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Surgeon Dr. Barry Eppley

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Plastic Surgery Case Study: Natural Breast Augmentation with Shaped Implants

Sunday, November 23rd, 2014

 

Background: Breast augmentation is an operation whose effect is completely derived from the use of an implant. The push of the implant on the overlying breast tissue creates the size and to some degree the shape of the breast that results. While a women’s natural breast tissues do play a role in how the augmented breast will look, that contribution depends on the quantity and quality of these tissues.

Breast implants, whether they be saline or silicone, have historically been semi-round in shape. This seems logical since the breast can be perceived as somewhat of an oval shape. In addition, as the implant moves around in the breast pocket it is important that it keeps the same shape to prevent an external breast deformity.

While round breast implants work for the majority of women, there are some women who do not like the look they create. Specifically they prefer a resultant breast shape that has less upper pole fullness. They feel that too much fullness in the upper pole looks unnatural and produces an obvious ‘augmented’ look. This concern is more commonly seen in ‘older’ women, particularly greater than 40 years of age. Many younger breast augmentation patients actually prefer the rounder breast look and do not mind looking like they have implants.

Shaped Breast Implants Dr Barry Eppley IndianapolisThe introduction of the shaped breast implant offers an option for the woman who wants the most natural looking breast augmentation result. Going by a variety of names, such as anatomic, tear drop or shaped breast implant, these newer breast implant styles are differentiated from their round counterparts by one side of the implant being fuller than the other. With two-thirds of the implant volume being in the larger lower part of the implant, less upper pole fullness is assured.

Case Study: This 40 year-old female wanted to restore her breast size that was lost after having children. Her biggest fear about getting breast implants was that she would look unnatural and look like she had obvious breast implants. For these reasons she was attracted to the shaped breast implant style.

Textured Shaped Silicone Breast Augmentation result front view Dr Barry Eppley IndianapolisUnder general anesthesia, 3.5 cm skin incisions was made 1 cm below her existing inframammary folds. Using Sientra shaped textured silicone gel breast implants of 330cc size, they were inserted using a no-touch technique with a funnel in the dual plane position.

Textured Shaped Silicone Breast Augmentation result oblique view Dr Barry Eppley IndianapolisTextured Shaped Silicone Breast Augmentation result side view Dr Barry Eppley IndianapolisHer recovery was very rapid and by three weeks after surgery she had returned to all physical activities. Even at this early point after surgery, she never developed any significant upper pole fullness even with the typical swelling that occurs after breast augmentation.

Shaped silicone breast implants offer a more natural breast augmentation result for those women that view a tear drop breast shape as desireable. Shaped implants will feel a bit more firm than smooth silicone implants and will be fairly fixed to their position on the chest wall. These features are due to the textured surface of the implant.

Case Highlights:

1) The use of shaped or tear drop implants for elective breast augmentation is to prevent an overly round or unnatural look.

2) Shaped breast implants have a textured surface to prevent implant rotation in the pocket and must be placed through an inframammary approach.

3) The placement of shaped breast implants must be precise as there will be little settling afterwards.

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


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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