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09.01.2016
Later this week, renowned movie critic Roger Ebert is returning to television for two new debuts. Ebert was diagnosed with thyroid cancer in 2002 which subsequently spread to his lower jaw despite the cancerous gland being removed.
This is a devastating facial deformity that plastic surgeons have seen for decades after cancer removals. But having had so many complications and a long difficult course of cancer treatments, Ebert is understandably hesitant about undergoing a long and stressful operation on his body. Maxillofacial prosthetics is an often unheard of field of dentistry of which its practitioners are masters of making facial prostheses of all kinds. While the technology to make a prosthetic chin and to have his voice emanate from a computer are modern day marvels, the real miracle is the fortitude and strength for him to press forward in a public forum with such a difficult set of facial problems. One of the most common questions that a female patient may ask after any form of facial cosmetic surgery is…how soon can I apply makeup?
Camouflaging cosmetics may be used to hide bruising and scars so one can get out the house quicker.
When it comes to washing your face, use a gentle cleanser that does not contain alcohol and is non-foamy. As a plastic surgeon, analyzing a patient’s face before surgery is obviously important. Analyzing facial asymmetries or how the face may look after implant augmentation has much greater significance than a typical facelift patient for example.
Any form of facial analysis before plastic surgery that helps the surgeon and patient have a better understanding of potential outcomes is always welcome. I find this website service to be potentially very useful for a small subset of my facial patients. While no form of preoperative assessment or computer imaging can guarantee any surgical outcome, any method that allows better presurgical analysis or improve surgeon-patient communication and understanding is valuable. While patients usually come in for a specific facial concern, it is hard to see the face as a single part.
While there are specific facial measurements and angles to go by in deciding what to do, many plastic surgeons by experience have developed a feel for coordinating facial movements. The use of implantable synthetic materials plays a critical role in a number of cosmetic strategies for  improving the shape of the face.
There are some patients, of course, who are adverse to the concept of a foreign material being put in their face. Disclaimer: The information contained on this website should not be construed as medical advice. Facial plastic surgery before and after picture becomes the barometer for the clients who plan to have the same medical action. Ignoring the facial plastic surgery before and after, this kind of medical action has a goal. One is something of which he is very familiar, a new show entitled “Ebert Presents at the Movies”.Since his original Sneak Previews show started some 35 years ago, and I remember it well as a regular viewer in my youth, his new show will be old hat even being taped where his original show was done.
This required the front part of his lower jaw to be removed as well as to needing radiation to the cancer that surgery couldn’t. Known historically as an ‘Andy Gump’ facial deformity, it poses a major reconstructive challenge which defied a really satisfactory solution until the 1990s. As a result, he has opted for prosthetic reconstruction which will be debuted on his upcoming new show. If he were a movie, I would give him two thumbs up and urge you to rush and get your ticket. While that time period will vary based on the type of facial procedure you have had, a general rule is that cosmetics may be applied as soon as the incisions have healed. Barry Eppley Indianapolis plastic surgeon,  the topic of Frequently Asked Questions about Plastic Surgery of the Face was aired.


