Plastic Surgery
Dr. Barry Eppley

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

Posts Tagged ‘ology spa’

Zerona Laser Treatments Appear On The Dr. Oz Show

Thursday, May 19th, 2011

An internet story reports:

‘Dr. Oz calls Zerona the miracle procedure that removes fat without surgery. On his Monday May 16th TV show, Zerona laser treatments were featured as one of the ways to get rid of fat in order to slim down and get swimsuit ready for the summer. Given that Zerona does not kill the fat cells and there is no pain, swelling, bruising or downtime, it was an excellent topic to be covered in the show.’

The company marketing statement to this internet story/TV trailer was:

‘Zerona is the most researched medical procedure on the market. Our goal is to provide safe and effective health and wellness products to our physician partners. With this goal in mind all of our products are backed by the highest quality of clinical research. The low-level laser technology utilized by Zerona has been researched by Erchonia and published in numerous peer reviewed journals for cosmetic and health benefits.

Zerona is the only device that contours the waist, hips and thighs simultaneously with no side effects, pain, bruising or surgery and you can see the results in weeks not months. Our Zerona physicians have treated in excess of 40,000 patients, with an average reduction of 4.1 inches in just two weeks.’

While this all sounds wonderful, what is the results and experience from an unbiased source? My Ology spa facilities have had two Zerona machines in two separate locations for over six months. We have treated in excess of 50 patients who have completed Zerona series of either 6, 9 or 12 treatment sessions. The vast majority of been on the typical protocol of water intake and the Curva (niacin) supplement during their treatment period. More recently, we have placed some patients on HCG (human chorionic gonadotropin) sublingual drops instead of the Curva supplements.

Admittedly, I was very skeptical from the beginning of how such a non-surgical treatment would work. How is it possible that low energy laser light could cause fat cells to shed some of their contents? By then again, I don’t profess to know how I can be on an elevator and be watching a video on my iPhone either. Both concepts seem to defy my understanding of energy transmission.

Our patients results parallel fairly closely that which the manufacturer reports. In short, we have found about a 70% positive response rate with an average circumferential loss of just over 6 inches. This response rate means that 7 out of 10 patients treated saw significant results and were happy they had the treatment. About 20% saw some improvement which was not as much as they had hoped, averaging about 2.5 inch circumferential loss, but they were unhappy that they did the treatment. This left about 10% of the patients who saw no improvement at all including one who actually gained circumferential inches. All ‘failed’ patients did go on to have either liposuction and/or tummy tuck surgery.

One important thing to understand about the inches lost is that does not represent a single circumferential body area. Most patients would understandably think that this is how much was lost from the waistline…and that would be really impressive for a non-surgical treatment which takes just a few weeks to complete. However it refers to a collection of circumferential measurements from four different areas combined. The results are still quite good but don’t be misled into thinking that is all from one area.

Dr. Barry Eppley

Indianapolis, Indiana

Plastic Surgery Discounts for Indiana University (IU) Health Employees

Tuesday, September 21st, 2010

During the course of my work as a plastic surgeon in Indianapolis over the past two decades, I have had the opportunity to work almost exclusively within the Indiana University Health System. Given this name in 2011, the Indiana University Health System represents a large statewide network of facilities and health care providers. Extending from the downtown hub of original Methodist, University and Riley Children’s hospitals, it extends into suburban Indianapolis where Indiana University Health North in Carmel, Indiana University Health Hospital in Avon and IU Health Saxony Hospital in Fishers are located. Throughout the state of Indiana ten other hospitals are IU Health partners including IU HealthTipton Hospital, IU Health Arnett Hospital in Lafayette, IU Health Ball Memorial Hospital in Muncie, IU Health Bloomington Hospital in Bloomington, IU Health Bloomington Hospital of Orange County in Paoli,  IU Health Bedford Hospital in Bedford, IU Health Blackford Hospital n Hartford City, IU Health Starke Hospital in Knox, IU Health Goshen Hospital in Goshen and IU Health LaPorte Hospital in Laporte.

