Your Questions

Q: Dr. Eppley, I am looking to add height but trying to avoid limb lengthing would skull implant be the only option.

A: A skull implant will create some modest height (1.5cms) but far far less than limb lengthening can do…so they are not remotely comparable in terms of height enhancement.

Dr. Barry Eppley

World-Renowned Plastic Surgeon

Q: Dr. Eppley, in the pictures I just woke up so the veins or whatever it is it is still sort of flat it gets worse as the day goes on. This is the result of a short scar lower lift. when I went back to the plastic surgeon she said there was nothing she could do

it has been about 31/2 months since I had it done, will it get any better is there any way to shrink those veins or whatever they are???? because by night time it does get a lot worse.

A: Those are not veins but a branch of the facial artery. This is evident by three factors:

1) its serpiginous course

2) It gets worse as the day gones on

3) The temporal correlation with its occurrence after a short scar facelift. (compression)

This is treated by multi level ligations under local anesthesia

Dr. Barry Eppley

World-Renowned Plastic Surgeon.

Q: Dr. Eppley, How Do I get of my “turkey neck”. I am a male 78 years old.

A:Thank you for your inquiry and sending your picture. What you are describing is a direct necklift through excision of the turkey neck which can be done in various geometric patterns. Older males choose this option, as opposed to a traditional lower face – neck lift, for a variety of reasons including the desire to avoid hey more invasive and lengthy surgery as well as putting scars in and around the ears. While I direct necklace does put the scar in a more visible location in men due to beard skin that midline neck scar generally heals favorably.

Dr. Barry Eppley

World-Renowned Plastic Surgeon

Q: Dr. Eppley, Hi I’d like to ask a question to Dr Eppley and ask what’s the maximum of forward movement that supraorbital and glabella implants can mimick? Same thing for the midface /maxilla

A:I don’t know what the maximum forward movement at Implants could do for the upper and lower face is that number remains is very patient specific. But I can tell you the largest movements that I have done which are 8 mm in the forehead and brow bones and 7 mm in the mid face.

Dr. Barry Eppley

World-Renowned Plastic Surgeon

Q: Dr. Eppley, I’m looking to infraorbital implants or infraobital-malar implants. My infraobital bone is deficient and it creates a negative orbital vector, dark under eyes, unsupported, round eyes. I want to create a more sharp appearance to the eye and more under eye support. I’d be very to keen to do a virtual consultation with you as soon as possible if you believe you can help me.

A:Thank you for sending all of your pictures and detailing your facial concerns and objectives. In reviewing your pictures you are correct in that you have a significant negative orbital vector and all of the associated periorbital orbital findings that come with it. Certainly the fundamental treatment is infraorbital – malar custom implants (see attached example IOM design for this problem) to correct the skeletal deficiency and Improve the under eye support. But this alone will not be fully adequate in the correction of the sagging lower lids with excessive scleral show. In severe cases like yours you cannot count on the implant alone to drive up the lower eyelids to any significant degree. This also requires lower lid spacer grass and a lateral double hole canthoplasty which is performed at the same time as the implants. It takes an all-out effort to maximize whatever result as possible from these techniques.

Dr. Barry Eppley

World-Renowned Plastic Surgeon

Q: Dr. Eppley, I have Bellafill in my cheeks under the test through I want removed. I have severe swelling g and use steroids to get the swelling g down. It’s awful. I want it removed without a scar will a facelift remove it? What can be done?

A: Bellafill is a permanent filler because of its PMMA bead composition. It creates its effect I having scar tissue in circle and in case the implanted beads. While it is easy to place by injection it is very difficult to remove due to the encasement of Scar tissue. It cannot be removed by liposuction suction or any scarless procedure. The only way to remove it is to cut it out. I do not know exactly how much filler you had placed or where in the cheeks it is located. So as a general statement your supposition that a facelift approach may be necessary to remove it is probably accurate.

Dr. Barry Eppley

World-Renowned Plastic Surgeon

Q: Dr. Eppley, I am writing to inquire about the feasibility, estimated cost, and scheduling for a specific comprehensive facial reshaping plan with Dr Eppley.

