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...
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…
Background: There are many different types of standard facial implant styles including chin, cheek, nasal, jaw angle, tear trough/infraorbital, temporal and paranasal. Of all these off-the-shelf implant options the paranasal is unique with two distinctions. It is the smallest implant in size and probably the most infrequently used. It is also rarely in my experience Read More…
There are a variety of implant materials that can be used for both standard and custom facial implants. These include solid silicone, porous polyethylene (Medpor, Omnivore and Supor), PEEK and titanium. While surgeons may often tout one material as being superior to another this is simply not accurate. All of the mentioned implant materials can Read More…
The most common potential adverse affect relating to facial implants is the concern about bone erosion. While this is certainly not the most common complication from facial implants it is certainly one that is widely spoken about albeit biologically incorrect. The term erosion goes back over 50 years from looking at some chin implants in Read More…
Paranasal deficiency is a common midface aesthetic concern in which the base of the nose lacks sufficient horizontal projection. While it is common phenotypic feature of the Asian face it can occur in any ethnicity or gender. The treatment of paranasal deficiencies has its historic origins as an adjunctive procedure to augmentative rhinoplasty as nasal Read More…
Cheek augmentation, particularly when done with implants, is typically perceived and done as a ‘lower cheek augmentation’. The tail of the implant may be up on the cheekbone but most of the implant is over onto the cheek soft tissues and the concave maxilla. The placement of cheek implants in this location can create a Read More…
Background: The projection of the central midface, excluding that of the nose, is controlled by the development of the maxillary bone around the large nasal cavity. This is known as the bony pyriform rim not which the external nose, particularly that of the nostrils laterally and the columella centrally sit. It is divided into a Read More…
Background: Facial lipoatrophy, also known as facial wasting, refers to the loss of fat tissue causing concave facial contours. (So called gaunt face) These always occur above and below the horizontal skeletal lines of the zygomatic arch and jawline in the temporal and submalar/lateral facial areas. Lipoatrophyu occurs along a spectrum of expression from mild Read More…
Background: Soft tissue atrophy of the face most commonly occurs due to aging or weight loss. There are also some well known medical conditions that also can cause it. This atrophy is primarily fat-related and most significantly affects the temporal and cheek areas where the largest subcutaneous and compartmentalized fat exists. Whatever the cause the 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...