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Dr Barry Eppley's Articles

  • 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.
  • 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.
  • 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.
  • 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.
  • Will Insurance Cover My Breast Reduction?
    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.
  • Fat Removal By Surgery Or By Injection Methods
    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.
  • Contributing Factors To The Effectiveness of Botox
    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.
  • Plastic Surgery For Unusual 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.
  • Is Plastic Surgery Of My Scars Worth It?
    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.
  • Concerns About Silicone Breast Implants Explained
    Silicone implants are now preferred by most women for breast augmentation. Despite their now widespread use, there remains some misunderstanding about silicone breast implants that stem from their history of the early 1990s.
  • Permanent Makeup - A Lifestyle Cosmetic Approach
    Permanent makeup, medically known as micropigmentation, offers the possibility of freedom from daily makeup applications of the eyelids, eyebrows, and lips.Understanding that such medical makeup is a permanent decision and may require touchups in the future with some expected fading is very important. A thorough pre-treatment consultation with removeable liners is necessary before the procedure is ever scheduled.
  • 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.
  • A Lifestyle-Friendly Facelift
    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 For Everyday People
    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.
  • Freshing Up Those Eyelid Wrinkles
    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.
  • Chin Implant Surgery and Your Face
    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.
  • Plastic Surgery For The Aging Neck
    as we age, we all lose that once tight and well-defined neck. AS the neck begins to sag, this becoems one of the most bothersome signs of facial aging for many patients. There are a variety of treatment strategies whichi differ based on one's age and how much loose is present.
  • 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.
  • Blepharoplasty Makes A More Vibrant You
    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.
  • Get Rid Of Those Aging Facial Jowls
    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
  • LifeStyle Lift, Facelifts, and Facial Aging
    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.
  • Contemporary Rhinoplasty Surgery Gets The Natural Look
    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-Assisted 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?
  • Confusing Plastic Surgery and Plastic Materials?
    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.
  • Masculinization of the Male 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.
  • Understanding A Facelift
    The myths and mysteries of the facelift procedure are unveiled to reveal what it is...and what it is not.
  • Designing A Skin Care Program for You
    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.
  • The Science of Liposuction
    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.
  • Implant Enhancement of the Face
    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.
  • Reducing Facial Wrinkles with Hyaluon Injectable 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.
  • Basic Questions About Plastic Surgery
    The most frequently asked questions about plastic surgery, as well as the correction of some misconceptions about it, are answered.
  • Saline vs Silicone Breast Augmentation
    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.
  • Medspas and Aesthetic Medicine
    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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