Blog

Q: Dr. Eppley, I want to reduce   he “vertical height” of the anterior nasal spine, which is what I was asking if could be reduced/shaved from the bottom. This would help reduce the total nose height of the face.However, this might reduce the bone support for the Nasal Columella. To which I proposed if, a bone graft […]

Q: Dr. Eppley, I had a genioplasty last year and then a revision earlier this year. I developed a deep mentolabial surcus that I never had before in my life. I’m so unhappy with the look of this sulcus or crease and I think it looks so masculine. I just hate how my chin looks […]

Q: Dr. Eppley, I wanted to inform myself about what you can do aesthetically to a skull. I am a 28-year-old man. I was born with a broad skull, or in medical terms, brachycephaly. My question is: what can I do about this later in life? I would like to have surgery. The reason is […]

Q: Dr. Eppley, So my actual face is like the attached pictures.But I desire a look similar to this picture  My bite is perfect I just need the change for aesthetic purposes.. Do you think Bimax is the best solution or implants? A:Based on your face now and your desired goals double tall surgery with […]

Q: Dr. Eppley, I am interested in getting implants for my very flat butt. I have attached pictures so you see what I mean? A:Thank you for sending your pictures. You have a buttock shape that poses significant challenges for improvement. You have a very long buttocks with a low infragluteal crease but a flat […]

Q: Dr. Eppley, I hope you’re doing well. A year later after the occipital skull reduction procedure I’ve finally shaved my head and I’m fully satisfied with the results – however, there is a persistent discolored red splotch of skin surrounding the left side of the incision scar – at first I thought I just […]

Q: Dr. Eppley, I have a question pertaining to facial implants and specifically medpor cheek implants, if someone were to have these types of cheek implants, can they then have fat grafting on top? A: Yes, provided the injector knows they are there and doesn’t inject into them. Dr. Barry Eppley World-Renowned Plastic Surgeon

Q: Dr. Eppley, Hello, I am considering undergoing mouth widening surgery sometime within the next year, along with some other procedures. I would like to know how much scarring to expect and the probability that I will need scar revision surgery.  A:It is always wise in a procedure like mouth widening surgery to be aware of […]

Q: Dr. Eppley, I came across your name while researching online. I am living with multiple familial lipomatosis. My lipomas started appearing about ten years ago, and their number and size have gradually increased over the years. The largest and most bothersome ones are located on my thighs.I am currently followed by my general practitioner, […]

Q: Dr. Eppley, My goal would be to fill in my undereye to a natural degree after getting cheek implants.? My eyes are very hollow so I happy with my cheeks that I have now have volume there. My surgeon said that the cheek went up to my under eyes and should fill it, which was the […]

Q: Dr. Eppley,I came across your webpage on temporal width and zygoma reduction surgeries and had 4 questions about these procedures.  I am looking to reduce my bizygomatic width as well as the width of my face above the zygomatic arches, and saw that you previously wrote 7.5mm per side maximum can be reduced in […]

Q: Dr. Eppley, My nerve was damaged in my shoulder and killed my front deltoid muscles. I would like to get this to match my other shoulder. A:Thank you for your inquiry and sending your picture. What you have is a classic example of deltoid muscle atrophy due to a motor nerve injury. It appears […]

Q: Dr. Eppley, I am scheduled to have clavicle lengthening surgery next month. I wanted to ask about the possibility of permanent loss of motion and function in my arms. An orthopedic surgeon friend recently warned us against this surgery, stating “this does not ‘simply make your shoulders wider’–it  permanently rotates your shoulders into an […]

Q: Dr. Eppley ,Hello! I have tear trough implants that are not the same size. I was wondering if there was a way to have these implants removed and replaced with cheek implants. A:The tear trough implants that you have are undoubtably made of silicon which makes their removal fairly straightforward. They can be removed […]

Q: Dr. Eppley, Hello, I have a jaw contouring/ jaw reshaping concern. My right side lower jaw is bigger and draws the right side of my face downward. This is clear when seeing my lips, as the right side of the lips are pulled in a downward angle. It’s fairly clear to me that the […]

