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Dr Barry Eppley's Articles in

  • Facelifting The Natural Way
    Facelifts result in good improvement in aging jowl and neck regions. What most patients fear about facelifts, however, is that they will have an unnatural result or look strange after. A natural-looking facelift comes from the balance of removing and tightening jowl and neck skin without distorting normal facial features such as the mouth area.
  • Today's Improved Nosejob Surgery
    Contemporary rhinoplasty (nosejob) surgery frequently uses an open approach to the surgery. By lifting the skin off the tip of the nose, the structures of the nose can be seen and more accurately reshaped. Such an approach lessens the chances of the need for revisional surgery.
  • How To Prevent An Ugly Scar
    Scars are surgery or an injury are a great concern for many patients. There is a lot of confusion and misinformation as to how to manage scars to get an optimal outcome. This article decribes the seven steps for proper scar management after surgery or repair of a laceration.
  • The Future of Injectable Fillers and the Use of Fat
    Cosmetic injectable filler treatments today use synthetic compounds that are well tolerated but have a short lifespan. The use of yoru own fat has always been appealing but it is very unpredictable in how much actually survives after injection. New techniques of fat grafting, using stem cell isolation, offers hope of a new kind of injectable filler for the future.
  • Understanding The Advertising Hype in Plastic Surgery
    Marketing and advertising in elective cosmetic plastic surgery is common and is a necessary part of this retail medical business. Much of this marketing is based on achieving good results without much downtime or recovery.How much of this is hype and how much is really true?
  • Beard Skin, Ears and the Male Facelift
    A facelift in a man poses hair-related issues that are not present in a woman. Beard skin can get displaced onto and into the ear as well as benhind it, posing some new shaving issues. As a result, the issues of a more visible scar in front of the ear and the need to undergo laser hair removal behind the ear after surgery are important issues that men considering having a facelift need to know.
  • Immunity to Botox - Fact or Fiction?
    Botox cosmetic injections generally work well for the vast majority of patients. Some patients report that they have developed resistance over time to teh drug with a lessened effect. Like all drugs, acquired immunity to Botox is both possible and enough clinical evidence exists that it is likely a real phenomenon.
  • Cheap Botox - Is It Worth It?
    The prevalence and popularity of Botox has led to many discount providers and bargain treatment packaging approaches. Really cheap Botox most likely compromises on using a very diluted weak product, poor injector training and experience, and quality of the treatment environment.
  • Cheek Enhancement - The Lost Area of Facial Rejuvenation
    As we age, many people loss fat in the cheek area causing it to sink in and sag. Restoring cheek volume is appreciated to be important in the rejuvenation of some aging faces. Volumetric cheek enhancement can be done by fat injections, cheek implants, or synthetic temporary injectable fillers. These procedures can be done as part of a facelift in patients with more severe neck problems or in younger patients without neck and jowl issues.
  • Insights into Botox and its Cosmetic Applications
    Botx, the number one cosmetic drug in the world, is well known for its effective control of undesired facial expressions and wrinkling. Despite its well recognized name, most patients do not know or understand its history and biology.
  • Facelifts in Men - How Do they Differ From Women?
    Facelifts in men are less common than women and differ in several important ways. Most men are usually older when they desire improvement in their neck, their hair style and baerd skin make the placement of incisions different, and dramatic results are surgery are not only not obtainable but are not desired either.
  • Improving the Appearance Of Your Hands with Injectable Fillers
    Improvement in the appearance of the aging hand is a new cosmetic option. The thinning of the hand with vein exposure and loose skin can be improved by adding volume through a variety of injectable fillers.
  • Contemporary Facial Rejuvenation Based on the Anatomy of Aging
    Traditional anti-aging facial surgery has been based on the use of a facelift with or without eyelid surgery. Recent research on the process of facial aging has led to the discovery that the jaw continues to grow as we age and the cheeks and surrounding facial fat tend to become less. These findings point to the importance of cheek and midface restoration as an integral part of many facelift procedures.
  • Fat Injection Grafting for Facial Enhancement
    Fat is a natural option for injection grafting of the face. Unlike all synthetic injectable facial fillers, fat injections have the possibility of being permanent for some patients. Despite the potential for a better long-term result, injection fat grafting is for volume enhancement and not specifically for facial line and wrinkle treatment. It also must be done in a sterile operative environment.
