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...
A custom skull implant for back-of-head augmentation (occipital augmentation) is designed to increase the projection, width, or overall contour of the posterior skull. This is one of the most predictable forms of skull reshaping because the implant is placed directly on the bone and can be manufactured to precise dimensions from a CT scan. Implant Read More…
For facial masculinization, a custom jawline implant designed in the “Eppley style” typically focuses on creating a stronger, wider, and more angular lower face while maintaining proportional harmony with the chin and cheekbones. Key design principles include: 1. Wraparound Jawline Design Rather than separate angle implants and a chin implant, the design is usually a Read More…
Introduction The jawline has become one of the most sought-after facial features in aesthetic surgery. While much attention is given to chin augmentation, the jaw angles—the back corners of the lower jaw beneath the ears—play an equally important role in creating a strong, balanced, and attractive facial appearance. A well-defined jawline is often associated with Read More…
Bony overgrowths occur around facial implants, particularly chin and jaw angle implants, is commonly observed on 3D CT scans and during implant replacement surgery. It is less discussed than bone imprinting changes underneath the implant even though it is part of the overall bone remodeling process that occurs as an adaotive response to implant placement. Read More…
There is an established association of bone changes with facial implants but it is poorly understand despite that the biology of bone remodeling in response to mechanical stress is well known. Facial implants can cause underlying bone resorption (bone remodeling/imprinting), although the degree varies considerably by implant type, location, design, fixation method, and duration of Read More…
While rarely talked about or usedI have found that soft-tissue jaw angle implants are one of the most effective reconstruction option for patients with chronic masseteric muscle dehiscence when the primary problem is loss of soft-tissue contour and inadequate implant coverage rather than a deficiency of the bony jaw angle itself. Concept Instead of augmenting Read More…
For masseteric muscle dehiscence after jaw angle implant surgery, soft-tissue augmentation can be useful when direct muscle reattachment is not possible, when there is persistent contour deficiency, or when implant coverage is inadequate. The goal is to recreate a soft-tissue envelope between the implant and overlying tissues and reduce visibility or palpability of the implant. Read More…
Masseteric muscle dehiscence after jaw angle implant surgery is more common than is ackowkedged and rarely discussed in the medical literature. But it can create several problems: implant exposure due to lack of adequate full muscle coverage, a step off or soft tissue contour deformity over the gonial angle, an abnormally high muscle bul when Read More…
Management of the masseter muscle is one of the key technical issues in placement of isolated jaw angle and wraparound jawline implants. This applies to all implant sized and dimensions but particularly vertical-lengthening or large widening angle implants. It is also pertinent to any jaw angle that has had prior surgery, such as SSROs and Read More…
In the context of waist narrowing surgery, rib removal and rib fracture (rib remodeling) techniques are fundamentally different procedures. in how the lower three ribs are treated. As a result it is never that they arrive exactly at the same aesthetic outcome. Why Rib Removal Produces More Permanent and Predictable Narrowing Rib removal (typically portions 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...