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Posts Tagged ‘eppley plastic surgery’

Plastic Surgery at Indiana University (IU) Health North and West Hospitals

Wednesday, January 19th, 2011

It isn’t very often that a large corporation takes on a complete name change. This is particularly rare in the medical world with a hospital system. But that is exactly what is happening this month in the Clarian Health System. Since 1997, Clarian Health has existed as a core set of downtown Indianapolis hospitals, Methodist, University, and Riley Hospital for Children. Since its inception it has also acquired over a dozen hospitals around the state, creating the largest statewide hospital system and the only one closely aligned with the Indiana University School of Medicine.

Despite having multiple locations across the state, however, the Clarian name doesn’t resonate with much familiarity outside of Indianapolis. After undertaking a large market research study, Clarian is launching an historic name change to more clearly define its mission and statewide focus.  Clarian will change its name to Indiana University Health effective this month. Indiana University Health will better identify Clarian’s unique brand of nationally recognized health care, reinforce its partnership with Indiana University and the IU School of Medicine, which provides patients with access to innovative research and treatments, and better reflect the breadth of its mission. Each and every hospital in the system will change their names as well with Indiana University (IU) Health preceding the hospital location in most cases.

As I have two plastic surgery practices in suburban Clarian locations, this name will affect the two hospitals where these facilities exist. My northside Indianapolis location at Clarian North Medical Center in Carmel will change its name to Indiana University (IU) Health North Hospital. My westside Indianapolis location at Clarian West Medical Center in Avon will change its name to Indiana University (IU) Health West Hospital.

 

While a hospital name change can initially be confusing for patients, the practice phone numbers (IU Health North 317.706.4444, IIU Health West 317.217.2200), the website (www.eppleyplasticsurgery.com) and the email address, info@eppleyplasticsurgery.com will remain the same. It will take some time before GPS locaters will be able to identify the hospital locations by these new names however.

As the Clarian name fades away and the Indiana University Health name emerges, we at Eppley Plastic Surgery look forward to providing plastic surgery procedures, innovations and service that is commensurate with this new bold vision. 

 

Dr. Barry Eppley

Indianapolis Indiana

Cheek Implants – Different Styles for Different Problems

Wednesday, November 5th, 2008

The cheek area is a central and critical element of one’s facial appearance. Situated between the pyramidal landmarks of the eye, mouth, and jaw angle, its prominence (or lack thereof) provides projection to the middle of the face. In today’s society, the perception of high or prominent cheekbones is one that is a positive statement about attractiveness and beauty. It is not clear why high cheekbones cast this image, but we all know the emotional response when we see it.

Today’s plastic surgery techniques and modern facial implants now make it possible to provide a wide range of cheek enhancements. Highlighting different areas of the cheek complex is made possible because of the many different styles of cheek implants that are available. Different cheek implant shapes are available that can enhance the front, side, underside, as well as the bone underneath the eye in front of the cheek. Because of these different style options, it is critical that a plastic surgeon look carefully at the anatomy of the cheek to determine which parts of it should be improved.

The ‘traditional’ cheek implant is really like a shell which covers all aspects of the curved cheek, adding volume to the front and sides of it in equal amounts. For those patients with really flat cheeks, this is usually a good choice. The implant can be slid further forward or further to the back of the cheek to customize its effects. Submalar cheek implants sit more on the underside of the cheek bone. They push up loose overhanging cheek tissue and , as a result, are more ideal for the aging patient with loose or sagging cheek skin. They also are good for patients who have had loss of the buccal fat pad and hollowing of this area. (facial lipoatrophy, e.g.,  HIV disease)  Because the submalar implant fills the upper part of the buccal space as well as the underside of the bone, a dual effect is achieved. Tear trough implants are not really cheek implants per se. They fill underneath the eye area which is in front of the cheek. For those patients with some good cheek width but flattening of the bone in front of the cheek, this is the only facial implant made for that use. Sometimes it can be used in combination with a traditional cheek implant for greater fill of a flat midface.

