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...
Common aesthetic deformities of the lower eyelid include tear troughs, undereye hollows and orbitomalat grooves. While these all occur from age-related periorbital changes due to soft tissue atrophy and tissue laxity, when they are seen in young patients they are more likely a function of a bony deficiency. Specifically an infraorbital-malar deficiency the extent of Read More…
I have previously dispelled the biologic misconception that facial implants of any material composition result in bone erosion. Improved biologic understanding through observations of indwelling facial implants using 3D CT scans show that the correct interpretation is implant imprinting of the bone. This occurs by the introduction of an implant into established biologic tissue boundaries Read More…
One of the frequent questions I get asked is how many different procedures can be done in a single surgery. The origin of that question has different origins. For some patients it is a desire to do a ‘makeover’ of either their face or body which requires numerous procedures to do so. Another reason is Read More…
Lower eyelid retraction is when the vertical position of the lower eyelid is centrally shortened, creating excessive scleral show often associated with eye irritation as well. In its most severe form the lower lids and cheek tissue can look pulled down and the eye symptoms can be very significant. The most typical cause of lower Read More…
One of the most common misconceptions about facial implants is that they cause bone erosion. Most of this perception comes from the appearance of the bone in profile in chin implants on lateral cephalometric x-rays going back many decades. Other perceptions of this phenomenon are from surgeon’s observation during chin implant removal and/or replacement where Read More…
Central midface augmentation refers to varying amounts of pyriform aperture implant coverages. The most common area is the paranasal region which lies under the base of the nostrils. This maxillary region has a slightly concave surface contour as a defined rim of bone around the nasal cavity. It is typically treated as a skeletal deformity Read More…
Augmentation of the central midface involves augmenting along the pyriform aperture bone that surrounds the nasal cavity. These include the options of premaxillary, paranasal or combined premaxillary-paranasal augmentations. Numerous materials and grafts have been used for these nasal base augmentations, all of which can be successful with good surgical technique and material/graft handling. One effective Read More…
Augmentation of a deficient central midface can be done by a variety of methods including anterior maxillary movements, autologous vs allogeneic bone and cartilage grafts as well as implants. Most adult patients are not going to opt for major LeFort procedures and, as a result, augmenting the premaxillary-nasal base region remains the primary method for Read More…
A central premaxillary region of the midface that lacks projection creates an appearance with a more acute nasolabial angle, recession of the central upper lip and even lack of nasal tip projection. Premaxillary augmentation has a long history in rhinoplasty surgery in certain ethnic noses to improve the nasolabial angle relationship but can also be Read More…
Background: There are a variety of orbital areas that can be augmented with implants. The brow bones, the infraorbital rim and the orbital floor are the most commonly done. But anywhere along the orbital rims can be augmented if there is a reason to do so. Case Study: This 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...