Blog

Q: Dr. Eppley, My midface is a bit flat. Would I benefit from a LeFort 2 or 3 osteotomy? A:There is no indication for you, or anyone seeking aesthetic mid face augmentation, for a LeFort 2 or 3 osteotomy Those are operations that look great on diagram but in real life are not appropriate for […]

Q: Dr. Eppley,I had a chin implant done last year It was an. Omnipore medium/square implant . Immediately after the surgery I noticed asymmentry. The surgeon then suspected it was swelling and did nothing. I can definitely feel it being higher on one side than the other. Tilted angle from the middle. The surgeon says […]

Q: Dr. Eppley, From what I’ve read, the closest description of what I’m experiencing is dynamic chin ptosis – my chin only protrudes when I smile or speak. I’d like to reduce that movement and am considering starting with Botox. Could you please advise where you would recommend the injections be placed and approximately how […]

Q: Dr. Eppley, I believe I am a good candidate for the lower buttock lift with the incision to re-create the bottom gluteal fold in a higher position. I would like to find out if this procedure would make my buttocks look higher by removing hanging lower skin off of buttocks, would it also decrease saddlebag look […]

Q: Dr. Eppley, I got my hairline advanced in Turkey roughly 2.-2.5cm. I currently am very unhappy with my results. I never really intended on having a hairline advancement nor was this on my radar. I just wanted my brow bone shaved and the surgeon recommended I do this as well. I’m very interested in your clinic […]

Q: Dr. Eppley, My main concern is that my brows sit a little high and give me a softer, more feminine look. Ideally, I’d like to lower or reshape them into a stronger, more masculine angle if that’s technically possible. If it’s not feasible, that’s okay too — I’d just like your expert perspective on […]

Q: Dr. Eppley, I feel self conscious about my profile, specifically the maxillary area and the more downward grown midface. I want to achieve more skeletal support to have a more modelesque appearance. I don’t know what can be done . I feel specifically on profile, my jaw is more rotated down and back and […]

Q: Dr. Eppley, I am a plastic surgeon from Beijing, China. I read with great interest your article published in ASJ on hip augmentation with implants (Evolving Clinical Experiences in Aesthetic Hip Implant Body Contouring) and truly admire your design of the prosthesis. I am also considering performing hip augmentation surgery with implants for my […]

Q: Dr. Eppley, Interested in a 2cm forehead reduction.  A:The amount of frontal hairline advancement that can be achieved is controlled by the natural elasticity of the scalp. as it is the entire that actually shifts forward in the procedure. There is no accurate predicting  before surgery how much movement can be achieved. Whether that […]

Q: Dr. Eppley, I have what I believe to be chin ptosis from a chin implant I received last year. The dr kind of refused to acknowledge the problem and instead replaced the implant with a smaller one and the issue remains. Is this something Dr Eppley could address? I had consulted a different surgeon and […]

Q: Dr. Eppley, Are you all able to also to do 3D models how the person will look after the face implants? Thank you. A:While the concept of creating custom facial implant designs on the patient’s 3-D skeletal model and then knowing exactly what the aesthetic outcome is would be extremely helpful. However that technology […]

Q: Dr. Eppley, So my goal is to achieve a natural look as possible. I feel like the height of the ramus is short. The gonial angle i would like to make better. As well as a bit of width projection. As far as the jaw I like the more concave look rather than it […]

Q: Dr. Eppley, I had a sliding genioplasty recently, but unfortunately the result wasn’t what I expected. My chin doesn’t look like it used to, and I’m really hoping to restore it to its original position. I’m planning a revision about two months after the first surgery. Do you think a full reversal is possible in […]

Q: Dr. Eppley, do I need to was it 6 months before trying to reverse my hairline advancement? A:I don’t see the benefits of waiting six months after the original surgery to place a forehead tissue expander from a healing or biologic standpoint. From a psychologic standpoint I could see the benefits of waiting six […]

Q: Dr. Eppley, Can my overdone sliding genioplasty be reversed? A:Thank you for sending your x-rays. While there is not a side view after x-ray, which provides important information as to how much forward and downward bone movement was actually done, I can see in the Panorex that there are bone gaps which suggest there […]

