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 the chin is lengthened through a surgical technique called vertical lengthening genioplasty, a small gap is created in the bone. A fixation plate and screws hold the new chin position securely in place and set the amount of lengthening. However, the plate itself does not determine whether the gap fills in with bone over Read More…
Background The most common dimensional deficiency of the chin is inadequate forward projection, which is often well-corrected with an implant for modest augmentation. While horizontal projection is the most frequently treated deficiency, vertical chin deficiency is often underdiagnosed or overlooked. This is largely because most standard chin implants—except for one specialized type—only address horizontal augmentation. Read More…
Background: In the short chin, when significant vertical lengthening is the primary deficiency, the bony genioplasty remains the workhorse for this type of lower facial augmentation. Significant vertical chin lengthening is defined in my experience by greater than 7 mm in most patients. This is based on the restrictions of the overlying soft tissue chin Read More…
Background: There are numerous methods of facial assessment when determining the most aesthetically pleasing facial proportions. One of the most commonly used methods is that of the facial thirds. This is a vertical assessment of the length of the face broken down into 3 sections, frontal hairline to flabella (upper), glabella to central nasal base Read More…
Background: The concept of the sliding genioplasty is fairly straightforward. Cut the chin bone, move it forward and put a plate on it to hold it into place. While this is true there are numerous aesthetic and technical considerations involved that can make for a successful or unsuccessful aesthetic outcome. Such factors include what dimensional Read More…
Background: The chin implant is the most common form of lower facial augmentation but it has its limits. Since the soft tissue chin pad must be released to allow an implant to be placed on the bone the stretch of these overlying soft tissues poses a restriction on implant size. As a result chin implants Read More…
Background: The use of an implant is the most common form of chin augmentation. It offers a predictable method of bone augmentation based on the thickness of the implant. But the placement of an implant requires that the soft tissue chin pad be released and an implant placed as an interface between the bone and Read More…
One of the most common forms of changing the shape of the chin is the bony genioplasty. While once used exclusively for a horizontal chin augmentations hence the term ‘sliding geniopasty’, its use today has expanded for a variety of more complex chin shape changes. Significant vertical chin lengthening and now the every popular mini Read More…
The sliding genioplasty gets its name from its origin well over a half century ago. At that time here was only one bone fixation technique to hold the bone into its new position…wire fixation. Passing wire ligatures from the buccal cortex superiorly and the lingual cortex of the mobilized chin bone segments inferiorly when twisted Read More…
Background: In aesthetic jaw augmentation the most common approaches are purely implant-based. Using either standard chin and jaw angle implants or a custom wraparound implant the entire jawline can be augmented. The only autologous jaw augmentation method is for the chin with a sliding genioplasty. So another complete jaw augmentation method is to combine a 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...