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...
Introduction Two main types of testicular implants are currently available for replacing lost or removed testicles: Saline-filled implants — silicone-shell devices filled with sterile salt water. Solid silicone implants — also known as “ultrasoft” or “gummy bear–type” implants, made entirely of solid silicone and not fluid-filled. The term silicone in this context refers to the Read More…
Introduction Testicular enhancement surgery aims to increase the visible size of the testicles within the scrotum using implants. The goal is to create the appearance of a single pair of enlarged testicles—those being the implants themselves. This is best achieved using a displacement technique, in which the implants are large enough to camouflage or displace Read More…
Introduction Testicular enhancement aims to increase the visible size of the testicles within the scrotum. This is most effectively achieved using an implant shaped like a natural testicle. Such implants can be used in two main ways: Wrap-around augmentation, in which the implant envelops the natural testicle to enlarge its apparent size. Side-by-side (displacement) placement, Read More…
Testicular implants are available in both fluid-filled and solid designs. Among these, solid implants offer several distinct advantages. Unlike saline-filled implants, solid silicone implants are permanent and do not risk failure or require replacement. They also provide a softer, more natural feel—an important feature given the thin soft tissue covering and the implant’s suspension between Read More…
Background Testicular implants for aesthetic enhancement are often sought due to testicular atrophy. Aging and hormone replacement therapy can lead to reduced testicular size and a looser, emptier scrotum. This relative void can be corrected with implants that are sufficiently large to offset the smaller natural testicles. Known as the implant displacement technique, this approach Read More…
Background In older males with erectile dysfunction, a penile prosthesis combined with testosterone replacement therapy can produce notable improvements. However, this benefit comes with a trade-off — progressive testicular atrophy. Testosterone accelerates the natural age-related reduction in testicular size, and when penile length is increased, the contrast makes the testicles appear even smaller. The result Read More…
Background: For testicular enhancements to be effective by a side by side technique using a custom implant its size must be a certain percent bigger than the natural testicles. As a general rule that percent increase is in the 2/3s to 75% larger. For example if the natural testicles are 3.5cm then an implant size Read More…
Solid ultrasoft testicle implants are available in standard sizes or can be custom made. Standard sizes exist up to 5cms while anything larger requires a custom implant design. The whole purpose of making custom implants is to address any size or shape iterations that the patient needs. But at 5cms or below the size changes Read More…
Background: The reconstructive need for an implant to replace a loss testicle due to pathologic and traumatic reasons has been around almost as long as the removal procedures have been done. Historically silicon testicle implants had been used but they were formally removed from the US market in 1991 due to the breast implant fiasco. Read More…
The placement of large custom implants in the testicular enhancement patient will pose challenges through the smaller midline scrotal incisions used. When looking at the implant diameter:incisional length ratio it usually almost two to one. And while scrotal skin is very elastic and ultrasoft silicone testicle implants very compressible it can still be a challenge 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...