To get the best effect from these different cheek implant styles, their position on the bone is critical. For this reason, I always secure any style of cheek implants to the bone with screws. This is the only way to be certain of their long-term position after surgery.

Dr. Barry Eppley

Indianapolis, Indiana

The Pinch and Peel Lower Blepharoplasty

Friday, July 11th, 2008

Like all aging processes, changes around the eyes are gradual with an onset and progression over many years. Aging changes often begin in the 30s with a little puffiness or bags on the lower eyelids and the beginning of some fine wrinkles in the crow’s feet. As it progresses into the 40s, excess skin is eventually evident in the upper and lower eyelids as well. Early eyelid aging is usually bothersome in the lower eyelids to most patients as they see the once smooth and pristine skin change. As more and more patients are interested in ‘early onset’ aging surgery so that more major surgery may not be needed later, concerns about the lower eyelids are usually voiced long before the upper eyelids.

 

In the younger patient who does not have a severe aging issue on the lower eyelids, a traditional more formal lower blepharoplasty (eyelid) procedure is usually not needed. A little removal of fat, tightening up a little bit of skin, and erasing some of the early wrinkles is often all that is need. This can be accomplished by a limited lower blepharoplasty or a ‘pinch and peel’ technique.

 

In the pinch and peel lower blepharoplasty, an extended skin-muscle flap is not raised as in the traditional lower blepharoplasty. A special instrument is used to pinch up a little excess skin underneath the eye lashes and then it is trimmed. Some lower eyelid fat can be removed from inside the lower eyelid at the same time. Finally the lower eyelid skin is peeled with a chemical solution, usually 25% or 35% TCA (trichloroacetic acid), which is perfectly safe as the skin which is being peeled has not been undermined. This combination of three ‘little’ procedures, when put together at the same time, produces a very noticeable change but without a lot of recovery. There usually is no bruising and minimal swelling. The ‘recovery’ from this procedure is more related to the pinkness from the chemical peel.

 

The pinch and peel lower blepharoplasty is a procedure perfectly suited to the younger patient with limited aging issues of the lower eyelid. This procedure, combined with Botox treatments in the crow’s feet area, creates a nice rejuvenative effect with very minimal recovery. I have performed this procedure in the office under local anesthesia although it is more ideal if the patient is in the operating room under some form of anesthesia. The pinch and peel lower blepharoplasty truely fits my plastic surgery motto of….match the size of the oepration to the size of the problem.

Dr. Barry Eppley

Indianapolis, Indiana

IU Health and Eppley Plastic Surgery

Saturday, December 8th, 2007

Eppley Plastic Surgery at IU Health North and West Hospitals

Since the opening of IU Health West Hospital in Avon, Indiana in 2004 and IU Health North Hospital in Carmel, Indiana in 2005, Eppley Plastic Surgery opened dedicated offices to plastic surgery and spa therapies  in these hospitals. Dr. Barry Eppley brings his extensive experience from Indiana University where he has performed thousands of life-changing operations on adults and children. Dr. Eppley has tremendous experience in the reconstruction of facial birth defects and injuries which translates well into aesthetic reshaping of facial features, such as in rhinoplasty, and reversing the effects of facial aging in procedures such as facelifts, browlifts, and blepharoplasty surgery. Dr. Eppley performs body contouring procedures as well including breast augmentation, lifts, and reductions, liposuction, tummytucks, and major body reshaping after bariatric surgery.

What Dr. Eppley really likes is the atmosphere of the IUI Health North and IU Health West locations which fits well with his relaxed and personalized style of patient relationships. Taking the time with patients to understand their needs and desires and develop a treatment plan specific to their goals is a major part of Dr. Eppley’s approach to plastic surgery. According to Dr. Eppley……the patient’s problem is what they see……and a good result is what makes the patient happy. Dr. Eppley sees patients six days a week, including Saturdays, at the IU Health North and IU Health West locations.


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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