The procedures I am interested in pursuing are as follows:

 * Custom Brow Bone Implant

 * Custom Cheek Implants

 * Custom Jaw Angle Implants

 * Sliding Genioplasty (for chin shortening and advancement)

 * Mandibular Contouring (bone shaving for jawline definition)

Before scheduling a formal consultation, I would be grateful if you could provide some preliminary information on the following questions:

 * What is the estimated cost range for performing this entire list of procedures?

 * What is the current approximate waiting time for an initial consultation and for a subsequent surgical date?

 * From a surgical perspective, would Dr. Eppley typically recommend performing all of these procedures in a single, comprehensive operation, or would he advise staging them into multiple surgeries?

Thank you for your time and assistance. I look forward to your response.

A:Thank you for your inquiry and detailing your specific procedural requests. In answer to your specific questions about them:

1) The rate limiting step in any surgical procedure that includes custom designed implants is the time it takes to go through the design and manufacturing process of them. This is usually around three months from wearing the 3-D CT scan is received on which the implants are designed.

2) The question is not whether all of your requested procedures can be done in the same surgery as they can. It would not be rare to do so. The issue is not a technical or medical one about a comprehensive or stage surgical plan. Which approach is best is multi factorial and must be determined on an individual basis looking at the factors of aesthetic priorities, economics, travel and recovery considerations. But when you really break down the list of procedures that you are considering it would strike me that a comprehensive operation would not be unduly difficult for recovery and, since all of the procedures are augmentative, they all would seem to be important given what the likely the overall aesthetic goal is.

3) in looking at your list of procedures I would question the need for mandibular contouring assuming jaw angle and chin augmentation are being done which may obviate the need for that procedure. As a general rule you cannot reduce bone to create definition, it takes augmentation to do so.

Dr. Barry Eppley

World-Renowned Plastic Surgeon

Q: Dr. Eppley, I’d like to try to reduce the appearance of my nasolabial fold, and fill in some hollows under my cheekbones and (ideally) around my nose—ultimately to add fullness to (and maybe appear to shorten) my midface.My left side in the picture is a bit more what I was going for, but I’m just drawing on my phone screen, so it’s all a little rough.

A:When you look at the six separate or three paired areas of facial hollows that you have illustrated that could certainly be addressed by implant augmentation of the bone. Giving their relatively discrete locations I would just modify some existing implants to create the augmentation effect for the sub mailer cheek, paranasal and upper maxillary regions.

Dr. Barry Eppley

World-Renowned Plastic Surgeon

Q: Dr. Eppley, I saw that Dr. Eppley posted online about using fat grafting to treat coccydynia. I was hoping he can answer some questions:

Is fat grafting for coccydynia more effective than injections?

Does this treatment usually involve multiple treatments or is it usually a one time surgery?

What is the approximate success rate for fat grafting to treat coccydynia?

A:There are two types of fat grafting, liquid injections and solid dermal–fat grafts. What you are specifically referring to in the treatment of coccygodynia is the surgical placement of a solid dermal–fat graft. This has a much higher take rate and is more appropriate for coccydynia than fat injections would ever be. The success rate is fairly high as defined by significant take and retention of the dermal fat graft.

Dr. Barry Eppley

World-Renowned Plastic Surgeon

Dr. Eppley, I have extra skin on my nose due to an implant placement that was removed several years ago. I’d like the attached procedure from your website. My goal is to be able to see my nostrils more from the front. I attached a before picture of myself  and current picture. Please do not hesitate to ask any questions. 

A: Thank you for your inquiry and sending your pictures. While one technique that you have attached for improving nostril show via alar rim retraction can be effective but there are associated scar concerns along the alar – facial groove where the excision is done. Another technique is to directly excise tissue along the alar rim which I think would be preferred given that the scar would be more on the inside of the nose or at least along the edge of the Alar rim (red lines in diagram) It would likely also be more effective because it is done exactly where you were looking for the effect rather than an excision of the alar – facial groove where one is counting on a lifting effect to make the improvement.

Dr. Barry Eppley

World-Renowned Plastic Surgeon

Q: Dr. Eppley, I’m curious if it’s possible to modify the medial canthus to be more downturned or positioned slightly lower, like shown in the photo below. I understand this area is very difficult to alter due to the intricate anatomy, such as the nasolacrimal duct and puncta, which is why most surgeons avoid operating on it for purely cosmetic purposes. Also not to mention the overall nicheness and subtlety of the area make it a very rare procedure. That said, I’m wondering if it’s feasible to lower the medial canthus by just 3mm or so, and if so, how this could be done. I’ve heard that external soft tissue procedures, like a Z-plasty, could be used to stretch it downward, emulating it, but I question if such a method could achieve the extent shown in the photo, and I’m also unsure about its long-term stability. Thank you for your time!

