Blog

The Z-plasty Scar Revision Technique

Scar revision techniques have a long history in plastic surgery and are used as much today as they were many decades ago. While many patients think of scar revision as being done with a laser, like a magic eraser, the reality is that surgical excision and rearrangement of adjacent tissues is often more effective. Such Read More…

Techniques for Fat-Preserving Lower Blepharoplasty

The lower eyelids are just one component of the management of the peri-orbital facial area. While browlifts and removal of excessive skin from the upper eyelids (upper blepharoplasty) are well known and established anti-aging treatments, lower eyelid surgery has evolved in its techniques over the past decade. Traditionally, lower blepharoplasty was all about the removal Read More…

Patient Testimonials: Brow Bone Reduction/Forehead Reshaping

Brow Bone Reduction and Forehead Reshaping ‘Had brow bone and forehead bone reshaping done recently by Dr. Eppley. The results are amazing. I had a really big protruding brow bone that made me look like a Neanderthal man. The whole process was very smooth and transparent. A large amount of bone was removed, some of Read More…

Case Study: Breast Implant Revision and Lift for Recurrent Capsular Contractures

Background: While breast augmentation will produce an immediate and significant change in the size of the breasts, it is important to remember that it does so with the implantation of a medical device. As such there are always the risk of complications with any implanted device. One of the most well known complication risks of Read More…

The Global Differences in the Corner of the Mouth Lift

Much of one’s facial expression has to do with the mouth or perioral area. While there are over 10,000 different facial expressions, most can be lumped into six major categories. One of these categories of major facial expressions is smiling of which the mouth plays a major role. Everyone knows that an upturned smile line Read More…

Case Study: Forehead Augmentation for Correction of Pseudo Brow Protrusion

Background: A brow bone prominence is largely a male feature caused by a greater pneumatization (expansion of air cavity) of the frontal sinuses than in women. While female brow bones are relatively flat, most men will have some degree of prominence or ridging that creates a brow bone break as it ascends into the forehead. Read More…

Plastic Surgery History: Burn Surgery and The Walking Tubed Pedicle Flap

Burn care and surgery is often not thought of as a basic part of plastic surgery. There are many burn centers throughout the U.S. and the majority of them are not headed or run by plastic surgeons today. But burn care was originally done almost exclusively by plastic surgeons and most of the major Read More…

Plastic Surgery Product Review: Radiesse Injectable Filler

While there are over a dozen injectable fillers available for human use in the U.S., many share similar chemical compositions. The vast majority are hyaluronic acid-based and, although they have different brand names and some differences in their duration of effects, they are vastly similar in their handling properties. One of the very different injectable Read More…

The Role of Graft Preparation in Fat Injection Augmentation

Autologous fat grafting has become a widely used technique in plastic surgery for both reconstructive problems and aesthetic concerns. Even though it is extensively used and touted, one of the realities of fat grafting is that it is not a completely predictable method of soft tissue augmentation. Volume loss occurs to variable degrees in Read More…

Postoperative Instructions for Calf Implants

Implants for calf augmentation are surgically placed by incisions behind the knee. Very soft solid silicone implants are inserted under the fascia and on top of the gastrocnemius muscle. Either the inner half of the muscle (two implants) or both halfs of the paired gastrocnemius muscle (four implants) can be augmented. The following are the Read More…