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...
The deep plane facelift is based on a detailed understanding of the layered anatomy of the face and the relationship between the skin, SMAS (superficial musculoaponeurotic system), facial mimetic muscles, retaining ligaments, and facial nerve branches. Fundamental Anatomical Concept Traditional SMAS facelifts elevate the skin and SMAS as separate layers or manipulate the SMAS superficially. Read More…
In temporal artery ligation procedures (most commonly for treatment of prominent superficial temporal artery branches, a Doppler ultrasound probe plays an important localization role. Roles of the Doppler 1. Preoperative Vessel Mapping Handheld Doppler identifies the exact course of the superficial temporal artery and its frontal and parietal branches should it not be easily visible Read More…
For a custom pectoral implant for aesthetic augmentation, I typically think of the design in terms of six major specification categories: 1. Overall Dimensions When it comes to creating the implant’s dimensions it is not about the overall height and width of the chest but mimicking the outline of the pectoralis major muscle on the Read More…
Custom pectoral implants are patient-specific chest implants designed to augment or reconstruct the pectoral region when standard implant sizes and shapes are inadequate. Common Indications Congenital chest asymmetry Poland syndrome Pectus excavatum contour deformities Post-traumatic chest wall defects Body-contouring augmentation in men seeking greater pectoral definition Revision of unsatisfactory results from standard pectoral implants Design Read More…
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…
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...