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...
This is a technically delicate procedure because the oral commissure is a muscular convergence zone, not just a skin corner. Precision and conservative movement are critical. Preoperative Planning ? A. Measurement Determine desired amount of widening Mark vertical reference lines from: Medial limbus Mid-pupil (smile position) Avoid going lateral to mid-pupil in most aesthetic cases. Read More…
Mouth widening surgery (also called oral commissuroplasty or lateral commissuroplasty) is a cosmetic procedure designed to increase the horizontal width of the mouth by repositioning the corners (oral commissures) outward. What It Does Increases mouth width Creates a broader smile Improves facial balance in patients with a narrow lower face Can enhance dental show when Read More…
Vermilion lip advancement is a surgical technique designed to increase the visible height of the pink portion of the lip (vermilion). It is most commonly performed on the upper lip but can also be done on the lower lip. This is a direct excisional procedure performed at the vermilion–cutaneous junction (the white roll). Indications Thin Read More…
Brow bone implants (also called supraorbital ridge implants) are solid facial implants used to increase projection and definition of the brow ridge. They are most commonly performed for: Facial masculinization Enhancing a flat or recessed brow Balancing forehead–nose proportions Reconstructive contour correction What They Do Brow bone implants increase: Forward projection of the supraorbital rim Read More…
Rib removal for waist narrowing refers to a cosmetic procedure designed to create a slimmer, more tapered waist by removing portions of the lower ribs. Which Ribs Are Removed? Only the semi (rib 10) or fully free floating (ribs 11 and 12) are removed. These ribs are not attached to the anterior subcostal ribcage They Read More…
The precise origins of rib surgery for aesthetic waist contouring remain unclear. What is clear, however, is that the procedure has evolved significantly in philosophy, technique, and acceptance. Its progression can be divided into three distinct phases: early speculative removal, technique standardization, and modern structural modification. Phase I: The Era of Speculation (Pre-2010) Prior to Read More…
The latissimus dorsi (LD) muscle plays a significant role in aesthetic waist-narrowing rib surgery and affects how the procedure is performed as well as its aesthetic outcome. Why the LD muscle is central to aesthetic rib removal In aesthetic waist narrowing, the ribs of interest are almost always: 10th, 11th and 12th ribs Occasionally 8th Read More…
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…
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...