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...
Revisional rhinoplasty frequently needs cartilage grafts to be successful. This is particularly relevant when structural deficiencies has occurred resulting in an underprojected nose, breathing difficulties due to middle vault collapse or both. Often, however, the regional harvest sites of the septum and ear have been exhausted or have insufficient volume for the needed nasal support Read More…
Rib cartilage provides a plentiful source of graft material for any rhinoplasty need. While its benefit is the volume it provides, its disadvantage is in its shape. Rib cartilage has variable thicknesses, is round in shape and is rarely straight. Carving it into the form needed for dorsal augmentation is always required and with that Read More…
The use of cartilage grafts is an essential need in many primary and revisional rhinoplasty surgeries. Most such grafts come from either direct anatomic proximity (septum) or from a regional source. (ear) But when these sites are inadequate due to lack of graft material or the volume of material exceeds their capacity, the more distant Read More…
Rhinoplasty frequently uses cartilage grafts to aid in the reshaping of the nose. They are used to either create a shape in the nose that did not exist before to providing support of native cartilage structures that have been altered. Most commonly septal cartilage is harvested and used, not only because of anatomic proximity, but Read More…
Background: A deviated septum is one of the most recognized of all deformities of the nose. It is typically seen on the outside as a nose that is deviated or twisted although not every deviated septum causes an externally deviated nose. One unique but not uncommon type of septal deformity is that of the Read More…
The hanging ala is one of the not uncommon nasal tip shape discrepancies seen in some Asian rhinoplasties. Effective techniques for lifting the hanging ala are limited to either direct excision along the alar rim or indirect excision along the alar crease above it. Each method has the issue of adverse scarring potential. In the Read More…
Nostril narrowing, also called nasal base reduction, is a common adjunctive procedure in rhinoplasty. Once the tip of the nose is narrowed or elongated the width of the nostrils may then appear too wide. As the final step in the rhinoplasty procedure the width of the nostrils is assessed and narrowed if so indicated. There Read More…
The open rhinoplasty dominates the approach used in surgical nose reshaping today. While there is certainly a role for the closed approach in some patients the visibility of performing certain technical maneuvers in some primary and most secondary patients is unrivaled. Ever since its introduction in the 1990s the open approach has always had the Read More…
Background: Rhinoplasty is fundamentally about changing the structural support of the nose to effect an external shape change. But no matter how well the bone and cartilage structural support is changed to look like the desired shape, the overlying skin and how well it adapts to it becomes the arbitrator of the final result. This Read More…
Background: Noses present in all sizes and shapes for reshaping surgery and every nose is unique in its own way. But there are certain anatomic tendencies amongst various ethnicities that are commonly seen with resultant intraoperative strategies to change them. In many African-American noses there are five anatomic components that are frequently present. These include 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...