Plastic Surgery
Dr. Barry Eppley

Explore the worlds of cosmetic
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Double Board-Certified Plastic
Surgeon Dr. Barry Eppley

Posts Tagged ‘exilis’

Mini-Mommy Makeover Procedures

Sunday, May 19th, 2013

The concept of a Mommy Makeover plastic surgery procedure is about combining abdominal and breast reshaping in one operation. The breast and abdominal components are not new and include many well known procedures such as tummy tucks, breast implants, liposuction and breast lifts in whatever combination each individual women needs. While the effects of a Mommy Makeover can be dramatic, breast and abdominal procedures are major surgery with significant recovery as well.

But there are numerous other procedures of lesser magnitude that could also be lumped into the Mommy Makeover category and consist of a variety of ‘nips, tucks and sticks’ that create effects that mothers would also like. Here are some of the most noteworthy.

BOTOX  For reduction of those facial expression lines that come from the stress of balancing mother and wife roles, Botox injections are probably the most common injectable Mommy procedure.

Vi/PERFECT PEELS With only a few days of redness and flaking, these medium-depth facial peels are essentially painless to go through and provide a real boost to one’s complexion. A few of these a year will keep a mother’s skin radiant and glowing.

C-SECTION SCAR REVISION For those women that don’t need a tummy tuck and have a noticeable c-section scar with just a little pooch above it, widely cutting out the scar can produce a flatter upper pubic area. This scar revision can be combined with some lower abdominal liposuction for an additional and wider flattening effect.

UPPER LIP PLUMPING Some well placed Restylane or Juvederm injections into the upper lip has an instant youthful volumizing effect. This is particularly evident if the cupid’s bow and philtral columns are accentuated.

NIPPLE REDUCTION Breast feeding can elongate the nipple which can be a source of embarrassment and out of proportion to the size of the areola. Under local anesthesia, the nipple length can be reduced by half or more.

EARLOBE REPAIR Fixing stretched out ear ring holes or complete tears through the lobe can allow old or new ear rings to be comfortably worn again.

BELLY BUTTON REPAIR (Umbilicoplasty) Pregnancies can change an innie belly button to an outie due to a small hernia through the umbilical stalk attachment. Tucking the peritoneal fat back through the hole and reattaching the stalk of the belly button back down to the abdominal wall will recreate that an old inne look again.

EXILIS For those stubborn fat areas that just won’t go away despite some diet and exercise, this non-surgical fat treatment can easily fit into a busy mom’s schedule. It takes a series of treatments to see the effects but there is no downtime with 30 minute in-office treatment sessions.

These mini-Mommy Makeovers provide changes that do not require major surgery or recovery and can fit into anyone’s hectic schedule.

Dr. Barry Eppley

Indianapolis, Indiana

Contemporary Male Plastic Surgery Procedures

Sunday, May 5th, 2013


While plastic surgery always has and always will be dominated by female patients, more and more men are taking advantage of the changes that it has to offer. This is a reflection of a multitude of factors coming together including refined surgical techniques, new products and a fashion trend towards more masculinizing appearances of the face and body.

For the face, I have seen a strong trend towards the desire for more defined and strong jawlines. Men want not only a more pronounced chin but a jawline that goes with it. This includes more angular and defined jaw angles and a more straight jawline that connects it with the chin. To create this effect, more men are having a three-piece jaw implant approach of one chin and two jaw angle implants…as opposed to just an isolated chin augmentation procedure.

Men are also seeking stronger more ethnic noses as well. Men do not want smaller, dainty or upturned noses. They prefer noses that have a high, but straight, dorsal line. Even a small hump on the bridge may be acceptable if it is just a slight bump. They want a more narrow nasal tip but not an over rotated one. A straight and not too long of a nose is more important than a perfectly straight dorsal line for some men. I have done a few noses recently where the men prefered to leave just a little bump on the nasal bridge…to look better but still like their original nose somewhat.

