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...
Vertical chin length (the height of the lower third of the face) is usually evaluated using proportional relationships rather than just raw millimeters—but we can translate those into practical numbers. 1. Facial thirds (core framework) The face is divided into three vertical sections: Hairline ? brow Brow ? base of nose (subnasale) Subnasale ? bottom Read More…
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…
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…
A revision bony genioplasty is a secondary surgery to correct problems from a prior sliding genioplasty. It’s done when the first chin operation didn’t heal, position, or look the way it was intended—or when changes over time create new issues. Common reasons for revision Malposition: chin too far forward/back, too high/low, or asymmetric Nonunion or malunion: the Read More…
A custom jawline implant after vertical chin lengthening is a very logical and commonly paired sequence when the goal is a stronger, longer, and more continuous lower facial contour. Here’s how these procedures can be done either staged or together. In the staged approach 1. Vertical Chin Lengthening Comes First Vertical chin lengthening by an opening wedge Read More…
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…
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...