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 rib removal surgery, the latissimus dorsi (LD) muscle matters a lot because of where it sits, how it’s used for access, and how it’s altered during the operation. Latissimus Dorsi Muscle Anatomy The latissimus dorsi is a large, flat, superficial muscle that: Covers the posterolateral chest wall Originates from: Spinous processes of T6–L5 Thoracolumbar Read More…
The intercostal nerve is a critical structure that must be carefully respected during rib removal or rib contouring surgery. Failure to properly manage this nerve can result in long-term pain complications. Intercostal Nerve Anatomy Each rib has a neurovascular bundle that runs along its inferior border within the costal groove. Order (superior ? inferior): Vein Read More…
A custom jawline implant replacement is often a smart move for patients who already have standard (off-the-shelf) chin and jaw angle implants but want a continuous, connected and enhanced jawline result. Why replace standard chin + jaw angle implants with a custom jawline implant? Standard implants: Come in fixed sizes and shapes Treat the chin Read More…
Custom infraorbital-malar (midface) implants and custom jawline implants are specialized facial implants uniquely designed from a patient’s 3D CT scan to augment skeletal structure. They are not “one-size-fits-all” — they are tailored to each individual’s anatomy and aesthetic goals. Infraorbital-malar implants augment the upper midface — from under the eye across the cheekbone (infraorbital rim Read More…
Back Lifts: Clarifying the Two Primary Types Back lifts are body-contouring procedures with several variations. These are often grouped together, even though they produce very different contouring effects. The key distinction lies in the direction of skin excision, which determines the aesthetic outcome. What Is a Back Lift (Posterior Body Lift) A back lift removes Read More…
A revision bony genioplasty is a secondary surgery to correct problems from a prior sliding genioplasty. It’s done when the first chin operation didn’t heal, position, or look the way it was intended—or when changes over time create new issues. Common reasons for revision Malposition: chin too far forward/back, too high/low, or asymmetric Nonunion or malunion: the Read More…
There are several structurally or skeletally based aesthetic body contouring procedures that can be performed from the clavicles down to the lower extremities. Excluding lower extremity lengthening or shortening, the three primary procedures are shoulder narrowing, rib removal or modification, and hip widening or augmentation (pelvic plasty). Many patients desire more than one of these Read More…
What are soft-tissue jaw angle implants? Soft-tissue jaw angle implants are designed to enhance the contour of the jaw angle by adding volume to the soft tissues and muscle area rather than altering the bone itself. They sit on top of the masseter muscle, underneath the skin and fat, to create a fuller, more natural Read More…
The most common surgical method of jaw angle augmentation is the use of implants. These aesthetic implants have been used for decades and, while generally successful, they carry higher risks compared to most other facial implants. Placed through intraoral incisions beneath the masseter muscle, they are associated with notable risks, including infection, temporary masseter muscle Read More…
Soft-tissue jaw angle implants can be a very useful solution for masseteric muscle dehiscence, but only in select scenarios and with the right implant design and surgical strategy. The Problem: Masseteric Muscle Dehiscence Masseter muscle dehiscence typically presents as: Soft tissue posteroinferior hollowing at the mandibular angle Can make the bony or implanted jaw angle 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...