While Botox and injectable fillers will always play a very small role in male facial rejuvenation, other slightly more invasive procedures are of more interest. A little liposuction under the chinj or along the neckline can help clean up the jawline in relatively short order. Fat reducing skin tightening devices, like Exilis, are also popular when a guy sees some neck or jowl line skin laxity developing. While the results are more subtle not the magnitude of surgery, the lack of downtime is very appealing.

Body procedures in men are becoming increasingly dominated by chest reshaping efforts. At the smallest level, the protruding nipple is a problem for men of all ages and nipple reductions are a simple and quick reduction procedure done in the office. Gynecomastia problems are often much smaller today than in the past. ‘Puffy nipples’ problems have become more common than the larger breast mound gynecomastia issues from years ago. Men simply don’t like any protrusions from their chest other than a well-shaped pectoralis chest muscle profile. Using either small cannula liposuction to reshape the pectoral outlines or creating increased muscle size by the placement of pectoral implants, men are making changes to their chest that diet and exercise can not create.

Men are becoming more familiar and comfortable with what plastic surgery has to offer. But their desires and needs are somewhat different than that of women and it is important that they seek improvements through plastic surgeons who are in tune with these more contemporary male aesthetic procedures.

Dr. Barry Eppley

Indianapolis, Indiana

Plastic Surgery Product Review: Exilis Radiofrequency Fat Reduction and Skin Tightening

Tuesday, January 17th, 2012

Device-based energy therapies for skin tightening and fat reduction have been around now for about a decade. Like computer and all electronic devices, their effectiveness improves with technologic advances. One of the recent device advances in heating fat and tightening skin is Exilis technology. This uses a well known energy technology, radiofrequency, to create its effect. But its advantages are based on modifications to radiofrequency in how it is delivered.

Exilis uses radiofrequency which is basically sound waves that are delivered into and through the skin. Traditionally radiofrequency is delivered in a bipolar fashion which penetrates little further than the thickness of the skin. But Exilis’s uniqueness is that it is monopolar radiofrequency which allows the waves to penetrate deeper and deliver more energy to dissolve fat cells. By using a grounding pad on the patient, the radiofrequency is applied deeply and it does a return circuit back to the machine. The skin temperature is also monitored to make sure it never gets too hot (above 45 degrees C) to prevent skin damage and make it comfortable for the patient. In addition, Exilis has a proprietary technology called Energy Flow Control (EFC) which monitors the energy level to prevent burns and any energy arching if skin contact is not ideal.

While many non-invasive energy therapies have left physicians skeptical, Exilis is FDA-approved for tightening skin and reducing wrinkles. The heat generated in the dermis of the skin causes collagen production, generation of collagen networks and tightening of skin. Fat reduction has also been reported by both doctors and patients alike. The deeper penetrating heat can cause fat cells to break down (lipolysis), release their free lipids and shrink in size. This results in an external change in the size of the body part.

The application head of Exilis and its built-in cooling device make it possible and safe to treat loose skin and excess fat anywhere on the body. This could be as diverse as the neck and jowls, back of the arms, bra rolls, stomach and all the way down to the knees. The ability to ‘spot treat’ is a major advantage over other more cumbersome devices. Each treatment is not only safe but is not painful. Most patients equate an Exilis treatment similar to a hot stone massage due to precise temperature monitoring. It can be used to treat all skin types which is another advantage of the device.

Because the temperature and the duration of generated heat to any part body is controlled for safety, multiple treatments are needed and results gradually achieved. Exilis treatments are done in a series of 4 to 6 treatments spaced one to two weeks apart to get the best result. Treatments are done in 30 to 45 minute sessions with no pain during and no downtime afterwards. One can go right back to their regular activities without any change in routinue.

For those patients receiving treatments for fat reduction, we advise drinking lots of water after the treatments to flush out fat through enhanced lymphatic flow. Combined with regular exercise and a niacin-based supplement known as Curva, optimal fat reduction can be achieved.

Results from Exilis are gradual although most see some immediate results. But maximum results takes months to see, up to three months after the last treatment. Studies have shown that the results are long-lasting.

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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