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...
Chin implants are notorious for causing a deepening effect on the labiomental fold. Does using a custom chin implant rather than an off-the-shelf design decrease that risk? The following is a fold-centric, design-specific discussion of custom chin implant strategies aimed at minimizing labiomental fold worsening. This assumes you’ve already decided an implant is appropriate and Read More…
The labiomental fold is an important aesthetic soft tissue component of the chin that is affected by any form of chin augmentation…either favorably or unfavorably. While it may not be the major reason one chooses between the use of any implant or bone movement for their chin augmentation it can have a role to play Read More…
Rib 11–12 vs Rib 10–12 Resection Advanced Waist Contouring — Indications, Impact, and Risk Escalation This comparison applies to advanced, carefully selected aesthetic cases. Rib 10 involvement changes the operation from flank refinement to structural waist narrowing. 1. Anatomical Importance Ribs 11–12 Both are floating ribs Influence the lower third of the waist No role Read More…
The labiomental fold (the horizontal crease between the lower lip and the chin) is a critical anatomic and aesthetic consideration in chin augmentation, whether with implants, osteotomy, or fillers. Below is a structured, surgical-focused explanation. 1. Why the labiomental fold matters The depth and shape of the labiomental fold strongly influence: Lower facial balance Perceived chin projection Lip competence and Read More…
Resection of ribs 11 and 12, the freely floating ribs, are most commonly associated with aesthetic waist refinement. Because of their lack of a sternal attachment and their proximity to the waistline removal of their lateral projecting ends reduces the structural support of the sides of the waistline. Rib 11 is longer than rib 12 Read More…
Rib 12 removal—also called 12th rib resection or floating rib excision—is a surgical procedure to partially or completely remove the 12th rib, the lowest rib in the rib cage. Because it does not attach to the sternum, it’s termed a floating rib. Aesthetic / body-contouring indications Waistline narrowing or flank contour refinement Typically partial resection Read More…
When creating custom facial implant designs there are two basic steps, creation of a footprint and determining the various thicknesses of material throughout the implant’s footprint. By comparison the establishment of the the implant’s bony surface area coverage (footprint) is more visually apparent as the location. of the desired external effect usually correlates on a Read More…
Like all custom facial implants there are some learned guidelines that help guide CAD design for both males and females. These rules apply regardless of the material used. MALE Custom Midface Implant Design Rules 1. Lateral projection > anterior projection Drive augmentation outward along the zygomatic arch Keep anterior cheek relatively flat Think horizontal vector, Read More…
Male and female midface implant strategies differ less by implant type and more by shape, vector, and projection philosophy. The goal is to reinforce sex-specific skeletal cues rather than simply “add volume.” Core Aesthetic Differences Feature Male Strategy Female Strategy Dominant cue Structure & angularity Soft contour & curvature Projection emphasis Lateral / horizontal Anterior Read More…
The midface is a unique facial implantation area because it is a combination of a high bony convexity (infraorbital-malar) and a large more inferior maxillary concavity. This creates well known midfacial augmentation areas for which numerous standard implants have been designed with an extensive clinical history of use. But such standard implant styles and sizes 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...