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...
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…
Standard off-the shelf (OTS) implants exist for just about every facial area below the brow bones. This is true for the infraorbital area of the upper midface as well with the tear trough implant. It is an implant that was originally made to treat a limited or the entire infraorbital rim bone. How does this 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…
Nasal Implant Modification Case Study Introduction Nasal implants are synthetic materials placed inside the nose to enhance its structure or shape. They are commonly used in primary and revision rhinoplasty—particularly when patients require additional support or volume along the nasal bridge. Most often, this refers to strengthening or augmenting a low or weak bridge, a Read More…
Aesthetic Augmentation of the Midface: Maxillary Implant Options Historically, midface enhancement has been achieved using commercially available, off-the-shelf cheek implants. These come in two primary styles: malar and submalar. Malar implants primarily augment the cheekbone itself. Submalar implants target the underside or concave area of the cheekbone, extending into the upper soft tissues of the Read More…
Background: Optimal augmentation around the orbit and cheeks is ideally done with a custom implant design. Some aesthetic cheek augmentations need a significant orbital component, most commonly along the infraorbital rim but may also include the lateral orbital rim as well. Often the desire for such an implant design is learned from the use of 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...