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...
Why do custom PEEK jawline implants with larger jaw angle segments have the jaw angle segment split into two pieces changing a four piece to a six piece implant design? With PEEK, the reason can be even more restrictive than with a large silicone jawline implant: the problem is not simply the total number of Read More…
The success of any jawline implant is a combination of design and placement. It doesn’t matter how well an implant is designed if its placement on the bone doses not correlate closely to the design file. Accurate placement is a combination of surgical skill and various design features. An implant’s design can help or work Read More…
A PEEK wraparound jawline implant usually needs to be made in multiple pieces because PEEK is very rigid. A full jawline implant can extend from one mandibular angle, across the chin, to the opposite angle. Unlike silicone, PEEK cannot flex enough to pass that entire shape through the relatively small incisions used for placement. Dividing Read More…
For custom facial implants, the most useful way to think about silicone versus PEEK is that both can be manufactured as dense, nonporous implants, so the comparison becomes much cleaner than silicone versus Medpor. Once porosity is removed, surface finish and biologic conditioning probably matter at least as much as the polymer’s nominal surface energy. Read More…
One material property i occasionally hear about implants and infection risk is surface energy. This is usually mentioned in regard to silicone materials and their low sueface energy which may help them be more infection resistant. Not necessarily. Silicone’s low surface energy does not make ordinary medical-grade silicone inherently infection resistant. In many biologic environments, Read More…
Reported rates of infection amongst the four materials used in custom facial implants, silicone, PEEK, porous polyethylene and titanium, is hard to define clinically, There are too few clinical studies and some of the materals have very low use in aesthetic facial augmentations (e.g., titanium) As a result laboratory evidence of the ability of bacteria Read More…
Titanium miniplates used to stabilize thyroid-cartilage fractures are generally left in place when they are asymptomatic. The published laryngeal-fracture literature does not establish routine removal at 6–12 months; reports describe retained plates with good airway, swallowing, and voice outcomes at follow-up extending from several months to two years. Evidence specifically addressing elective plate removal from Read More…
A custom aesthetic forehead implant is a patient-specific implant designed from a CT scan to change the contour of the frontal bone with permanent volume..Fat grafting may work for modest soft-tissue contour changes, though volume retention can be unpredictable and repeat treatment may be needed. Injectable filler is sometimes proposed for small forehead changes, but Read More…
I structure the custom jawline implant design process around one central principle: design toward a defined postoperative facial shape, not toward an implant thickness. The core concept is: implant geometry is the translation of an aesthetic goal into a safe, stable, anatomically blended 3D skeletal shape, with the largest augmentation where change is needed and Read More…
For a custom jawline implant, the best results usually come from treating the problem as an inverse-design problem: define the desired postoperative external jaw contour first, then work backward to determine the implant geometry needed to produce it. The key is not simply designing an implant that “looks good” on the mandible. As some implant 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...