Blog

Q: Dr. Eppley, As you can see from the photos I suspect a webbed neck deformity (pterygium colli). I have already done the Noonan syndrome’s genetic test and it’s result was negative. I would like to know if i could be operated to correct this deformity and what should i do. I wait for your […]

Q: Dr. Eppley, With vertical orbital dystopia, is it possible to lower the eye that is situated higher if one prefers the appearance of the lower eye/mid face or is such an approach impossible? The infraorbital bone would have to be shaved down I assume but placing an implant superiorly above the globe would probably […]

Q: Dr. Eppley, I was interested in receiving more information on the Occipital knob reduction. In addition how safe is having this procedure completed? I am apprehensive due to concerns of safety and anxiety considering I have never had any other surgery.  A: Occipital knob skull reduction is a perfectly safe and effective surgery. The […]

Q: Dr. Eppley, I just recently found out through your blog that as a child I had positional plagiocephaly. I have a flat spot on the right side of the back of my head. I have always thought there was something wrong with my eyes and was in the process of finding a surgeon for […]

Q: Dr. Eppley, My lower face is much wider than my forehead. Getting older has accentuated this effect. I have just retired this month and would like to go into my later years looking a bit less cartoonlike. Would prefer to under-correct than overcorrect, however. A: Thank you for your inquiry and sending your picture. […]

Q: Dr. Eppley, Hello! My frontal bumps are very pronounced and I want to get rid of them, but my hair is not thick and I’m balding, so I can’t do surgery with a coronal or hairline incisions, a big scar is not acceptable for me.Can I reduce the frontal eminences endoscopically? One doctor said that […]

Q: Dr. Eppley, Is 3cms of lengthening on each clavicle possible? Im 6’3″ tall and very narrow and hope for the best possible result.  A: Thank you for sending your picture. It is also a balance between how much clavicle lengthening can be achieved vs ensuring that the bone will heal properly. The longer the […]

Q: Dr. Eppley, What do you think about using long term resorbable meshes for augmentation of flat back head? I have such a condition and I saw a plastic surgeon conducting augmentation using non-absorbable meshes. I would not like to have foreign material in my body for ever but I am really curious about resorbable […]

Q: Dr. Eppley, Hi about a year ago I had jaw angle implant surgery and around 3 months ago removed them due to not liking the look of them. It seems like the corner of my jaw is missing on 1 side now and when i bite my jaw angle appears higher now, i was […]

Q: Dr. Eppley, How can I correct my asymmetrical mouth and nose? I am not sure what is causing it. Do you think it’s my jaw?  A: The mouth corner, nose and lower jaw asymmetry are reflective of the overall congenital facial asymmetry. It could be called a left facial hypoplasia or a right facial […]

Q: Dr. Eppley, I have had a genioplasty 4 weeks ago but something does not feel right. My chin feels more to my left.  I feel there is more tension to my left, slight pain, there’s still numbing and awkward popping sounds come from my left. Not the popping noise I sometimes get from tmj […]

Q: Dr. Eppley, I am interested in lip implants with a subnasal lip lift. A: Thank you for sending your pictures and lip augmentation goals. You are not a good candidate for an isolated subnasal lip lift due to having very thin sides of the lips down into the mouth corners. A subnasal lip lift […]

Q: Dr. Eppley, Do you have any CT scans of before and after a genioplasty. Or is it possible for me to get one? Also is it possible to eventually take the titanium plate and screws out? A: In answer to your questions: 1) I do not routinuely get before and after CT scans of  […]

Q: Dr. Eppley, Interested in custom facial implants to balance out facial assymetry caused following orthognathic surgery. This means I have titanium plates (screws?) In my face. Can you still perform facial implants for me? Thank you so much! I have some xrays from a few years back when they took them right after surgery […]

Q: Dr. Eppley, I’m a relatively young male and over the last 2 years my scalp has been gradually depleted of soft tissue due to a connective tissue disease that I have. I now have several indentations all over my head that were never visible until recently. You answered my RealSelf question about this, stating […]

