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...
In treating chin implant asymmetries the decision is between implant revision vs. sliding genioplasty. This is how to think about that choice in a structured manner.s Decision Tree: Implant vs. Sliding Genioplasty (Revision Cases) Step 1: Is the implant malpositioned? YES Proceed with implant revision (reposition ± pocket correction ± fixation) NO go to Step Read More…
Chin implant asymmetry is a well known aesthetic complication and can arise from implant malposition, soft tissue differences, bony asymmetry, lack of secure fixation or other healing-related factors. Surgical correction depends on identifying the exact cause. Common Causes Implant malposition (most common): shifted, rotated, or not centered Incorrect implant size/shape Underlying bony asymmetry Soft tissue Read More…
Having performed thousands of every conceivable type of aesthetic chin surgery I have learned many basic lessons in how to avoid complications and undesired outcomes. I see on an almost daily basis patients that inquire about unsatisfactory chin surgery results most of which fall into consistent patterns. Had the surgeon followed some basic rules in Read More…
The Eppley-style jaw augmentation algorithm is more granular than typical cosmetic algorithms because it evaluates the mandible as three independent aesthetic units: Chin (central projection) Mandibular body (jawline length/straightness) Jaw angle (width and posterior definition) Treatment is then selected depending on which unit is deficient and whether the deficiency is projection, width, or Read More…
Aesthetic augmentation of the lower jaw can be incomplete or complete. Incomplete augmentation is isolated chin or jaw angle augmentation for which there are standard implant styles for each to do so. Complete jaw augmentation involves the entire jawline (chin + jaw angles + mandibular body)) where numerous implant options are available. What “standard” jaw Read More…
The labiomental fold is an important aesthetic soft tissue component of the chin that is affected by any form of chin augmentation…either favorably or unfavorably. While it may not be the major reason one chooses between the use of any implant or bone movement for their chin augmentation it can have a role to play Read More…
Introduction Chin augmentation is a powerful tool for improving lower facial balance. Standard chin implants are highly effective for modest horizontal deficiencies (<1 cm). However, when vertical deficiency is present, standard implants often fail aesthetically. Recognizing when vertical lengthening is required is crucial to achieving optimal results. Background Diagnostic Challenge: Vertical chin deficiencies are frequently Read More…
The sliding genioplasty remains the workhorse procedure for significant chin augmentation. Unless a patient specifically prefers to avoid an autologous bone procedure, it is almost always preferable to reposition the chin bone itself rather than place a large volume of implant material to achieve projection. However, even with substantial sliding genioplasty movements (10mm or more), Read More…
Background: Aesthetic facial implants are currently available in numerous different materials with a wide variety of sizes and shapes. While each manufacturer of the different materials tout their benefits the reality is that there is no perfect implant material that has all of the benefits both surgeons and patients desire. Each material has its advantages Read More…
The use of standard chin and jaw angle implants has long been a proven method of creating a more complete jaw augmentation effect. By adding augmentations at the three corners of the lower jaw its shape is changed although not in entirely complete fashion. As the implants indicate it is the corners that are changed 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...