Many of my patients have been cared for by IU Health Hospital providers, and some of those same physicians and their families have been actual patients of mine as well. In working with them, I have come to appreciate the tremendous professionalism and compassion they have for helping those patients who are suffering serious, debilitating illnesses. In appreciation of their past and future patient care efforts, I am offering incentives to IU Health employees for any desired cosmetic plastic surgery procedure(s). For those who want to change certain aspects of their outward appearance using well-established and successful cosmetic surgery procedures, the IU Health plastic surgery program may make it more attainable.

Any IU Health employee can benefit regardless of where you may be located in Indiana or at what hospital or facility. Each of the plastic surgery procedures available my website at www.eppleyplasticsurgery.com are eligible for this 10% discount toward the surgical fee. Some of the most popular and commonly requested plastic surgery procedures are:

Liposuction (Smartlipo) and Body Contouring

Breast Augmentation, Breast Lift, and Breast Reduction

Tummy Tuck and Waistline Contouring

Limited (Lifestyle Lift) and Full Facelifts

Eyelid Tucks (Blepharoplasty) and Browlifts

Facial Sculpting with Implants (Chin, Cheek, and Jaw Angle)

Nose Reshaping (Rhinoplasty)

Ear Pinning (Otoplasty) and Earlobe Repairs

Scar Revision

To receive your complimentary, private consultation, or to inquire about any of the plastic surgery services listed above, please feel free to contact info@eppleyplasticsurgery.com and request the IU Health Plastic Surgery program. Consultations can be arranged by phone or through the website.

Similar benefits are available at our Ology Spa locations in IU Health Hospital in Carmel and IU Health Hospital in Avon. Minimally invasive procedures such as Botox, injectable fillers, laser skin therapies, microdermabrasion, and more are available to complement cosmetic surgery procedures or as part of your regular skin care program. The Ology Spa is also a wonderful escape at the end of a long shift where many relaxing spa therapies such as massage and other bodywork, facials and waxing are available at a discounted rate to IU health staff. We also offer the newest method of non-surgical fat reduction using the Exilis radiofrequency device .Learn more about the Ology Spas at IU Health North and IU Health West at www.ologyspa.com.

Dr. Barry Eppley

Indianapolis, Indiana

Weight Loss Management and Medications on Indianapolis Doc Chat Radio Show

Saturday, September 26th, 2009

On this week’s Doc Chat Radio show on WXNT 1430AM in Indianapolis from 12:00 – 1:00PM on Saturday afternoon, hosted by Dr. Barry Eppley Indianapolis plastic surgeon,  the very popular topic of weight loss was discussed. With a guest Weight Loss Specialist, the many aspects of weight loss management were covered including answering questions from listener e-mails.

Weight loss is a complex topic with numerous causes of weight gain and near endless strategies for its reduction. A comprehensive work-up and laboratory studies should first be done to rule out medical causes such as thyroid disease or low testosterone levels. Caloric and food intake are assessed and managed with an FDA-approved meal replacement program. If necessary, medications are provided including Adipex and HCG (human chorionic gonadropic) sprays. In some cases, human growth hormone (HGH) (by injection)  or crystalline amino acid secretogues may also be used. Lastly, lifestyle changes in activity are assessed including possible prescribed exercise programs.

Because everyone is different, there is no standard program for everyone.  Each patient’s weight loss program is individualized  to their specific needs and goals and how much weight they needor want to lose.  The duration of the program is based on the amount of weight to be lost with an average goal of 2 lbs. per week. One of the most important aspects of the program is long-term weight loss maintenance, a common failure point for most weight loss programs.

Skin Rejuvenation: Percutaneous Collagen Induction (PCI) vs. Laser

Friday, August 14th, 2009

Skin rejuvenation is the most frequently requested cosmetic facial procedure, largely by women of ages 35 and above. As the skin starts to look dull and develop those first few wrinkles, doing something to help the skin look better becomes a consideration. The term, skin rejuvenation, encompasses a wide variety of office-based procedures that all aim to make the skin look fresher and reduce wrinkles.

