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...
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…
Aesthetic augmentation of the lower jaw can be incomplete or complete. Incomplete augmentation is isolated chin or jaw angle augmentation for which there are standard implant styles for each to do so. Complete jaw augmentation involves the entire jawline (chin + jaw angles + mandibular body)) where numerous implant options are available. What “standard” jaw Read More…
Introduction V-line surgery is a facial contouring procedure designed to create a slimmer, more tapered lower face—often forming a soft “V” shape from the cheeks to the chin. It’s especially popular among patients who feel their jawline looks wide, square, or heavy. V-line surgery usually combines changes of all three segments of the lower jaw Read More…
Introduction A custom glabellar-forehead implant refers to a personalized facial implant designed to augment the glabellar region (the area between and just above the eyebrows) and potentially the adjacent central forehead to correct flatness, concavity, or lack of projection. While this is typically done as part of aesthetic forehead contouring it is more like the Read More…
Chin implants are notorious for causing a deepening effect on the labiomental fold. Does using a custom chin implant rather than an off-the-shelf design decrease that risk? The following is a fold-centric, design-specific discussion of custom chin implant strategies aimed at minimizing labiomental fold worsening. This assumes you’ve already decided an implant is appropriate and Read More…
When creating custom facial implant designs there are two basic steps, creation of a footprint and determining the various thicknesses of material throughout the implant’s footprint. By comparison the establishment of the the implant’s bony surface area coverage (footprint) is more visually apparent as the location. of the desired external effect usually correlates on a Read More…
Like all custom facial implants there are some learned guidelines that help guide CAD design for both males and females. These rules apply regardless of the material used. MALE Custom Midface Implant Design Rules 1. Lateral projection > anterior projection Drive augmentation outward along the zygomatic arch Keep anterior cheek relatively flat Think horizontal vector, Read More…
Male and female midface implant strategies differ less by implant type and more by shape, vector, and projection philosophy. The goal is to reinforce sex-specific skeletal cues rather than simply “add volume.” Core Aesthetic Differences Feature Male Strategy Female Strategy Dominant cue Structure & angularity Soft contour & curvature Projection emphasis Lateral / horizontal Anterior Read More…
The midface is a unique facial implantation area because it is a combination of a high bony convexity (infraorbital-malar) and a large more inferior maxillary concavity. This creates well known midfacial augmentation areas for which numerous standard implants have been designed with an extensive clinical history of use. But such standard implant styles and sizes Read More…
Both custom implants and fat grafting are options available to finish facial reshaping after double jaw surgery—but they solve different problems. A few patients may ultimately benefit from a combination of the two. 1. What each method is best at Goal Custom Implants Fat Grafting Increase bone-based projection ? Excellent ? Add width / structure 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...