  • How to Get Rid off Those Facial Parentheses (Nasolabial Folds)
    One of the most common signs of facial aging is the development of the nasolabial folds. Many people find these deepening facial lines disconcerting and frequently seek treatment. Nasolabial fold prominence can be minimized by injectable fillers, implants, or even actual surgical excision. By far, injectable fillers are most commonly used and the particulated fillers seem to be the best choice for this facial area.
  • Breast Reduction and Health Insurance
    Large breasts frequently cause pain of the neck, back, and shoulders. Breast reduction surgery can be tremendously effective at reducing and reshaping the breasts which will eliminate most, if not all, of the pain.Health insurance may cover breast reduction surgery but there are very specific criteria which makes a patient eligible.
  • Plastic Surgery Techniques For Reshaping The Round Face
    A round face is frequently an undesired appearance as it creates the impression of being overweight. Some such patients seek a face that has a more aculpted and angular look. Bucacl lipectimes, neck liposuction, and cheek and chin implants make up the plastic surgery methods to help create more definition in the round face. Which procedure(s) are most beneficial requires computer imaging and a thorough consult to manage patient expectations.
  • LipoDisolve Injections For The Treatment Of Liposuction Irregularities
    Irregular areas after liposuction surgery can occasionally occur. When the irregular areas is due to not enough removed fat, LipoDissolve injections offer a simple non-surgical treatment method that is usually preferable to a return visit to the operating room. LipoDissolve injections also has the advantage of doing spot treatments that are specifically targeted to the problem area, leaving alone the liposuctioned areas that look fine.
  • LipoDissolve Injections For The Treatment Of Lipomas
    Lipomas are benign fatty tumors that appear as painless round masses under the skin. There are traditionally removed by excision whichi leaves a scar and the risk of a fluid build-upafter surgery if they are large. Lipodissolve injection therapy, used cosmetically for fat removal, can be usted to treat lipomas as well. It requires a series of injections over several months to either significantly reduce its size or eliminate it altogether.
  • Shaping Your Body With A Cannula (Liposuction) Or A Needle (LipoDissolve)
    The removal of fat for cosmetic purposes can be achieved by surgical methods of liposuction or by an injection method known as lipodissolve. Liposuction is the mechanical removal of fat and much larger amounts of fat can be removed very efficiently. LipoDissolve removes fat by a chemical means and not only works slower than liposuction but can remove only a fraction as much fat with a treatment series.
  • Why Didn't My Botox Work Well?
    Botox is truly a wonder drug when it comes to cosmetic facial therapies to reduce upper facial lines and wrinkles. While it is a simple injection treatment, its effectiveness for some patients may be variable given the injector's training and experience and how the Botox solution was prepared and used.
  • Unusual Plastic Surgery For Different Concerns
    The continued acceptance and demand for plastic surgery has created a demand for a number of different and unusual procedures. These newer plastic surgery procedures are more of a reflection of American society and culture than advancements in surgical technology.
  • The Medical benefits Of Breast Reduction Surgery
    Large breasts that are heavy and disproportionate to a woman's body can cause near continuous back, neck and shoulder pain. Nothing short of breast reduction surgery can produce a long-term solution to this problem. Breast reduction surgery is very successful but one must be willing to accept the scars as a trade-off for the pain relief and a smaller, more uplifted breast appearance.
  • What Can I Expect From Scar Revision Through Plastic Surgery?
    The improvement in the appearance of established scars may be possible by surgical revision. Multiple scar revision techniques are available including excision and rearrangement, laser therapies, and mechanical sanding. Scar revision requires patience and a commitment of time to see the final reeults.
  • Plastic Surgery Treatments For Lip Wrinkles
    The development of upper lip lines and wrinkles is very troubling for most women as it is a sign of aging. Lip wrinkles are impossible to cureand any patient undergoing treatments should view the expected results more as improvement rather than elimination. Injectable fillers, Botox, and laser resurfacing are the mainstays of treatment today.