Most commonly, the most effective skin rejuvenation methods include those that exfoliate (remove) the outer layers and allow it to heal with a new outer layer. These methods include traditional chemical peels and different forms of laser resurfacing. All of these procedures can be done in a wide variety of depths, which are individually chosen based on the patient’s tolerance for recovery and the speed at which they want to see improvement.

Laser and peels, however, remove skin layers through a thermal (heat or acidic) process which induces an injury. Healing of that injury results in a new outer skin layer but is also responsible for the recovery seen. (redness, peeling, tenderness, etc.) Enter the concept of percutaneous collagen induction (PCI) therapy, a different method of skin rejuvenation that uses a somewhat different approach. This procedure uses a rolling device with protruding needles to create thousands of tiny punctures into the outer layers of the skin. (very much like aerating your lawn) These microscopic injuries induce the release of growth factors and cytokines, recognized wound healing agents, that help to stimulate new collagen regeneration. Because the ‘cuts’ are done without heat, they heal faster with less recovery than any thermal method.

PCI is best compared to fractional laser resurfacing is that it creates tiny holes or cuts in the skin. Fractional laser procedures makes these cuts with the heat of the laser which leaves behind a wider zone of dead tissue (estimated to be 3 to 8 times wider than the hole) which must also heal. The ‘cauterized’ hole edges theoretically are sealed from releasing cell factors that are helpful in the regenerative process. In essence, some scar is left behind from the process.. PCI, conversely, simply clefts the skin without any heat, which more readily allows valuable cell factors to be released and work on the exposed collagen, resulting in regeneration with less scar healing.

The debate between a high-tech approach (fractional laser) and a low-tech approach (PCI) for skin rejuvenation is ongoing and may become more hotly (no pun intended!) contested in the future. Until a direct comparison in patients is done, this debate will be based on conjecture, extrapolated science, and economics until then. Those issues aside, I find PCI theoretically appealing and with some real clinical benefits. And when I talk about clinical benefits, I am not talking about which is better in terms of skin rejuvenation.

PCI offers less recovery than any laser method and that, for some patients, is a real plus. Many patients would embark on more aggressive skin rejuvenation programs if they didn’t have persistent redness and peeling…not to mention the discomfort of the procedure. (and all laser procedures involve some discomfort, no matter how it is managed, due to the heat) Furthermore, because PCI does not strip off the outer layer of the skin, it offers an advantage of safety and virtual elimination of complications. You can’t have a burn injury if you aren’t doing any burning. This indicates that PCI can be used anywhere on the body unlike laser methods. Also, with no outer layer of skin removed, even partially, this exposes the patient to no risk for skin sensitivity after and has no potential for any pigment changes. (it can be used on all skin types)

Several non-burning questions remain, however, on the effectiveness of PCI? How many treatments are needed to see improvement? What is the best depth of needles and the spacing of them on the wheel? What topical products should ideally be used afterward? The science of PCI remains a fertile area for investigation and much of this information is not yet known. The role of PCI  in skin rejuvenation has not been defined, unlike laser technology. This is largely a function of economics. The large number of lasers that are marketed and exist in clinical practices provides a disincentive for the PCI bandwagon.

Despite these drawbacks, I remain both intrigued and encouraged about PCI in my Indianapolis plastic surgery and spa practice. PCI and laser treatments are not mutually exclusive. Light laser micropeeling (less than 50 microns) combined with PCI may capture the best of both worlds.

