than either one alone, the technical difficulty of the procedure and the risks of complications also increases. While most of these potential combinations are aesthetic in nature, this does not make the potential need for a revisional surgery any more pleasant to the affected patient.

What is the risk of the need for revisional surgery in a breast augmentation mastopexy? In the January 2013 issue of Plastic and Reconstructive Surgery that very question is addressed in a paper entitled ‘Simultaneous Augmentation/Mastopexy: A Retrospective 5-Year Review of 332 Consecutive cases. In this paper, the authors do a retrospective review of 430 breast lift patients, 332 of whom had implants placed at the same time. The breast operations were 40% inverted-T, 40% vertical and 20% circumareolar (donut) lifts.  The breast implants used were 73% silicone and 27% saline-filled with 84% in a dual-plane submuscular pocket. This combined breast reshaping procedure had an overall complication rate of 23%. The most common reason for reoperation was capsular contracture, poor scarring and recurrent sagging.

This combination of concurrent breast reshaping procedures is challenging because the  two maneuvers are inherently diametric and somewhat work against each other. Increasing the volume of a breast and then lifting and tightening the breast skin around it is as much art as it is a scientifically measured technique. There is also the balance and intraoperative judgment of how much volume can be added and how much skin can be removed for the greatest lift without compromising the blood supply to the nipple-areolar complex.

Besides making the concurrent implant-lift operation work well on the operating table, there is the unknown and uncontrolled variables of the healing process. How much will the implants settle after surgery? Will the properties of one’s skin hold the lift up or will it bottom out? Will the scars stay narrow or widen? Will the breasts stay symmetric or settle unevenly? Will some degree of recurrent sagging occur over the implants?  Will the nipple-areolar complex widen over time.

When you factor in all the before and after surgery considerations for doing the combined breast implant and lift operation, potential patients need to understand that the risk of revisional surgery is anything but rare. Even by well-experienced plastic surgeons, as in this study, the revision rate was 25%.  I have always counseled these type of cosmetic breast patients that the risk was at least 33% and this study supports that contention.

Dr. Barry Eppley

Indianapolis, Indiana

Plastic Surgery’s Did You Know? The Rise in Mommy Makeover Surgery

Saturday, August 18th, 2012


The rise in plastic surgery affects all age and both sexes. One of these ‘groups’ that seek body-altering surgery is women, specifically mommies. Looking to reverse the effects of pregnancy on their bodies, they seek breast enhancements and tummy tucks. When put together in a combined procedure, it has become known as a Mommy Makeover. Generally done between the ages of 21  to the early 40s, over 300,000 such procedures were reported to be done last year. Women appear for the surgery when their efforts to lose weight and make some headway towards returning to their pre-pregnancy figure has failed. It takes many women a while to discover that there is no non-surgical way to get rid of loose stretch-out abdominal skin. Surveys show that up to two-thirds of women would have Mommy Makeovers if cost were not an obstacle.

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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