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...
Background: Chin ptosis is a common iatrogenic problem caused by removal of structural support underlying the soft tissue chin pad. As a solitary projecting point of the lower face if the bone support is reduced the amount overlying tissues does not change in size. Contrary to popular surgical belief it does to shrink down int Read More…
Background: An inadequate chin augmentation result can occur from a variety of factors. But chin implant removal in the treatment of an unsatisfactory chin augmentation result induces a whole new set of potential chin problems that now involve more than just a bony projection deficiency. The onset of undesired soft tissue changes (chin pad sagging, Read More…
Background: Chin ptosis is a well known aesthetic deformity of the soft tissue chin pad that almost always has an iatrogenic cause. (prior surgery) Chin implant removals, intraoral bony chin reductions and decreased bone support of the soft tissue pad through osteotomies are all common surgical histories that I see when patients present with problematic Read More…
For many cases of chin pas ptosis intraoral technique are used and can be effective. Such techniques rely on a method to secure the mobilized chin pad upward and to hold in there for a prolonged time as it heals…and hopefully stays there. The most common techniques used is securing the chin pad to screws Read More…
Background: Chin implant placement, whether done from a submental or intraoral approach, requires detachment of numerous ligaments from the bone to create the implant pocket. This anatomic necessity has little relevance, and often lack of surgeon awareness, unless the chin implant needs to be removed. The explantation process is far easier than its placement, particularly Read More…
Background: The chin is a unique facial structure being a solitary projection that is enveloped by a tight soft tissue chin pad. The chin pad is composed of periosteum, muscle, fat and skin that is adherent around the bone. Like all structural manipulations anywhere on the face how the soft tissue drapes over it does Read More…
Background: The soft tissue chin pad wraps over and around the bony end of the chin. Its movement is affected by a variety of muscles, most commonly the mentalis muscle which pulls the chin pad upward and protrudes the lower lip. But the movement of the chin pad can be affected by other muscles and Read More…
Background: Since chin reduction is not as commonly requested or performed as chin augmentation the techniques to do so are not often well understood. In the traditional macrogenia female, the reflex operation for most plastic surgeons is an intraoral burring chin reduction technique. It is a reflex operation because the first thought is in how Read More…
Iatrogenic ptosis of the soft tissue chin pad can occur for several reasons. The most commons causes are when a chin implant is removed and not replaced or when intraoral chin reduction is done by burring or a setback genioplasty. Correction of the resultant drooping chin pad is done by several different methods of which Read More…
Lower lip incompetence, often associated with soft tissue chin pad ptosis (sagging), is a difficult problem to satisfactorily correct. It is often associated with loss of chin pad support from implant removal or intraoral chin bone reduction from shaving or a setback sliding genioplasty. As the chin pad loses its attachment to the bone 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...