I have come across recently a novel website service that provides facial analysis at a very low cost.
Rather than using black and white photographs with hand-drawn grids on them or other methods of tabletop analysis, this form of facial profile analysis is more detailed and accurate with a quick turnaround time. Like a pleasing musical piece, it usually takes the coordination of multiple instruments or elements to create a good composition that is pleasing to the ears.
For a potential patient to understand these proposed changes, however,  they must see how such manuevers affect the look of the face. Significant advances in materials science and facial implant designs during the past two decades have made certain types of synthetic implants critical for the esthetic augmentation of facial landmarks and contours. First, it makes the operation fairly simple as an ‘off-the-shelf’  solution to change the face in the desired way. But once the procedure is explained and they can actually see and feel a real facial implant, these fears are usually washed away.
Barry Eppley is an extensively trained plastic and cosmetic surgeon with more than 20 years of surgical experience. He suffered complications after this surgery that landed him back in the hospital to next get a tracheostomy tube for breathing.
Prior to that time, skin and muscle from the chest (pectoralis myocutaneous flap) was brought up as a pedicled flap and wrapped around a metal bar made in the shape of the front part of the lower jaw. Most facial prostheses today are attached to the remaining facial bones with dental implants so they can be more reliably held in place. Since surgery can make dry skin more dry and oily skin more oily, gentle moisturizers and astringents may be needed.
For plastic surgery involving actual changes in the foundation of the face (moving bone or adding implants), however, a detailed analysis is much more important. While that may be what the patient desires, some patients may find the change different or troubling after surgery. At That’s My face website, they offer free online facial analysis and facial statues. Sometimes, the correction of a single facial feature does put it into good balance…but other times it requires adjustment of multiple features to get the best result. Sometimes a solo is adequate and acceptable, but most of the time the playing of the symphony is preferred. This is where computer imaging is so valuable…as a forum for communicating potential results. Their  popularity today and their increasing frequency of use is a direct result of increased patient demand for facial improvement, the limitations and complications of trying to do the same thing with bone grafts and the remarkable tolerance of  the face to any implanted material due to its excellent blood supply. Secondly, synthetic implants are predictable in size and shape which will not change over time. Particularly when the alternative (moving the bone or trying to build the area up with bone) treatment strategies are far less appealing and not nearly as reliable….and cost a whole lot more!
He is both a licensed physician and dentist as well as double board-certified in both Plastic and Reconstructive Surgery and Oral and Maxillofacial Surgery. It is just to reduce the risk so you can see the good change of facial plastic surgery before and after. All of these procedures combined left him with no chin and a total loss of his voice by 2006. While this was often successful, it left patients with far from a really satisfactory reconstruction.
Presumably due to inadequate bone that has been exposed to radiation, Ebert’s new chin prosthesis will be externally supported as it will rest on his shoulders like a collar.
But as the blood breaks down and is absorbed, the color spectrum will change as it transitions into yellow and then eventually a light green color. If bruising and discoloration is present, use a neutralizing toner as suggested before your foundation.


Eppley receives from his practice on facelifts, rhinoplasty, eyelid tucks, brow lifts, otoplasty, chin augmentation, Botox and injectable fillers, the show answered these questions in detail for the listeners. I have found this issue to be particularly relevant in the patient who receives multiple facial implants or other foundational facial changes. Based on a frontal and profile view that you upload into their server, they will generate a facial profile which includes your face aged 10, 20 or 40 years, your face in different ethnicities and sexes, your caricature, identify facial asymmetries, give you an attractiveness rating, and compare yourself to others that may look like you. This can be a difficult and awkward situation as the patient may have come in for just one concern, but how do you tell them about other issues that they have not brought up without offending them? Similarly, changing the aesthetics of the face oftens needs to be an orchestrated event, changing several features during a single procedure to get the best result.
I make it a point that every patient has a visual understanding of what their outcome may be. These two features are particularly attractive to any patient seeking elective esthetic facial surgery where a low number of potential risks, how much time it takes to recover, and the reliability of the outcome are major factors in the decision to undergo surgery. This training allows him to perform the most complex surgical procedures from cosmetic changes to the face and body to craniofacial surgery. The first one of course will make you look better than before; meanwhile the second one can make you look worse.
This will enable him to have a facial appearance that, while not being normal, will be something more comfortable for the viewer to see. The skin takes longer to re-epithelize so any cosmetic application should wait at least ten days to fourteen days. Then sponge on mineral makeup or your regular foundation that matches your natural skin tone and blend carefully. Over the years, I have had more than one patient who required revisions of facial implants because of changes that they could not accept even though I and others may have found them to be a good improvement. I have found that being direct is always best and most patients usually express appreciation as they are coming to me as the expert…and want an expert opinion. This is particularly important  in combination facial surgery where the option of one or several procedures are possible. In short, facial implants are relatively simple operations that work well and have few complications when done well. Such problems today are much better done with a free fibular bone and skin flap to make the front part of the upper jaw and skin for the new chin. As a quick aside, coloring your hair (after a facelift or browlift) should wait for about three weeks after surgery. Eppley has made extensive contributions to plastic surgery starting with the development of several advanced surgical techniques. This would usually be done at the time of the chin removal so the patient would not go through an ‘Andy Gump’ facial phase. He is a revered author, lecturer and educator in the field of plastic and cosmetic surgery. And to make the goal obtained, this medical action has to follow the facial plastic surgery procedures.
To counteract these colors, apply a small amount of neutralizer on the opposite side of the color wheel to the color of the bruising…green to counter redness, yellow to hide purple bruises and purple to cover yellow discoloration. Mineral-based makeup can make cover-up even more effective due to their more uniform application and light reflective ability.



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