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Dr Barry Eppley's Articles Display Category|Title|Newest|Oldest Dr Barry Eppley comments on the Medspa industry 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 Your Breasts, Your Choice of 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. 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. Frequently Asked Questions About Plastic Surgery The most frequently asked questions about plastic surgery, as well as the correction of some misconceptions about it, are answered. Risky 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. The Popularity of Injectable Hyaluron Gel 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. Facial Enhancement by 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. Men and 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. How Does Liposuction Work? 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. How Does Rhinoplasty Surgery Work Relating the complex anatomy of the nose to simple terms makes rhinoplasty surgery easier to understand. 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. Spring Time Medical Skin Care As the season changes from Winter to Spring, this is a perfect time to think about overhauling your dull winter skine for the summer. Here are some suggestions for in-office procedures that are easy to do, affordable, and really work! Understanding A Facelift The myths and mysteries of the facelift procedure are unveiled to reveal what it is...and what it is not. The Psychology of Men Who Undergo Plastic Surgery 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. Tooth Whitening in Facial Aesthetics 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. Big Breast Implants As breast augmentation continues to be a popular plastic surgery procedure, the styles and sizes of breast implants also continues to expand. Large breast implants are available for all patients, however, there are certain long-term issues with such large breast implants that patients should know. Do I Need To Have My Nose Packed After 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. 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? 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. The Natural Rhinoplasty 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. 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. Options In Treating 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 Tuck Up That Abdominal Bulge In 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. Freshen Up Those Eyelids Through Blepharoplasty 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. Synthetic Implant 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. Turn That Frown Into A Smile With A Little Plastic Surgery 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. 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. Facial Profiling With Chin Implants 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. Simple Office Treatments for Those Bothersome Crow's Feet Lines 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. 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. The Essentials of Permanent Makeup (Micropigmentation) 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. 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. The Realities of Scar Revision In 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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?	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