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...
Custom facial implants represent the most advanced approach available for structural facial enhancement. By combining high-resolution imaging with precise digital design, they allow for a level of customization that was not previously possible with standard, off-the-shelf implants. However, while their technical accuracy is extremely high, their ability to deliver a perfectly predictable aesthetic outcome is Read More…
Vertical chin length (the height of the lower third of the face) is usually evaluated using proportional relationships rather than just raw millimeters—but we can translate those into practical numbers. 1. Facial thirds (core framework) The face is divided into three vertical sections: Hairline ? brow Brow ? base of nose (subnasale) Subnasale ? bottom 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…
Medpor jaw angle implant removal is one of the more technically demanding explant procedures because of thick soft tissue coverage, strong tissue ingrowth, and proximity to the masseter muscle and the facial artery.. It’s very different from silicone angle implant removal and often behaves like a deep subperiosteal dissection with partial reconstruction. Here’s how it’s Read More…
Safe removal of Medpor implants is really about controlled dissection, preservation of vital structures, and managing the consequences of tissue ingrowth. Surgeons approach it more like a reconstructive exposure procedure than a simple explant. Here are the key techniques: 1. Meticulous Layer-by-Layer Sharp Dissection Primary principle: never “pull”—always cut the ingrowth Use: Fine scissors Scalpel 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…
Does adding an implant (standard or cusom) actually improve the aesthetic outcome over just a facelift alone?” Short answer: sometimes yes—but only when there’s a structural deficiency to fix. Otherwise, it can add complexity without meaningful benefit. Here’s the practical way to think about it: When an implant does improve the facelift result A facelift Read More…
Female forehead augmentation is a cosmetic procedure designed to add volume and create a smoother, more rounded, feminine forehead shape—as opposed to reducing bone (which is done in forehead feminization surgery). What it is A procedure to enhance a flat, concave, or under-projected forehead Aims for a gentle convex contour with a more vertical slope, Read More…
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…
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...