Explore the fascinating world of cosmetic and plastic surgery with world-renowned double board-certified plastic surgeon Dr. Barry Eppley
Clinical Outcomes in Rib Removal Surgery for Waistline Reduction
Rib removal surgery represents the elimination of the last anatomic...
The Surgical Technique of Clavicular Osteotomies in Shoulder Width Reduction
Shoulder width reduction is done by shortening the length of the...
The shape and appearance of the forehead is highly influenced by...
Background: The evolution of rhinoplasty surgery over the past twenty years...
In advanced CAD planning for total jawline implants, I analyze the lower face using five aesthetic vectors.These vectors describe the direction and magnitude of skeletal augmentation needed to produce a strong, natural male jawline. Instead of thinking in millimeters alone, it is also useful to think in directional growth patterns. Below are the five vectors Read More…
The Eppley-style jaw augmentation algorithm is more granular than typical cosmetic algorithms because it evaluates the mandible as three independent aesthetic units: Chin (central projection) Mandibular body (jawline length/straightness) Jaw angle (width and posterior definition) Treatment is then selected depending on which unit is deficient and whether the deficiency is projection, width, or Read More…
Designing an aesthetic total custom jawline implant (angle ? body ? prejowl/chin transition) is fundamentally about creating a continuous mandibular border with controlled width, projection, and symmetry while respecting soft-tissue behavior and anatomy. The best results come from designing the implant as a global lower-face framework, not isolated angle or chin augmentation. Below are the core aesthetic design principles I Read More…
Evaluation of lower third of the face deficiencies and the appropriate treatment for them can be assessed both from an anatomic unit and dimensional standpoint. The evaluation process begins at the chin and works its way back to the jaw angles. Step 1 — Evaluate Chin Projection Assess the pogonion position relative to ideal profile Read More…
Custom jawline implants are used in aesthetic facial surgery when the goal is to reshape the entire mandibular contour in ways that stock implants cannot reliably achieve. The main indication is when the surgeon wants precise 3-D control of jawline width, projection, asymmetry correction, and contour continuity. In mu extensive experience I can identify nine Read More…
The frontal branch of the superficial temporal artery (STA) is usually more tortuous than the parietal branch because of the greater mobility and dynamic activity of the forehead and brow region. 1. High Mobility of the Forehead and Brow The frontal branch supplies the forehead and anterior scalp, an area that moves constantly due to: Read More…
The superficial temporal artery (STA) is characteristically serpiginous (tortuous or wavy) for several functional and anatomical reasons related to the mobility of the scalp and temporalis region. The tortuosity is not random—it provides mechanical and physiological advantages. 1. Accommodation for Skin and Scalp Movement The STA runs within the loose connective tissue layer of the Read More…
Avoiding injury to the frontal (temporal) branch of the facial nerve is the key safety issue during cosmetic superficial temporal artery (STA) ligation. The protection strategy is primarily anatomic plane control and incision placement. 1. Know the Nerve’s Course The frontal branch travels: From the parotid gland Across the zygomatic arch Toward the lateral brow Read More…
Temporal artery ligation refers to tying off the superficial temporal artery, the vessel in the temple/scalp region. It is not the treatment for temporal arteritis / giant cell arteritis (GCA) which historically was treated by temporal artery excisional biopsy. Cosmetic temporal artery ligation is a minor surgical procedure used to eliminate visible, pulsatile superficial temporal Read More…
In designing custom forehead implants from CT scans I notice that patients fall into a limited number of recurring skull shape patterns. These patterns determine implant thickness distribution, coverage, and edge design. Below are 7 common forehead bone shapes that often drive implant design. 1. Flat Forehead Description Minimal forward projection Straight or slightly sloping Read More…
Clinical Outcomes in Rib Removal Surgery for Waistline Reduction
Rib removal surgery represents the elimination of the last anatomic...
The Surgical Technique of Clavicular Osteotomies in Shoulder Width Reduction
Shoulder width reduction is done by shortening the length of the...
The shape and appearance of the forehead is highly influenced by...
Background: The evolution of rhinoplasty surgery over the past twenty years...