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...
Designing a custom brow bone implant from a CT scan is a very deliberate process—it’s not just “adding projection,” but engineering a smooth, stable transition across the forehead and brow while respecting the sinus underneath. 1. Overall Design Concept on CT The implant is created as a 3D overlay on your existing bone: Implant Footprint Read More…
A brow bone reduction can be reversed with a custom brow bone implant in selected patients. The usual concept is to use a patient-specific implant designed from a current 3D CT scan to rebuild projection of the supraorbital ridge/brow area. That is a recognized approach in facial masculinization, where forehead/brow augmentation may be done with Read More…
A custom male forehead–brow bone implant is a facial implant designed to enhance the supraorbital ridge (brow ridge) and forehead contour—typically to create a stronger, more masculine appearance. Here’s a clear breakdown of what that involves: What It Is A patient-specific implant (usually made from solid silicone or PEEK) Designed from a CT scan of Read More…
The Golden Ratio has been applied to facial aesthetics for a long time for both facial analysis as well as surgical treatment planning. While it is not a mathematical formula to be universally applied for every surgical procedure it does have some use in facial and skull implant planning as well. Let’s dive in and Read More…
In advanced CAD planning for total jawline implants, I analyze the lower face using five aesthetic vectors.These vectors describe the direction and magnitude of skeletal augmentation needed to produce a strong, natural male jawline. Instead of thinking in millimeters alone, it is also useful to think in directional growth patterns. Below are the five vectors Read More…
The Eppley-style jaw augmentation algorithm is more granular than typical cosmetic algorithms because it evaluates the mandible as three independent aesthetic units: Chin (central projection) Mandibular body (jawline length/straightness) Jaw angle (width and posterior definition) Treatment is then selected depending on which unit is deficient and whether the deficiency is projection, width, or Read More…
Designing an aesthetic total custom jawline implant (angle ? body ? prejowl/chin transition) is fundamentally about creating a continuous mandibular border with controlled width, projection, and symmetry while respecting soft-tissue behavior and anatomy. The best results come from designing the implant as a global lower-face framework, not isolated angle or chin augmentation. Below are the core aesthetic design principles I Read More…
Evaluation of lower third of the face deficiencies and the appropriate treatment for them can be assessed both from an anatomic unit and dimensional standpoint. The evaluation process begins at the chin and works its way back to the jaw angles. Step 1 — Evaluate Chin Projection Assess the pogonion position relative to ideal profile Read More…
Custom jawline implants are used in aesthetic facial surgery when the goal is to reshape the entire mandibular contour in ways that stock implants cannot reliably achieve. The main indication is when the surgeon wants precise 3-D control of jawline width, projection, asymmetry correction, and contour continuity. In mu extensive experience I can identify nine Read More…
In designing custom forehead implants from CT scans I notice that patients fall into a limited number of recurring skull shape patterns. These patterns determine implant thickness distribution, coverage, and edge design. Below are 7 common forehead bone shapes that often drive implant design. 1. Flat Forehead Description Minimal forward projection Straight or slightly sloping 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...