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...
For a round face, the goal is to shift from a circular, width-dominant shape to something more vertically defined and angular. With custom implants, you’re adding structure—but in round faces, soft tissue thickness is often the limiting factor, so reduction plays a bigger role than usual. Here’s how to think about the best combinations: Core Read More…
Malpositions of custom facial implants can be visible externally or can only be palpable. This is a really useful way to think about it, because not every “miss” actually shows—and some that are barely measurable can be surprisingly visible. I’ll break it down by visible vs. palpable vs. both, then give you the patterns by Read More…
There are two factors that determine the success of custom facial implants, the implant design and its intraoperative placement. The implant design is assured, as it is seen and chosen before surgery, but placing the implant(s) exactly how it is designed is not. Such implants can end up a few millimeters off or more from Read More…
Custom jawline implants create one the most powerful augmentation changes of the face. Their wraparound surface area coverage of the entire inferolateral border of the lower jaw can cerate a dramatic contour change between the face and the neck. But despite these potential benefits not every jawline implant patient is satisfied with and may consider Read More…
Considering jawline implant removal here is what you need to know. Will my face go back to normal after jawline implant removal? Not completely. While your face will return closer to its natural shape, the tissues and bone have adapted to the implant. Most patients notice a slight loss of jawline definition and a softer Read More…
Patient age matters with custom facial implants, but not because there is one magic cutoff. The real issue is whether facial skeletal growth is essentially complete and whether the patient has the maturity and expectations for a permanent implant procedure. Teens in particualar should meet milestones in growth and physical maturity before plastic surgery, and Read More…
A wider jaw in women is mostly about the mandibular angle—the point where the lower jaw (mandible) turns upward toward the ear. This usually refer to a broader lower face, where the jawline extends outward more and the angle of the mandible is less sharp. What it looks like Wide/obtuse jaw angle (more open angle): Lower Read More…
The most common form of facial asymmetry in my experience is right sided and affects the cheek and jawline most significantly. Provided the occlusion is well aligned and stable, or previously optimized with double jaw surgery, implants are the secondary approach to lower facial asymmetries of the cheek and jaw. While implants have been around Read More…
Custom jawline implants can be very effective for facial asymmetry when the problem is mainly a contour or volume deficiency of the mandibular border, angle, or chin, especially if one side is underprojected. With modern patient-specific / custom implants, CT/CBCT-based virtual planning an be done to design different right and left dimensions, which improves fit Read More…
A negative orbital vector (NOV) describes the relationship between the globe (eyeball) and the infraorbital rim (the cheekbone beneath the eye). In NOV, the eye projects further forward than the supporting bone. This can result in: Tear trough hollowing Lower eyelid retraction or increased scleral show Higher risk of lower eyelid malposition after blepharoplasty A fatigued or 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...