Dr. Barry Eppley

Indianapolis, Indiana


Testosterone Supplementation for Men on Indianapolis Doc Chat Radio Show Indianapolis

Monday, March 16th, 2009

On this week’s Doc Chat Radio show on WXNT 1430AM in Indianapolis from 1:00 – 2:00PM, hosted by Dr. Barry Eppley, the topic of testosterone deficiency and supplementation for men was presented.  With an anti-aging medical specialist from Ology in Indianapolis, the symptoms and testing for testosterone deficiency were reviewed. How testosterone supplement gels work, who would benefit by them, and what risks it poses by using them was discussed. Feeling tired? Low sexual desire and performance? Gaining fat but losing muscle? Over 50? Testosterone supplements may be for you!

Laser Hair Removal in Men

Sunday, March 8th, 2009

While women commonly seek laser hair removal of the bikini line, underarms, and face, men are good candidates for this procedure as well. For most men, however, the areas where they want to have hair removed are much larger ones, usually the back and shoulders. Such large areas pose problems for conventional hair removal methods such as waxing and electrolysis. While shaving is a low cost approach, it must be done at least every several days and the back area is a hard one to do by yourself. With laser hair removal, these large areas can be done quickly and easily with good long-term hair reduction.

The concept to grasp about laser hair removal is that it can only affect the hairs that are in the active growing phase, known as anagen. On the back and shoulders, only about 50% or so of the hairs are actively growing at any one time. The growth cycle for back hairs is about three to six months. What this tells you is that it will require a series of laser hair treatments to get significant growth reduction. Mathematically, one can calculate the point at which less than 10% of the hairs will be present by taking a 50% reduction at every 4 to 6 week treatment interval. (1st treatment 50% left, 2nd treatment 25% left, third treatment 12.5% left, 4th treatment 6.25% left, 5th treatment 3% left, etc) That is why laser hair treatments are sold in packages of 5 at Ology medspa, it takes that many to see really good results. Long-term, occasional maintenance treatments may be needed as well, maybe once a year for a few years after the initial series.

The biggest issue with treating large areas with laser hair removal is pain control. Because the lasers work with attached cooling mechanisms, treatments are less painful and uncomfortable than they would be otherwise. However, further pain control efforts are helpful and the use of a topical pain relieving cream to be applied before the hair removal begins providing even more relief.

While women have a long history of understanding the cost of beauty, men are often more logical and scrutinizing of such costs. Because areas like the back are bigger than say the bikini line, the cost for a package series of back treatments will be higher. While the cost may seem initially high, it is a long-term investment that will save time and money considering the alternative methods of hair removal.

Perhaps one of the most attractive selling points of laser hair removal for men is that their skin will require very little care afterwards. The area that has been treated will be slightly red and feel like a sunburn. This goes away in a day or two. One can apply moisturizers or aloe for comfort and dryness. One should not get direct sunlight or tan on the area treated for two weeks after treatment.

Dr. Barry Eppley

Indianapolis, Indiana

Laser Hair Removal -Separating Facts from Fiction

Wednesday, February 25th, 2009

While we are now quite yet into spring, it is but just a month or so away. With the onset of spring, many people will be thinking about getting ready for the summer. Particularly for the younger age groups, outside activities with greater exposure of body parts is high on their minds. As part of some get ready lists, removing unwanted body and facial hair works its way up that list. With the now standard method of laser hair removal widely available, many will seek out these treatments.

While laser hair removal is a good treatment method for many, the marketing and advertising claims frequently do not give an accurate reflection of the facts and the science behind it.

Laser hair removal should be best thought of as a hair reduction method. While some patients do get a high percentage of permanent hair reduction, the concept of permanent and complete elimination of hair is false. The biology of hair growth and the way the laser light works makes this very difficult to achieve. When laser hair removal first came onto the scene in the early 2000s, this was naively widely touted. We now know better. If you can live with 50% to 90% reduction in hair, then laser hair removal may be for you.

Not all hair responds well to the laser. Like a black colored car that attracts sunlight and gets very hot, it is all about driving heat down to the growing hair bulb. For this reason, dark colored hair with fair colored skin always works the best. Blonde, gray, white, and red colored hair is not reduced as much because it is a ‘poor’ target. Expect less hair reduction if this is your hair color. Conversely, dark colored skin picks off some of the laser light before it can get to the hair bulb. (which actually is below the skin) Because higher energies of laser light is needed to get past the pigment in the skin, there is a slightly higher risk of skin burns and irritation.

