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...
Shoulder width narrowing is performed by clavicle reduction osteotomies where a segment of the bone is removed and the two ends are put back together. This pulls the mobile distal bone segment closer to the sternum which pulls the outer shoulders inward. In looking at the cross sections of many removed clavicle bone segments it Read More…
Breast augmentation in transfeminine (transfemales / trans women) patients is a well-established procedure, but it has some important differences from augmentation in cisgender women due to anatomical and hormonal factors. 1. Background: Hormone Therapy First Most transfeminine patients undergo estrogen-based hormone therapy before considering surgery. This: Promotes natural breast development (often A–small B cup) Helps Read More…
Soft tissue atrophy is a known complication of corticosteroid (steroid) injections, especially when they’re placed superficially or repeatedly in the same area. What it is: It’s a localized loss or thinning of subcutaneous fat and sometimes skin, leading to a visible depression or “dent” at the injection site. Why it happens: Corticosteroids can: Inhibit fibroblast Read More…
Jaw angle implant removal: Medpor vs silicone Factor Medpor jaw angle implant Silicone jaw angle implant Tissue reaction Fibrovascular ingrowth into pores Smooth capsule around implant Plane of removal Often obliterated Usually preserved Removal method Sharp dissection, often piecemeal Usually en bloc extraction Operative difficulty High Low to moderate Masseter involvement Common integration into masseter/periosteum Read More…
Medpor jaw angle implant removal is one of the more technically demanding explant procedures because of thick soft tissue coverage, strong tissue ingrowth, and proximity to the masseter muscle and the facial artery.. It’s very different from silicone angle implant removal and often behaves like a deep subperiosteal dissection with partial reconstruction. Here’s how it’s Read More…
Safe removal of Medpor implants is really about controlled dissection, preservation of vital structures, and managing the consequences of tissue ingrowth. Surgeons approach it more like a reconstructive exposure procedure than a simple explant. Here are the key techniques: 1. Meticulous Layer-by-Layer Sharp Dissection Primary principle: never “pull”—always cut the ingrowth Use: Fine scissors Scalpel Read More…
Medpor (porous polyethylene) facial implants are designed to integrate with surrounding tissue, which is great for stability—but that same feature makes removal significantly more difficult than with smooth implants (like silicone). Here are the main challenges surgeons face: 1. Tissue Ingrowth (Primary Issue) Medpor is porous, allowing fibrovascular tissue to grow into it. Over time, Read More…
The “tunnel technique” in rib removal for aesthetic waist narrowing refers to a minimally invasive surgical approach where portions of the lower ribs (typically 10–12) are removed through small, strategically placed incisions, creating a “tunnel” to access tand remove he ribs rather than using a wide ??? (open) exposure. Core Concept Instead of fully Read More…
Does adding an implant (standard or cusom) actually improve the aesthetic outcome over just a facelift alone?” Short answer: sometimes yes—but only when there’s a structural deficiency to fix. Otherwise, it can add complexity without meaningful benefit. Here’s the practical way to think about it: When an implant does improve the facelift result A facelift Read More…
Female forehead augmentation is a cosmetic procedure designed to add volume and create a smoother, more rounded, feminine forehead shape—as opposed to reducing bone (which is done in forehead feminization surgery). What it is A procedure to enhance a flat, concave, or under-projected forehead Aims for a gentle convex contour with a more vertical slope, 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...