A:You do realize that the image you have shown is not real and those are photoshopped changes. That being said the inner eye corner can be lowered, perhaps not as much is shown in the altered image, by changing the position of the lacrimal lake not the medial canthus, by a Y-V advancement.

Dr. Barry Eppley

World-Renowned Plastic Surgeon

Q: Dr. Eppley,Who is the manufacturer of the very soft low durometer silicone testicle implant? I would like to conduct my own research of the prosthesis before continuing.

A: All such custom low durometer silicone testicle implants are manufactured exclusively for me by the Implantech company. You will not find any information from the manufacturer or their website in regards to these implants due to their exclusive custom design and manufacturing for my practice.

Dr. Barry Eppley

World-Renowned Plastic Surgeon

Q: Dr. Eppley, I desire to enhance and harmonize multiple facial and cranial features through a combination of custom-based implant augmentation and soft tissue procedures. My primary concerns include upper projection and asymmetry of the midface and lower face, disproportionate upper and lower lips, narrow oral commissures, dissatisfaction with the previous rhinoplasty, and a notably narrow forehead and cranial width. The overall goal is to achieve a more proportional, sculpted, and balanced craniofacial structure, with refinement and strength in both hard and soft tissue aesthetics. Requested Procedures: 1. Custom Forehead Implant with Cranial Extension (?): The correction of the narrow upper third of the face with forehead widening. The goal is to create a wider upper face that harmonizes with the augmented midface and jawline, while providing a mid skull- widening effect without excessive frontal projection. 2. Custom Wrap-Around Jawline Implant: I seek augmentation and definition of the mandibular angle, body, and chin with a single-piece custom implant designed to create a seamless jawline contour. 3. Custom Infraorbital-Malar Implant: To address the midface volume deficiency and midface under projection, I desire augmentation of the infraorbital rim and malar region. 4. Subnasal lip lift: To address the elongated philtrum and insufficient upper lip vermilion show. 4. Bilateral Mouth Widening and Lifting: To address concerns about the width and downward slant of the oral commissures. 5. Revision Rhinoplasty: A comprehensive revision including: Nasal Width Reduction: To address flared alar bases and improve nasal base proportions. Tip Reshaping and Narrowing: To refine the nasal tip, reduce bulbosity, and enhance tip definition. Nasal Bone Osteotomy: To narrow the upper bony vault and restore dorsal continuity and symmetry.

A:Thank you for your very detailed inquiry into a variety of custom facial implants and soft tissue procedures that I commonly perform in men. The first place to start is to send me some face pictures so I may do some initial imaging in a process which I call targeted imaging to determine what is possible and also what are your exact goals.

Dr. Barry Eppley

World-Renowned Plastic Surgeon

Q: Dr. Eppley, Hi I had a genioplasty back in 2019 in which the chin was advanced 8-12mm. In 2022 I began gender transition. In 2024 I underwent facial feminization surgery in which the surgeon went through the mouth again to do jaw contouring to resolve the step deformity that was created by the genioplasty. The surgeon who did the FFS was resistant to reversing the genioplasty or shaving the chin back because he aesthetically felt it looked best where it is positioned post-geniopalsty. However, I continue to experience dysphoria and dissatisfaction because of the boniness the projection adds to my face. I am interested in either reversing or shaving back the chin about 4-6mm.

A:I see no reason why your chin projection could not be reduced. To reduce it by shaving as, whether one is that a prior genioplasty or not that always results in chin pad ptosis. In the genioplasty patient that risk would be even higher than normal. Therefore the correct procedure would be a setback bony genioplasty where the risk of chain pad ptosis is more limited. The other question given your FFS history is whether during your setback the width of the chin should be reduced as well in a T-shaped bony genioplasty.

Dr. Barry Eppley

World-Renowned Plastic Surgeon

Q: Dr. Eppley, Hi. I have received micro fat transfers ender my eyes and enhancing my cheek area twice. Each time, I LOVED the initial results (probably partially driven by swelling) but then the results faded over the next couple of months. I’m looking for a more permanent solution that is a bit more precise as well. Because the fat transfers are able to deliver the initial result that I love, it seems likely that the aesthetic balance I’m looking for is achievable.