Laser hair reduction requires a series of treatments to be effective. Because the laser will only knock out hairs in an area that are actually growing (less than 10% of your hair in any area is actually active at any one time), a series of treatments over time is needed. A general rule is that it will take 5 or 6 treatments over a 6 month period to get the best result. So while spring may bring hair removal to mind, you ideally should have started last fall!

Lair hair treatments are not painless…no matter what the advertisements say. The laser light is a hot treatment and it is not like having a massage or manicure. If your laser treatment is or was painless, I can also guarantee you that it will not work. While todays lasers have chilled methods to cool the skin during treatment, topical anesthetics are still necessary. For this reason, a laser hair appointment may require an hour or so with the first half being the application of a numbing cream and then time to let it work.

Long-term maintenance treatments may be needed in many cases. Hair that was initially suppressed by laser treatments can get activated later in life with hormonal changes or medications that one may be taking. While this seems to be contradictary to the way most people think lasers on hair works (frying the hair bulb so that it is ‘killed’), the reality is that the laser changes the hair growth cycle and teaches it to grow differently. Often times, it changes a thick dark hair to a fine and clear vellus hair. But certain changes in life can reactivate its original growth cycle making you see hair ‘coming back’.

Laser hair treatment is commonly done for both women and men. (men and back hair make up about half of the patients that we see) While it can be very effective for the right person, proper knowledge and education will determine if laser hair treatments are a good or better value over traditional waxing methods.

Dr. Barry Eppley

Indianapolis, Indiana

Acupuncture at Ology Spas in Indianapolis

Wednesday, January 28th, 2009

Acupuncture is one of the many alternative forms of medicine that is very well known, albeit not well understood. While most people have never had an acupuncture treatment, they most likely have a strong opinion about it.. Admittedly I was fairly ignorant about acupuncture until we were approached and incorporated this form of therapy into our Ology medspa several years ago. Since then I have come to appreciate what it is and how it may be beneficial to some patients.

Acupuncture is a traditional Chinese practice involving the placement of ultra-thin sterile needles into the skin at specific points located along what are called energy meridians. The exact origin of the energy meridian concept is buried in Chinese history but it goes back over two thousand years. The introduction of a needle along these energy meridian purportedly affects the flow of qi (pronounced “chee”), or energy that flows through them. The flow of qi is important to keep the body in balance and in good health. That explanation requires a leap of faith in understanding and modern science hypothesizes that the needles interact with our nervous system. They likely trigger the release of chemicals that have a hormone-like effect, modifiying our mood, perception of pain, and how our immune system acts. Interestingly, the placement of the needles are rarely even close to the site of the problem, often being at quite distant parts of the body. That undoubably contributes to the mystery of how acupuncture works and challenges to some degree conventional medical thinking. This has led many to hypothesize that acupuncture works primarily by a placebo effect rather than any real physical change.

.Acupuncture does have a set of medical problems for which it has some acknowledged benefits. It is most commonly used for chronic pain which has failed conventional medical therapies such as back pain and arthritic joints. It is used for the common problems of weight loss and smoking cessation but whether its success is any higher than the hundreds of other approaches has not been proven. It is extremely popular when used along with in vitro fertilization to help increase the odds of success of conception. Stimulating an acupressure point in the toe may even help expedite labor.

As part of a medspa environment at IU Health hospitals in Indiana  (IU Health North in Carmel and IU Health West in Avon), this is a logical addition to a complementary healthcare environment. As part of a place where a full range of services are available from ayurvedic and therapeutic spa therapies, chiropractic services, massage therapy, skin care, anti-aging medicine and plastic surgery in a soothing and tranquil environment, acupuncture adds non-invasive treatment options for certain health issues.

