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...
Background: Rhinoplasty is a very well known facial plastic surgery procedure. It is what I call the original facial reshaping procedure in which it changes a structural or foundational area of facial anatomy whose impact can be a major change in a person’s appearance. Because it is a structural procedure in which the bony and Read More…
In the November 2021 issue of the Plastic and Reconstructive Surgery journal an article was published on ‘Why Primary Rhinoplasty Fails’. A previous discussion of their preoperative factors that contribute to undesired rhinoplasty outcomes has been done. Now onward to discuss the intraoperative techniques to help prevent common postoperative rhinoplasty problems. INTRAOPERATIVE Creating A Read More…
Rhinoplasty is well known to be a challenging facial reshaping surgery. This is because of its many anatomic components and the lack of an exact science as to how their alteration and healing will translate into the patient’s desired aesthetic effect. Considerable debate has existed for decades as to which approach to rhinoplasty, open vs Read More…
The open rhinoplasty is the most commonly used approach to nose reshaping surgery due to the operative visibility that it provides. The external skin incision located on the columella, which is really the smallest length of the incision needed for an open rhinoplasty, is however the most visible. Back in the day when the open Read More…
Background: One of the classic debates in augmentative rhinoplasty is whether it should be done by either an alloplastic or autogenous technique. This debate has gone on for many decades and the reality is that it is not really a debate at all. Rather it should be a discussion of the advantages and disadvantages of Read More…
Background: Besides the lip and palate, the classic and common orofacial cleft affects the nose as well. Even though the cleft does not run directly through the external nose it does affect the floor of the nose (palate) which, through deviations of the septum, has extended effects through the middle vault and the alar cartilages Read More…
Rhinoplasty surgery is fundamentally about changing the osteocartilaginous structural support of the nose. The eventual aesthetic result becomes how the overlying skin shrinks down around the reshaped nasal structure. While this is an accurate assessment for much of the nose, it is not completely accurate for certain component parts of the nose. One such part Read More…
Rhinoplasty surgery involves the separation of the overlying soft tissue coverage so that the osteocartilaginous framework can be reshaped. Even when done under direct vision (open rhinoplasty) how the soft tissue responds to these changes and whether these structural changes can produce what the patient wants is not always completely predictable. Thus the risk of Read More…
Management of the tip of the nose in rhinoplasty surgery is the most dimensionally complex of all its potential shape changes. It is also open to high levels of scrutiny as it surrounded by easily identifiable landmarks as in the nostrils, columella and the protruding tip. There are two basic dimensional projection changes of the Read More…
Background: Augmentation rhinoplasty can be done using either synthetic implants or autologous cartilage grafts. Each approach has its distinct advantages and disadvantages and debates have existed amongst rhinoplasty surgeons for decades about the merits of each approach. But around the world the most common method of augmentation rhinoplasty probably used is with an implant for 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...