  • Your Face Ten Years Younger In An Hour
    Alimited facelift is both quick and lifestyle-friendly.Through a short one hour procedure with no dressings or drains, you can look ten years younger. Whether you are young, middle-aged, or older, a limited facelift can produce real visible results that are evident the next day.
  • Plastic Surgery As A Fabric Of American Life
    Millions of elective cosmetic plastic surgery procedures are done every year in the United States. With such a large number of procedures being performed, most of these patients have to be average or normal everyday people. While marketing and media imagery have done much to propel plastic surgery into everyday American life, successful outcomes and limited complications of the procedures has also led to its pursuit by so many.
  • Crow's Feet Are For The Birds!
    The development of fine lines and wrinkles around the eyes is not only a sign of aging but may also convey an undesired expressive facial look. Botox injections for muscle weakening and laser skin resurfacing are the two methods of treatment available today. In deeper or more established crow's feet, both treatmemnt methods may be necessary for the best result.
  • Facial Enhancement With A Chin Implant
    Enhancement of one's profile with a chin implant can make a dramatic difference in the overall appearance of the face. By putting prominent facial features in better balance, one can have a more pleasing appearance. Chin implant surgery is relatively easy, quick to perform, and its effects are immediate with a very short recovery period.
  • Turn That Frown Upside Down With A Corner TuckUp
    Downturning of the corners of the mouth occurs with facial aging in many women. This creates a sad, mad, or unhappy appearance to the mouth area. Injectable fillers treatments provide temporary improvement only. A small plastic surgery procedure, a corner of the mouth lift, can be done in the office to provide long-term correction of this aesthetic mouth problem.
  • Synthetic Implants And Their Potential Complications In Plastic Surgery
    The use of synthetic implants in plastic surgery is common. Patients are often concerned that they may reject the implant. This potential concern is indicative of a basic misunderstanding of how the body raects to inorganic materials and how complications with their use can occur.
  • All Eyes See The Benefits of Blepharoplasty Surgery
    Aging eyes are very visible and contribute to false impressions about how you feel. Blepharoplasty (eyelid surgery) is a very effective surgery for returning your eyes to their previously refreshed and more vibrant state. Because of their visibility and the focal point of most human interactions, blepharoplasty offers one of the best values of all facial aging surgeries.
  • Matching the Tummy Tuck To Your Bikini Line
    There are different types of tummy tucks for different types of problems. For those women with a small lower abdominal bulge that hangs over a c-section scar, the Bikini Line Tummy Tuck may be a good treatment option. It results in a flat abdomen, a normal unscarred belly button, and a scar that stays inside the bikini line.
  • Reversing Facial Jowling With Plastic Surgery
    One of the earliest signs of facial aging is the development of jowls. There are many differnt treatment options for facial jowling depending upon what age you are and whether you prefer a surgical versus a non-surgical approach
  • Small Facelifts Match Today's Lifestyles
    Many smaller versions of facelifts exist today which, for the right patient, are a better match for their facial aging concerns. Because of many trendy names for limited facelifts, such as the LifeStyle Lift, some confusion exists amongst patients who often don't really what an actual facelift is to begin with.
  • A Nose To Fit Your Face
    A natural looking nose is the goal of every rhinoplasty surgery. Today's rhinoplasty surgeon aims to achieve a nose that is balanced to one's face and has strong structural support so that it can maintain its shape over many years.
  • What Do I Need To Know Before having Plastic Surgery
    The number of plastic surgery procedures performed in the United States continues to increase. Driven by the quest for physical improvement and psychological enhancement, potential patients can be driven to undergo various procedures by the allure of these benefits. But being ready for plastic surgery is more than just wanting it and being willing to pay the money for it.
  • Laser Liposuction
    Liposuction is a well-known method of removing unwanted areas of fat. While it is effective, improved techniques in liposuction are needed to effectively remove more fat and shorten recovery times. Laser-assisted liposuction is the newest approach that has caught the fancy of the public. But is it better?
  • The No Packing Rhinoplasty
    One of the major concerns of many patients who are considering rhinoplasty surgery is whether their nose will be packed during surgery and having to have it removed after surgery. Modern rhinoplasty surgery has virtually eliminated the need for this concern.