 Dr. Barry Eppley

Indianapolis, Indiana

Anti-Aging Medicine at Ology Spa in Indianapolis

Saturday, January 24th, 2009

Anti-aging Medicine is often an enigma to the public.  It sounds appealing and of interest but what is it? The marketing hype that surrounds the anti-aging medicine concept makes it difficult to understand how it applies to any everyday person. Anti-aging is a subspecialty of medicine that in no way should be confused with Geriatric Medicine. In fact, Anti-Aging Medicine strives to maintain and energize one’s health so that the affirmities of age can be delay for some time and maybe avoided for the most part.

Anti-Aging Medicine is a relatively new medical specialty for the prevention, treatment, and reversal of health problems caused by both age and disease. Even in the face of continuing aging or ongoing disease, the main goal of Anti-Aging Medicine is to help one feel better by improving how your body functions. The emphasis is on treating the cause of the problem, not just the symptoms.

Anti-Aging Medicine treats a wide variety of aging health problems including menopause, andropause (male menopause), depression, sexual dysfunction, fatigue, insomnia, and weight disorders.

Each patient’s evaluation is individualized and extensive leading to a personalized treatment plan at Ology Spa. Through established medical principles and ongoing body chemistry assessments, the program consists of proper nutrition, physical exercise and  fitness, biologically identical hormone therapies, and pharmaceutical-grade neutraceuticals (vitamins, amino acids, minerals, antioxidants, and herbs). Through this program, the goals are to look and feel younger, maintain ideal body weight, improve sleep patterns, restore intimacy and sexual function, eliminate anxiety and depression,  and increase energy,  muscle mass, and strength.

Dr. Barry Eppley

Indianapolis, Indiana





Dr. Barry Eppley on Blog Talk Radio

Tuesday, July 8th, 2008

Indianapolis Plastic Surgeon Dr. Barry Eppley is on Blog Talk Radio today discussing his plastic surgery practice, experience, and the Ology Spa concept which he has developed in Indianapolis.’

Barry L. Eppley, MD, DMD, one of Indianapolis premier plastic surgeons is giving patients from Indianapolis and across Indiana a glimpse of his professional background and a better understanding of the wide array of surgical and non-surgical treatments that he performs at his state-of-the-art Ology Spa facilities. Ology is a full-service medical spa located in IU Health North and West Hospitals that provides spa, plastic surgery, and anti-aging medicine services.
Dr. Eppley has an extensive educational background and years of experience helping his patients with their cosmetic surgery needs. He received a Doctor of Medicine degree from Washington University in St. Louis, a Doctor of Dental Medicine degree from the University of Pennsylvania in Philadelphia as well as full training in Plastic and Reconstructive Surgery at Indiana University. As a result of his education, Dr. Eppley is both a licensed physician and dentist and certified by the American Board of Plastic and Reconstructive Surgery.
His background goes on to include being a former member of University Plastic Surgeons at the Indiana University in Indianapolis, prominent international experience in the investigation and development of numerous technologic advances in plastic surgery and he has an extensive history of research experience in various aspects of bone and soft tissue healing. He has been the recipient of numerous National Institute of Health and private corporate research grants for the evaluation of promising surgical technologies and his contributions to the surgical literature includes 2 books, over 250 journal articles and 35 book chapters.
Specializing in procedures for the face, breast and body, patients can choose from many different procedures such as breast augmentation, facelift, rhinoplasty, tummy tuck and liposuction. Dr. Eppley takes pride in helping his patients achieve beautiful, natural-looking results as is noted by many of his patients who have resoundingly express their many thanks and various comments of praise including; “you are the best”, “ I will never forget all you have done for me” and ‘Thank you for the opportunity to change my life”.
Dr. Eppley’s radio interview is available to be heard on Blog Talk Radio More information on Dr. Eppley and his plastic surgery practice is available at http://www.eppleyplasticsurgery.com or the Ology Spas at http://www.ologyspa.com.

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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