Q: Dr. Eppley, I also sent pictures of a model of my jaw. I just want to know if Dr. Eppley is amenable to vertically shaving off 4 mm from my chin to reduce its vertical height. I prefer the submental approach since I already have a scar there and I do not want to […]

Dr. Eppley,I’ve considered for many years a genioplasty for a modest increase to the vertical length of my chin/face. Not looking for a super sharp chin, I know many Asians love the vline but I want to keep the shape but create a little more length (but also not widening). A lot to ask I […]

Q: Dr. Eppley, I know there is too much facial fat on my face but given the progress of cosmetic surgery with you as a pioneer over the last decades,  I am mailing you with interest for facial aesthetic surgery.My goal is to achieve a balanced, masculine facial structure with stronger midface and jawline proportions, […]

Q: Dr. Eppley, I had an endoscopic brow lift earlier this year and the result is over-done. I never wanted my brows lifted this high. My goal was a subtle, more youthful look at the temples because I am still young. Now the middle of my brows sits far too high, and it has completely changed my […]

Q: Dr. Eppley, I had a sliding genioplasty several years that I am interested in revising The initial genioplasty only dealt with horizontal chin projection and now I am unhappy with the shape of my jaw. I believe a revision with some vertical chin projection would help with this. A:Thank you for your inquiry and […]

Q: Dr. Eppley, I’m interested in pursuing full facial liposuction to achieve a more defined, chiseled facial contour. I am hoping for a face that is smaller, sleeker, and more angular.I’m specifically looking for a comprehensive procedure targeting areas such as the jowls and cheeks to enhance overall facial definition. I am interested in facial […]

Q: Dr. Eppley, I need infraorbital implants that saddle. What do you think based on my pictures and x-rays? A:By definition custom infraorbital implants always have a saddle component to them. That is one of their primary benefits as saddling the rim is the only way to try to improve lower lid position. The increased […]

Q: Dr. Eppley, Hello, I was wonder could this be corrected? I have buttock ptosis/drooping. A:What you have is buttock ptosis but with a  well defined infragluteal crease. This is solved by a lower buttock excision/tuck. Dr. Barry Eppley World-Renowned Plastic Surgeon

Q: Dr. Eppley, That’s an example of the procedure I’m talking about. Upon searching, I believe it’s called smile line implants.  A: Those are paranasal/labiomental fold implants…which has nothing to do with face shortening or surgery to try and accomplish that effect. Paranasal implants augment the nasal base area and may indirectly reduce the depth […]

Q: Dr. Eppley, I want to remove a big chin implant but I don’t want extra skin. I’m looking for a surgeon. When I smile its not really fitting to my face. People have suggested just taking it out but I rather fix the extra skin too. A: I believe you are referring to the […]

Q: Dr. Eppley, I’m interested in a forehead contouring procedure that goes beyond the standard “brow bossing reduction.” My main concern is the lateral width and curvature of my forehead. I would like to achieve a narrower and more compact forehead, with a softer transition from the upper lateral forehead (above the tail of the […]

Q: Dr. Eppley, I have a lot of neck sagging and lack of jaw prominence and s short chin. I would like a total jaw augmentation as well as a necklift. What do you think?  A: Thank you for your inquiry and sending your pictures. Your case poses a bit of a conundrum as the […]

Q: Dr. Eppley, Will my labiomental fold eventually soften? I had a 5 mm sliding genioplasty 5 weeks ago, and around weeks 3.5 to 4 I noticed a really deep crease in that area. It’s worrying me that it might stay like this. My surgeon says I’m still swollen based on my photos, but my […]

Q: Dr. Eppley, My concern is that my lower face appears vertically short, which makes my neck seem longer and my head proportionally smaller. When I relax my jaw slightly (keeping my lips closed), my face looks noticeably more balanced, which makes me think I might have lower facial vertical deficiency.I’m interested in understanding whether […]

Q: Dr. Eppley, Hi, I’m interested in a temporal skull implant, but i wanted to ask, how many centimeters can i add to my skull circumference with this implant? I want to make the temporal area more full A:Thank you for your inquiry and sending your pictures to which I can make the following comments: […]