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...
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…
People considering custom jawline implants tend to ask a consistent set of questions. These generally fall into four categories: outcomes, safety, process, and recovery. What are custom jawline implants? Custom jawline implants are patient-specific implants designed from a 3D CT scan of your face. Unlike standard implants, they are digitally created to match your exact Read More…
Ideal candidate selection for custom midface mask implants is less about “wanting more cheek volume” and more about having a true structural midface deficiency that benefits from unified skeletal augmentation. Good Candidates (Who benefits most) 1. Global midface deficiency (key indication) Flat or retrusive midface when viewed from profile Poor anterior projection of: Infraorbital rim Read More…
Custom midface mask implants are a specialized form of facial augmentation designed to enhance the central midface (infraorbital rims, anterior maxilla, and cheek area as a continuous unit) rather than using separate cheek or tear trough implants. In Asian patients, their use has some distinct considerations due to typical skeletal and aesthetic differences. What is a “midface Read More…
Designing brow bone implants is more than a subjective artistic endeavor as there are some objective measurements that can be used. One of the most useful is reference lines on the profile view as a way to turn what seems subjective (“does this look right?”) into something measurable and repeatable. These lines are applied to Read More…
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…
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...