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...
When I have reviewed post-operative photos and some with CT scans after large custom jawline implants I sometimes notice a repositioning of the submental soft-tissue envelope. This helps explain why some patients report that their neck looks better 6–12 months after surgery than it did initially. This is not just swelling resolution; it reflects long-term Read More…
Another mechanism behind the “mini-neck-lift” effect of jawline implants involves how they change the tension vectors of the platysma muscle, the main superficial muscle of the neck. 1. The platysma is anchored along the jawline The platysma muscle is a thin sheet that runs from the upper chest and clavicle upward to attach along: the Read More…
Surgeons sometimes observe that large custom jawline implants improve neck appearance even in patients in their 40s–50s, which seems counterintuitive because neck aging is usually thought to require a neck lift. The mechanism is largely due to skin recruitment and tension along the mandibular arc. The “Mandibular Arc Skin Recruitment” Effect 1. The mandible acts Read More…
Jawline implants can create a “mini-neck-lift effect” in younger patients because the improvement comes from skeletal support and soft-tissue redraping, not from removing skin or tightening muscles. Younger necks still have elastic skin and relatively tight platysma, so when the underlying framework changes, the tissues can reposition themselves. Here are the main mechanisms. 1. Upward Read More…
Custom jawline implantw have a more profiound effect on the neck than chin implants for multiple reasons including: 1. Mandibular perimeter expansion A custom jawline implant enlarges the jaw in three regions: Chin (anterior) Mandibular body (side of the jaw) Jaw angles (posterior) This increases the total perimeter of the mandible. Result The soft tissue Read More…
A custom jawline implant can have a noticeable effect on a sagging neck, but the effect depends heavily on the cause of the neck laxity (skin, fat, muscle, or skeletal support). Here’s how it works anatomically and aesthetically. 1. Structural effect: expanding the jawline Custom jawline implants augment the inferior border of the mandible (chin Read More…
A custom skull implant overlay (sometimes called a “topper implant” or stacked skull implant) is a secondary implant designed to sit on top of an existing skull implant to increase projection or refine contour without replacing the original implant. Concept The original implant acts as the base implant that establishes the footprint on the skull. A secondary overlay implant is designed to fit precisely over that base implant within the Read More…
Love band surgery (also called Aegyo-sal surgery) is a cosmetic procedure that creates or enhances the small puffy roll just under the lower eyelashes. This feature makes the eyes What the “love band” is It’s the natural fullness directly under the lower eyelid, right beneath the lash line. It’s common in children and young people Read More…
In custom infraorbital–malar (IOM) implant design, vertical infraorbital rim lengthening can be conceptualized in three different design patterns based on how aggressively the orbital–malar relationship is altered. These patterns are useful during planning because they correspond to different anatomical problems and aesthetic goals. 1. Subtle Vertical Rim Lengthening (Contour enhancement pattern) Concept A small inferior Read More…
Vertical infraorbital rim lengthening is one of the most important—but often under-appreciated—design variables in custom infraorbital-malar (IOM) implants. Its value lies in correcting the three-dimensional skeletal deficiency of the upper midface, not just adding projection. Below is a structured explanation of why it matters biomechanically and aesthetically. 1. What “vertical infraorbital rim lengthening” actually means 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...