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Dr. Barry Eppley

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Surgeon Dr. Barry Eppley

Posts Tagged ‘thigh implants’

Implants for Quadricep/Thigh Augmentation

Tuesday, December 31st, 2013


Quadriceps Muscle WastingMuscle wasting of the upper thigh can be the result of a number of different medical problems. Thigh muscle shrinking can occur from lack of use, severe weight loss and malnutrition or can be the result of a nerve injury from trauma or other neurologic  disorders. One cause of thigh muscle wasting can be from HIV infection and the development of a full blown presentation of AIDS. The pharmacologic treatment of AIDS through retroviral therapy can create a series of well known body wasting and lipodystrophic problems. One such effect of the AIDS-related cachexia is muscle loss or thinning of the lower extremities. While the contemporary treatment of muscle loss may be fat injection grafting, that is not an option in most AIDS patients. The alternative would be muscle implants. While numerous body implants exist for muscular enhancement, none exist for augmentation of the quadriceps or thigh region.

In the December 2013 issue of the Journal of Cosmetic Surgery an article was published entitled Quadriceps Implant: Cosmetic Improvement to the Anterior Thigh Region in a Patient Suffering From HIV Muscle Wasting.  In this case report the authors describe a single patient with HIV induced muscle wasting who underwent quadriceps augmentation with a solid silicone implant. A custom-designed silicone thigh implant was placed through an incision in the anterior thigh beneath the fascia of the quadriceps muscle. outcome was reported as excellent at three months after surgery.

Because of HIV and the medications used to treat it, a patient may suffer from wasting in the legs and placement of a soft solid silicone implant can help improve the cosmetic appearance of the anterior thigh/quadriceps region. Putting the implant beneath the fascia of the muscle is common practice for any body implant and the thigh muscles woud be no exception. While this is just a single case report (one patient) and the follow-up is short, the use of implants in the anterior thigh for cosmetic augmentation could have application beyond HIV thigh muscle wasting.

Dr. Barry Eppley

Indianapolis, Indiana

Aesthetic Augmentation to the Hips/Upper Outer Thighs

Thursday, May 16th, 2013


The use of implants for body augmentation has been around for over fifty years. Breast implants are the most well known and account for the majority of all body contouring implants placed. But there are a variety of other body site implants that are recognized by most even if they occupy a small number of all body implantations performed. Implants exist for the chest, buttocks, arms and calfs. The numbers of these implant sites is increasing along with the array of implant options that are available for them.

One would think that just about every body site that could be augmented or implanted has been…but this is not true. One new area for body augmentation is that of the hips or thighs. Depending upon how you define this location, the goal is to have more curvature to the upper outer thigh. This seems ironic since most plastic surgery efforts are spent trying to reduce fullness in this area by liposuction. But there are women (and transgender females) that want a more curvaceous look to their outer thighs which is naturally very straight.

Upper thigh or hip augmentation can be done with a very soft silicone implant placed beneath the fascia overlying the outer thigh muscles. The surgical approach for the implant’s insertion is a 3 to 3.5cm horizontally oriented incision over the trochanteric region. The underlying fascia identified over the vastus lateralius muscle and opened where a blunt instrument is used to make the pocket. The implant itself is unique as no standard hip implant exists due to the newness of the application and the rarity of its request. I modify other existing body implants, most commonly contoured silicone carving blocks of sizes about 16 cms. long, 9 cms wide and 2 cms thick to fit into the pocket. Since they lie under the fascia and on top of the muscle, their contours are not seen on the overlying skin.

Other than some tightness of the outer thighs and the potential for infection or seroma (fluid collection), the risk of complications is fairly lower. The anatomy in this area has no major blood vessels or nerves. The muscle is not entered or violated so this hastens recovery. The only nerve of consequence is the lateral femoral cutaous nerve which supplies feeling to the lateral thigh, but its course is above and in from of the location of the incision. Recovery is fairly short in terms of returning to normal activities but strenuous activity and exercise requires waiting a full month after surgery.

The hip or upper thigh implant provides a curve or fullness to the upper outer thigh. These relatively thin slightly convex silicone implants are placed subfascially on top of the muscle to augment an otherwise straight leg line. For those women who have little fat to give for fat injection hip augmentation, an actual preformed implant is an alternative body contouring option.


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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