A:When you say you had fat grafting under your eyes I am not exactly sure where that exactly is which makes a difference inwhether a more permanent solution, infraorbital implants, could provide a similar aesthetic improvement. Fat grafting of the  undereyes could  have been done exclusively along the infraorbital bony rim, in which implants may produce a similar effect Or fat grafting could have been done along the rim and up into the eyelids where no form of bone augmentation could be helpful. I would need to see some pictures of your eyes to provide a more informed answer as to whether implants maybe beneficial in your case.

Dr. Barry Eppley

World-Renowned Plastic Surgeon

Q: Dr. Eppley, I desire to enhance and harmonize multiple facial and cranial features through a combination of custom-based implant augmentation and soft tissue procedures. My primary concerns include upper projection and asymmetry of the midface and lower face, disproportionate upper and lower lips, narrow oral commissures, dissatisfaction with the previous rhinoplasty, and a notably narrow forehead and cranial width. The overall goal is to achieve a more proportional, sculpted, and balanced craniofacial structure, with refinement and strength in both hard and soft tissue aesthetics. Requested Procedures: 1. Custom Forehead Implant with Cranial Extension (?): The correction of the narrow upper third of the face with forehead widening. The goal is to create a wider upper face that harmonizes with the augmented midface and jawline, while providing a mid skull- widening effect without excessive frontal projection. 2. Custom Wrap-Around Jawline Implant: I seek augmentation and definition of the mandibular angle, body, and chin with a single-piece custom implant designed to create a seamless jawline contour. 3. Custom Infraorbital-Malar Implant: To address the midface volume deficiency and midface under projection, I desire augmentation of the infraorbital rim and malar region. 4. Subnasal lip lift: To address the elongated philtrum and insufficient upper lip vermilion show. 4. Bilateral Mouth Widening and Lifting: To address concerns about the width and downward slant of the oral commissures. 5. Revision Rhinoplasty: A comprehensive revision including: Nasal Width Reduction: To address flared alar bases and improve nasal base proportions. Tip Reshaping and Narrowing: To refine the nasal tip, reduce bulbosity, and enhance tip definition. Nasal Bone Osteotomy: To narrow the upper bony vault and restore dorsal continuity and symmetry.

A:Thank you for your very detailed inquiry into a variety of custom facial implants and soft tissue procedures that I commonly perform in men. The first place to start is to send me some face pictures so I may do some initial imaging in a process which I call targeted imaging to determine what is possible and also what are your exact goals.

Dr. Barry Eppley

World-Renowned Plastic Surgeon

Q: Dr. Eppley, Hi is there any procedure that can make my nose taller? I have a short midface and short nose and want it to end lower on my face. I can imagine Le fort 1 or Le fort 2 alongside a rhinoplasty increasing length and projection might be possible? I made a mock up of what I’m looking to achieve would this be possible and what procedures would it require?

A:On your own imaging you are demonstrating augmentation of the the midface and the dorsum of the nose. Options for mid face augmentation include a LerFort I osteotomy, which would be appropriate for moving the lower mid face at the teeth level but it will not augment any midface area above that level… and your imaging clearly shows a total mid face augmentation.  A Lefort II osteotomy looks more effective on paper but is not a particularly good operation for a total midface augmentation. Also any type of LerFort osteotomy advancement Is also going to require the lower jzwe to be advanced as well to maintain a good occlusal relationship… Which seems to partially negate any of the above mid face augmentation effects.

This leaves a custom midface implant, in your case, is probably the most effective mid face augmentation procedure because the dimensions of augmentation are better controlled. This would commonly be combined with a nasal augmentation using either an implant or a rib graft.

Dr. Barry Eppley

World-Renowned Plastic Surgeon

Q: Dr. Eppley, I am looking to get a very genioplasty to make my chin go past both my lips and be extended forward  , a large heavy brown ridge implant to make my eyebrows low and look like a very low set eyebrows, I want fat removal on my cheeks as well. Here are my reference pictures below  to use for what I want. I am a 28 year old male with a beard also. For religious reasons, can I just trim my beard and it be fine?