Q: Dr. Eppley, I’m interested in paranasal implants. My goal is to normalize the central part of my face having an aesthetic outcome. A:Thank you for sending your pictures. I would need to know exactly what you are hoping that paranasal implants can improve or resolve. When one says normalize the central part of my […]

Q: Dr. Eppley, I need to know if taking bisphosphonates (alendronic acid, specifically) would be a problem when it comes to getting an otoplasty done, even if it’s just an upper ear setback via sulcus reduction, as well as a head width reduction procedure, whether it be by removing muscle or bone.  A:Biphosphanates potentially affects bone […]

Q: Dr. Eppley, I was thinking of having a facial augmentation, which would include the zygomas and the chin. I tried to make some implants to get an idea of what the result might look like. What does the doctor think of the ones I made. Could the design and thickness be like this. The […]

Q: Dr. Eppley, A year ago, I had Medpor infraorbital implants placed to correct hollowing under my eyes. Unfortunately, I feel that the implants were not well suited – my facial proportions have changed, and the implants are visible beneath the thin skin of the lower eyelids. I have also noticed a deepening of the […]

Q: Dr. Eppley, I had a bimaxillary osteotomy to fix my bite 2 years ago. My bite is now fixed and both jaws have been moved forward and up but I feel like my midface is still pretty flat. The screws in my upper jaw have been removed already. (photo is older) Is there a possibility […]

Q: Dr. Eppley, Id like to ask about a step off after genioplasty. I had 2 step off sites right after my sliding genioplasty (6mm forward only) one side is worse than the other. I did a revision 7 weeks post-op to set the bone back to its original position but the step offs are […]

Q: Dr. Eppley, Hello doctor, in skull aesthetics, screws are used. What happens if these screws get infected, and is it a risky surgery? A: Skull reshaping is as safe as any other aesthetic surgery. Screws don’t get infected, never seen it in 35 years of doing the surgery. Dr. Barry Eppley World Renowned Plastic […]

Q: Dr. Eppley, I attached before and after photos for a procedure called FaceTite with microliposuction of the perioral mounds. I’m wearing very little makeup in these photos, and overall I’ve been bothered by my perioral mounds since I was a young adult. I’ve had them since I was even a child/teenager.  I’ve consulted three different […]

Q: Dr. Eppley, Interested in midface augmentation to address some recession and rhinoplasty. Possibly minor bone reduction and implants to resolve some asymmetry. Attached a mockup of what I’m looking for, but it looks kinda unnatural in the eyes. A:Thank you for your inquiry and sending your pictures. I have toggled back-and-forth between the before […]

Q: Dr. Eppley, I am very interested in learning more about the Iliac Crest Reduction procedure that your clinic offers. I would greatly appreciate it if you could provide me with information regarding the following:.). The expected recovery time and any lifestyle restrictions following the procedure. Whether this surgery can be combined with other contouring […]

Q: Dr. Eppley, I’m emailing you wondering if I would at all be a candidate for cosmetic skull reshaping. When I was born I was delivered with forceps that unfortunately shaped my head in an odd way. There’s an indent on the back left side of my head that has pushed the front right side […]

Q: Dr. Eppley, I had cheek implants that I initially liked and then replaced them with new cheek implants that I thought would be better…but they weren’t. I now realize that I like my original cheek implants much better. I would also like some paranasal augmentation as well. My question is whether I should go […]

Q:Dr. Eppley, What is your experience with treating negative orbital vectors with custom implants. Is it favorable? Also I want enough of a result to be seen but I don’t want to look unnatural so something conservative. A: In answer to your questions: 1) My experience is favorable one. Compared to any other treatment methods […]

Q: Dr. Eppley, I had Bellafill injections under my eyes and on my cheeks . As I am aging, it’s becoming more noticeable. Like to have a consultation to see what could be done. Not expecting a miracle, but hoping that I can soften the effects somewhat if possible. Thank you A: Bellafill is a […]

Q: Dr. Eppley, Basically, I did an endonasal lip lift 4 months ago that, despite giving me a really good upper lip, changed my nasal sill’s shape (it cut the nasal sill’s skin in between the transition from nose and philtrum). I spoke about it to my surgeon, but he said he does not know […]