Q: Dr. Eppley, I had two questions regarding clavicle lengthening. 1. How much is achievable for bideltoid width for each shoulder? I’m looking for 1.5-2cm on each shoulder. 2. How many times have you performed this surgery and what was the average amount of actual shoulder width gained per shoulder? Thanks. A: Thank you for […]

Q: Dr. Eppley, When i was younger my head wasn’t that wide but with time and some jaw problems my temporal muscles got bigger and bigger because of the jaws. Now i feel like my head is a little bit ”too wide” in the temporalis place. When i press the muscles in with my hands […]

Q: Dr. Eppley, I’m looking to make my eyes a bit more symmetrical but I don’t know what sort of surgery that requires or how it might be possible. Looking for more information and potentially surgery! I’ve attached a photo of my face, front camera, and a photo of my face in selfies ! Would […]

Q: Dr. Eppley,To give you a bit of historyI had hairline reshaping surgery several years ago. (I am a cis gendered female, I just wanted to make a few tweaks to my hairline) The outcome unfortunately was not what I wanted.  My hairline was significantly lower than what was discussed, and the shape given was a prominent […]

Q: Dr. Eppley, I’m a transwoman who’s looking into hip/buttock/breast augmentation surgery and your practice is one of the ones I’m considering. Your custom hip implants are what convinced me to contact you since I think the way they extend into the thighs may offer a more natural look (they remind me of my padded […]

Q: Dr. Eppley, Hello! I was hoping for a little insight on my overhang. I am a mom of four with the most recent two being twins. I am struggling so bad with body image after these two and battling yeast infections off and on (mainly during my monthly cycle when I seem to be […]

Q: Dr. Eppley, I got a saggy butt because of weight loss. I’m a thin male in the upper body and have a saggy skin in my lower body especially my butt. This made me feel so uncomfortable I would like to do a surgery to remove this excess skin and make it look normal. […]

Q: Dr. Eppley, What is your opinion on Lefort 2 surgery? For cosmetic purpose most of surgeons perform Lefort 1. However from what I saw Lefort 2 provides better results aesthetically. Do you preform Lefort 2 and would Lefort 1, with paranasal implants give same results as Lefort 2. Also what is down side to Lefort […]

Q: Dr. Eppley, I would like to reduce the width of my cheekbones but I don’t want to break the bones to do so. Is there another procedure that make work instead? A:There is no other procedures to reduce the width of the cheekbones other than zygomatic or cheekbone reduction osteotomies. Dr. Barry Eppley Indianapolis, […]

Q: Dr. Eppley, I was hoping to schedule my jaw implant surgery for the fall however I’ve got another procedure that may conflict. I’m having an MSE to widen the maxilla with reverse pull headgear to attempt to fix my class 3 underbite. This may be a dumb question but the headgear pushes on the […]

Q: Dr. Eppley, I’m having an issue after a (second) chin implant revision, and I have an unusual question. Is it possible to design/ fashion a small “lateral” chin implant (similar to the “wing” of an extended chin implant) to support/ fill in an area of tissue loss that resulted when I recently had a […]

Q: Dr. Eppley, Is it possible to get nipple and areola reduction surgery? Also breast implants of my choice like Motiva or any brand I prefer?  Thank you. A: Certainly nipple reduction can be done at the same time as the placement of breast implants with no adverse effects. One has to be more thoughtful […]

Q: Dr. Eppley, Hello. So, after blepharoplasty only on the left upper eyelid as you can see my left eye is much more open. I would like to avoid the skin graft for aesthetic reasons. As you can see my left upper eyelid is more hollow and the crease is more higher than my right […]

Q: Dr. Eppley, I am reaching out because I have some questions regarding an uncommon procedure that I am seriously considering, and that is shoulder widening. I am a male with noticeably narrow shoulders (even after working out for some time) that measure just barely under 17 inches across which takes a hit to my […]

Q: Dr. Eppley, Is the jaw angle flare on this gentlemen achievable with an implant? I suspect he has had work done, his canthal tilt is sublime, my guess is orbital rim/cheek and jaw angle and chin combo.  it is extremely rare to have a jaw angle wider than one’s head, Brad Pitt is perhaps […]