A:Thank you for your inquiry, sending your pictures and detailing your aesthetic facial objectives. To summarize what you are requesting is a vertical lengthening bony genioplasty, custom brow bone implant, and cheek defatting. The question is not whether these procedures can be performed on you but how effective would they be in coming close to your facial reshaping goals. This would be my concern in your case as some of the ideal pictures you have shown, which are altered images and are not real,, are not achievable facial be Shaping changes. This is particularly relevant to the chin and jawline images that you have shown and, with your beard, is virtually impossible for me to assess what type of changes are actually possible. The only thing I am absolutely certain of it is the degree of chn change in your ideal image is not really achievable in anyone. Thus these procedures may be reasonable to undergo provided one can accept less than these imaged changes.

Dr. Barry Eppley

World-Renowned Plastic Surgeon

Q: Dr. Eppley, Hello, I have a unique situation. Four years ago I had most of my teeth removed and got dentures. I was not informed and stuck in a failing dental office resulting in me spending the following years in poor fit dentures which unknowingly accelerated my jaw bone loss. I recently got full arch dental implants but due to the lack of space in my mouth now I’m still pretty collapsed. I wasn’t able to have my vertical dimension restored due to lack of space and pain tolerating it. My face is affected significantly. With all the changes I figure it is unlikely but wondered if someone like me could still be viable for upper jaw implants/other facial implants to restore some structure. I am not too hopeful given bone resorption and full arch dental implants likely complicating things further

A:Thank you for your inquiry and detailing your unique facial situation. The loss of teeth, particularly in the mandible, results in loss of the upper half of the alveolar bone and does pose challenges for augmentation of the lower half of the face. Similarly in the maxilla the same issue is evident although the preservation of the cheekbones, which are not affected buy alveolar bone loss, is less of an issue then it is in the mandible for augmentation.

The one critical piece of information that I need to see is x-ray analysis of your facial bones of which the an Initial x-ray, a Panorex, may already exist given your prior dental implant surgery. That type of x-ray lays out your jawbones like a globe on the map and provides great insight into how much bone remains.

Dr. Barry Eppley

World-Renowned Plastic Surgeon

Q: Dr. Eppley, Is there a procedure to make my neck appear larger? Either implants or a fat transfer? I would like to have this done.

A: You are likely referring to SCM (sternocleidomastoid) neck implants which would be the only way to do it. This is a very rare type of aesthetic augmentation and I have only done it once before.

Dr. Barry Eppley

World-Renowned Plastic Surgeon

Q: Dr. Eppley, i want to push out my maxilla to reduce nasal labial lines, perform fat transfer for the indentation after I had a alarplasty, and for the chin jaw also to push out the chin to reduce marionette lines.

A: Expanding the skeletal base will help push out the soft tissues and reduce some of the overlying indentations. For the cental midface this is premaxillary and paranasal implant augmentation. The only question is whether this is to be done by standard ePTFE or custom designed implants. For the chin such expansion is best done from a sliding genioplasty which pushes out the overlying tissues the most effectively.

Dr. Barry Eppley

World-Renowned Plastic Surgeon

Q: Dr. Eppley, Hii does doctor eppley remove all three sets of ribs or just two?

A: That depends on the patient’s preference in terms of result and incision location.That is the differernce between Type 1 and Type 2 rib removal surgery.

Dr. Barry Eppley

World-Renowned Plastic Surgeon

Q: Dr. Eppley, I would like to reduce the soft tissue in my cheeks and face to reduce the width of my face, I have buccal fat removal and liposuction few times, and after a specialized CT scan that also reveals soft tissue mass, I was told I have a lot of soft tissue mass in my cheeks and would like to reduce this as soon as possible.

A: After buccal lipectomies and multiple liposuction procedures I would doubt  further surgery will make much of a differemce…provided the prior procedures have been done well and thoroughly. The soft tissue ‘mass’ you are likely referring to is fibrofatty tissue which is very resistant to removal and there are numerous facial nerve branches in the cheeks so you don’t want to get over aggressive.

Dr. Barry Eppley

World-Renowned Plastic Surgeon

Q: Dr. Eppley, My 7-year-old daughter cannot wear a sports helmet due to the shape of her skull (widening in the back of the head). This is interfering with her ability to safely play sports and socialize. We believe this is a functional impairment as it is going to affect her entire childhood. Are there options for parental consent?

A: At just 7 years old the skull has not developed enough bone thickness that skull reductions can be safely performed.

