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...
While jaw implant augmentation can be done at any age if a structural deficiency exists management of loose or sagging overlying soft tissues is usually more age dependent. But in contemporary facial surgery we are seeing much younger patients seeking face/necklift surgery. Weight loss, early onset aging in structurally weaker faces and the desire for Read More…
One of the more contemporary and increasingly popular facial reshaping changes that has grown in demand due to custom implant designs is that of the periorbital region, specifically the upper midface along the infraorbital rims and cheekbones. Structural deficiencies in this area even in young people cause undesired effects of undereye hollowing and weak cheekbones. Read More…
Which is more important in custom facial implant outcomes..design vs surgical placement? For custom facial implants, if I had to rank them, I would say: 1. Design (slightly more important) 2. Surgical placement (very close second) The reason is that a perfectly placed implant cannot create an outcome that wasn’t built into the design. Placement Read More…
The key elements in a custom forehead implant design can be divided into aesthetic goals, anatomical constraints, and implant engineering considerations. 1. Forehead Shape Goals The first step is defining exactly what forehead change is desired: Horizontal augmentation: Increasing overall forehead projection. Vertical augmentation: Increasing forehead height. Central prominence: Creating more fullness in the Read More…
In custom jawline implant design, the zygomatic arch is not part of the implant itself, but it is a very important anatomic landmark and aesthetic reference point that influences the design. Several ways it comes into play: 1. Defines the Upper Limit of Jawline Width When creating a mandibular angle or wraparound jaw implant, one Read More…
Medpor (porous polyethylene) facial implants are designed to integrate with surrounding tissue, which is great for stability—but that same feature makes removal significantly more difficult than with smooth implants (like silicone). Here are the main challenges surgeons face: 1. Tissue Ingrowth (Primary Issue) Medpor is porous, allowing fibrovascular tissue to grow into it. Over time, Read More…
Jaw angle implant removal: Medpor vs silicone Factor Medpor jaw angle implant Silicone jaw angle implant Tissue reaction Fibrovascular ingrowth into pores Smooth capsule around implant Plane of removal Often obliterated Usually preserved Removal method Sharp dissection, often piecemeal Usually en bloc extraction Operative difficulty High Low to moderate Masseter involvement Common integration into masseter/periosteum Read More…
The ogee curve is one of the most important visual concepts in facial aesthetics and has increasing relevance in the design of custom facial implants. In facial analysis, the ogee curve refers to the flowing double-S contour seen on the oblique view of the face that extends from the lateral brow and orbital rim, sweeps Read More…
One of the common questions I get about facial implants, and custom facial implants in particular, is what will happen to them if I sustain trauma to the face. Will the implant break/fracture or become displaced? Let me address how facial implant materials respond to trauma or more specifically what is their impact resistance (aka Read More…
The golden ratio represents a unique irrational mathematical constant that emerges when a linear segment is divided into two unequal portions such that the ratio of the total segment to the larger portion is equivalent to the ratio of the larger portion to the smaller portion. This proportional relationship possesses several mathematically significant properties that 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...