  • Cosmetic Tooth Whitening in Plastic Surgery
    Improvement in the color of one's teeth is a natural companion to many aesthetic facial treatments and surgery. Being able to achieve several shades of tooth whitening in the office in one hour without mouth sensitivity is now possible.
  • Plastic Surgery - An Accurate History Of Its Name
    The concept of Plastic Surgery, for some patients, conjurers up the image of a plastic material being inserted or as a necessary part of the operation. The confusion between plastics as a material and Plastic Surgery is understandeable albeit erroneous. Knowing both of their histories provides some interesting parallels and insights into 1930s America.
  • Dealing with Men in a Plastic Surgery Practice
    The psychology and motivation of men who undergo plastic surgery is quite different from that of women. Plastic surgeons understand this quite well even though the number of men who undergo plastic surgery is much smaller than the number of women.
  • Squaring Up A Man's Face
    Certain features of a man's face can be enhanced by newer generation facial implants. Augmentation of the chin, cheekbones, jawline, and jaw angles offer possibilities to improve the masculinity of one's facial appearance.
  • The Basics of Medical Skin Care
    The skin care world is confusing to say the least. So many products and treatment options, what do you do if you want better skin? This primer on the basics of medical skin care will point you in the right direction.
  • Rhinoplasty Made Simple
    Relating the complex anatomy of the nose to simple terms makes rhinoplasty surgery easier to understand.
  • Understanding How Liposuction Works
    Liposuction is one of the most commonly performed plastic surgery procedures. While it seems conceptually quite simple, the actual science of liposuction is quite interesting.
  • Male Enhancment through Plastic Surgery
    Plastic surgery in men is becoming increasingly more popular. Common male plastic surgery procedures include liposuction, rhinoplasty, gynecomastia reduction, blepharoplasty, Botox, and Lipodissolve injection therapies.
  • Facial Balancing through Surgical Implants
    Facial implants are a simple and proven method for enhancing one's facial profile and to improve overall facial feature balance. Whether it be chin, cheek, or jaw implants, or combinations thereof, facial implantation on deficient facial skeletal areas can make a subtle or big change depending upon the patient's desire.
  • The Safety of Facial Wrinkle Injections with BOTOX
    Recent media reports on adverse effects in pediatric neuromuscular treatments have cast potential concern about the safety of BOTOX for cosmetic treatments. The history and safety of BOTOX cosmetic is reviewed which provides reassurance to those patients contemplating future treatments.
  • Injectable Hyaluronic Acid Facial Fillers
    The injection of facial alines and wrinkles today is primarily done by the class of compounds known has hyaluronic acids or hyalurons. They have completely replaced the historic use of collagen as injectable skin fillers with no need for a pre-injection skin test, greater duration of action, and less incidence of potential skin complications.
  • Discount Plastic Surgery Overseas
    The allure of saving money by having cosmetic surgery procedures done overseas is a growing one. Through advertisements on the internet this international trend is more prominent than ever. While the appeal of discount plastic surgery is tempting, patients should consider other non-economic issues.
  • Giving Plastic Surgery as a Valentine's Day Gift
    Giving plastic surgery as a gift for Valentine's Day requires careful thought. Here a few things to consider.
  • Answer to Common Questions About Plastic Surgery
    The most frequently asked questions about plastic surgery, as well as the correction of some misconceptions about it, are answered.
  • Which Injectable Filler Is Right For me?
    There are a variety of injectable fillers today to treat facial lines, wrinkles, folds, and lips. Because they are new and well advertised, marketing claims can cloud the actual science behind their effectiveness. Let's sort out the science from the hype on injectable fillers.
  • Your Choice of Breast Implants
    Breast augmentation today can be done by either saline or silicone breast implants. Neither one is perfect and both have their advantages and disadvantages.Knowing what these are allows you to make the right decision fofr you.
  • Who's Injecting You at your local Medspa?
    The emergence of the medspa concept is recent and relatively unregulated. More often than not, they are developed based on a business model and not ideally for patient safety or treatment effectiveness. The training and experience of many medspa staff performing treatments is often lacking with very limited physician support or expertise. Ideally, medspas should have physician support who have extensive experience to perform the procedures

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