Dr. Barry Eppley

World-Renowned Plastic Surgeon

Q: Dr. Eppley, My head skull shape larger and forehead shorter how can I fix.

A: Based on just this one picture and a description of your goals I would say that the top of head can reduced by bone removal and the forehead can be lengthened by augmenting it with a custom forehead implant.

Dr. Barry Eppley

World-Renowned Plastic Surgeon

Q: Dr. Eppley, Is the temporalis muscle large enough to cause a noticeable difference? Because when I touch my head, it feels as if I’m touching the bone.

A: Every patient says the same thing when they feel the side of their head. But the reality is that soft tissues will feel like the backing on which they are placed….like wallpaper on a wall. Most patients would say, for example, that their scalp is very thin because it feels fairly solid when most patient’s scalps are least ¾ inch and some up to 1 ½ inches thick.

Dr. Barry Eppley

World-Renowned Plastic Surgeon

Q: Dr. Eppley, Your practice had both Exilis and Skin Tyte II for a long time. Which is more effective at tightening skin? I’m interested for my thighs after losing 100 pounds. Thank you.

A:With a 100lb weight loss this necessitates a surgical solution not a non-surgical one.

Dr. Barry Eppley

World-Renowned Plastic Surgeon

Q: Dr. Eppley, which surgery corrects this asymmetry I have mild asymmetry in maxillary sinuses and one side of zygomatic bone is more prominent and frontal process of maxilla deviation.

A:Since I have no idea what your face looks like I can only make a comment based on your description alone. What you are describing is facial asymmetry with one side being more prominent than the other. Like all facial asymmetry is the key question is which side does one prefer, the more prominent side for the less prominent side. That we’ll then determine whether this is an augmentation operation or a reductive one.

Dr. Barry Eppley

World-Renowned Plastic Surgeon

Q: Dr. Eppley, Is it possible to do vermilion advancement procedure on a lip that has a lip implant in it? Is it still possible to get lip implants or are lip implants no longer available?

A:It is possible to do a Vermilion advancement with an indwelling lip implant. The lip implant is deeper while the vermilion advancement is more superficial and thus they are in two different tissue planes.

Currently silicone lip implants, the only commercially available lip implant for the past 15 years, is no longer available.

Dr. Barry Eppley

World-Renowned Plastic Surgeon

Q: Dr. Eppley, I am considering a full face augmentation. I’m frankly tired of “soft” or “initially good-but-then-less-good” changes (fillers and the like) and looking for a drastic, over-the-top change (that a certain model, among others, has, I’ve uploaded pictures of whom I refer to) I know of no other surgeon other than you, who seems to offer the possibility for such radical changes. I realize there are limitations to what can be achieved. Please let me know if the goal of looking similar to the model I’ve attached pictures of (in terms of jaw, cheeks and eye-area (Hunter eyes)) is possible. My (unqualified) prediction is that the buccinator myectomy procedure (already done buccal fat removal, although it is possible not all of it was removed, but that’s a discussion for another day perhaps), liposuction, custom (enormous!) jaw-forehead-cheek-implants, hunter eye procedure (already done canthoplasty but not satisfied, I need a revision and no spacer graft was used, you can see old scars, those could probably be used and at the same time revised) mouth-widening and lip lift (my teeth don’t show when I smile, might as well do this with the widening methinks), possibly midface-lift (with same incision used for the cheek-implants, just to get rid of the nasolabial folds (?)), could make me look very similar to the model, or at the very least take me to the “unusually nice”-look-domain.

A:Thank you for your inquiry, detailing your surgical objectives, and sending your pictures. As you have noted achieving the ideal model face look that You have shown has its limitations is your face it’s not the same as his face. That being said you are correct in that radical changes requires an aggressive and comprehensive approach. The use of custom jawline, cheek and for head brow bone implants can make for some dramatic facial changes. There are some other soft procedures, lateral canthoplasty, perioral suction and buccinator myectomy, that are often performed in conjunction if any of these custom facial implant augmentations. Other procedures such as lip lift and mouth widening should be deferred to a later surgery date.

All of the facial implant procedures can be performed at once but, as you might expect, one has to be prepared for a significant facial recovery. Extreme changes requires extensive surgery which  results in some prolonged recovery.

Dr. Barry Eppley

World-Renowned Plastic Surgeon