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 superficial temporal artery (STA) is characteristically serpiginous (tortuous or wavy) for several functional and anatomical reasons related to the mobility of the scalp and temporalis region. The tortuosity is not random—it provides mechanical and physiological advantages. 1. Accommodation for Skin and Scalp Movement The STA runs within the loose connective tissue layer of the Read More…
Avoiding injury to the frontal (temporal) branch of the facial nerve is the key safety issue during cosmetic superficial temporal artery (STA) ligation. The protection strategy is primarily anatomic plane control and incision placement. 1. Know the Nerve’s Course The frontal branch travels: From the parotid gland Across the zygomatic arch Toward the lateral brow Read More…
Temporal artery ligation refers to tying off the superficial temporal artery, the vessel in the temple/scalp region. It is not the treatment for temporal arteritis / giant cell arteritis (GCA) which historically was treated by temporal artery excisional biopsy. Cosmetic temporal artery ligation is a minor surgical procedure used to eliminate visible, pulsatile superficial temporal Read More…
In designing custom forehead implants from CT scans I notice that patients fall into a limited number of recurring skull shape patterns. These patterns determine implant thickness distribution, coverage, and edge design. Below are 7 common forehead bone shapes that often drive implant design. 1. Flat Forehead Description Minimal forward projection Straight or slightly sloping Read More…
Despite the many potential custom forehead implant types that can be designed,patient requests for forehead implants tend to cluster into a few very consistent aesthetic patterns. Most patients fall into five common forehead reshaping goals. 1. Flat Forehead Correction Most common request overall in females Typical patient description “My forehead looks flat.” “My forehead profile Read More…
The forehead occupies one-third of the aesthetic facial units and, because of its broad featureless surface, seems like a very straightforward augmentation area. In reality, however, there are numerous shape changes that can be done for differing aesthetic effectsbased on desired changes to its height, width, projection and shape. Thus forehead augmentation is more complex Read More…
Custom skull implants are one of the main surgical options used to improve cranial asymmetry in adult plagiocephaly when the skull bones can no longer be reshaped. In adults, the cranial sutures are fused, so correction is typically done by augmenting the skull contour rather than moving bones. Below is a structured overview of how Read More…
One of the most important but often overlooked design features in custom jawline implants that affects the neck is the vertical augmentation of the jaw angles (sometimes called vertical ramus lengthening). This can significantly influence neck contour and the cervicomental angle. 1. The jaw angle defines the posterior border of the neck The gonial angle Read More…
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…
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...