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Dr. Barry Eppley

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Posts Tagged ‘trapezius muscle implants’

Case Study – Trapezius Muscle Implants

Wednesday, February 3rd, 2016

trapezius muscleBackground: The trapezius muscle is a large superficial muscle in the upper back. It extends from the occipital bone superiorly down to the spine to the lower thoracic vertebrae and then out laterally to the shoulder blade. (scapula) Muscular development of the trapezius muscle by male body buillders and exercise enthusiasts is focused largely on the upper portion of the muscle as it is the most visible from the front as it ascends up the sides of the neck.

The superior or upper portion of the trapezius can be most effectively enlarged through exercises that elevate the shoulders. Maintaing persistence of this type of muscle hypertrophy requires diligence to muscle training. For those men who are unable or do not desire to achieve trapezius muscle enlargement, there are several surgical options to bypass these efforts.

Fat injections can be done into the trapezius muscle provided one has enough fat to do so. While a viable muscle augmentation method, the take and persistence of the injected fat is not assured. Like many other muscle areas of the body (pectoral, biceps, triceps, gluteus and gastrocnemius) implants can be used to achieve an assured and permanent enlargement effect.

TrapeziusMuscle Implants preop Dr Barry Eppley IndianapolisCase Study: This 50 year-old male desired to have larger upper trapezius muscles. He had adequately built up his arms and chest muscles but could not get his upper ‘traps’ to proportionately match.

Trapezius Muscle Implants Markings Dr Barry Eppley IndianapolisTrapezius Muscle Implants surgical technique Dr Barry Eppley IndianapolisTrapezius Muscle Implants surgical technique 2 Dr Barry Eppley IndianapolisUnder general anesthesia and in the prone position, 3.5 cms skin incisions located at the base of the neck/upper shoulders were made. The trapezium fascia was identified and incised. Subfascial pockets were made along the outline of the desired implant locations. Soft solid silicone carving blocks were fashioned in the desired shape and inserted into the pockets. The size of the trapezius muscle implants measured 10 cms long, 4 cms wide and 1.5  cms in height. The fascia was closed separately from that of the skin closure.

Trapezius Muscle Implants immediate result Dr Barry Eppley IndianapolisHis immediate intraoperative results shows the dramatic increase in the upper trapezius muscle projection. Short of some initial postoperative discomfort, he can be back exercising in 7 to 10 days after surgery.

The upper muscle fibers of the trapezius muscle run from the bottom of the occipital bone out to the posterior border of the lateral third of the clavicle. While not traditionally thought of as a muscle that can be augmented, the upper portion of the trapezius can be. Increasing its visible height from the front by placing a small implant at its most superior fiber level is a straightforward technique that can be done in an hour of operative time for both sides. The key is to place the implants in the subfascial plane to prevent their visible outlines.


  1. Trapezius muscle augmentation can be done surgically done by fat injections or the use of trapezius implants.
  2. Trapezius muscle implants are placed in the subfascial plane of the upper trapezius muscle.

3) Small contour solid silicone implants produce an immediate  augmentation of the upper trapezius muscle.

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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