Despite the fact that I never operate online under my given name, the fact that my username is tightly tied to my identity and reputation prevents me from employing it as a shield of anonymity to hide behind while I lob uncivil or disrespectful remarks at other Netizens. I don't generally feel tempted to do anyway, but I can't say how much of that is due to my consistent use of my username.
(Also, hi spiffy!)
Anyways, one of my long-term handles I wanted to erase from the internet and I succeeded with three exceptions, one due to my own laziness (edit: which I'm dealing with this morning), another because no one answered company email (but I eventually got through when the site was revamped), and the other because the company went out of business but the site remains online. It'd be nice to get my profile there expunged because it's slightly embarrassing but there's no valid way to contact them (not even via WHOis).
To make that even more effective, one could even make a point of using that same identity even when physical presence is required. Many video game players actually do this, and it seems to be mostly working.