Blog

Q: Dr. Eppley I had a chin implant approx 20yrs ago hard silicone and had a bike accident about 5 yrs after the implant shifted and was removed. I had another one put in intraorally metaphor with no problems but my lower lip was saggy. (lip ptosis) I had a mentalis resuspension with 2 mitek […]

Q: Dr. Eppley, I’m interested in an umbilicoplasty to improve the shape of my bellybutton. I want it to be more elongated and vertical. I have been told by other surgeons that not much can be done. I’m wondering if you have any suggestions. A: What you currently have is a horizontally oriented belly button […]

Q: Dr. Eppley, I’m 33-year old male and have recessed cheeks in all directions. I have been considering getting custom cheek implants for some time now. I’m interested in something like the following patient of yours: https://exploreplasticsurgery.com/plastic-surgery-case-study-large-custom-infraorbital-malar-implants-in-a-male/?doing_wp_cron=1614419247.3002281188964843750000  I do not have scleral show and my eyes are positively canted but I do have negative orbital vector. […]

Q: Dr. Eppley, I’m severely distressed by my orbital asymmetry and would like to inquire about corrective surgery (based on your “Case Study: Correction of Eye/Orbital Asymmetry with Hydroxyapatite Cement” page). I understand some of the risks of surgery like this, but would love to know more, and to discuss any possibility of me being […]

Q: Dr. Eppley, I am considering implants for both the chin and the angle. However my biggest fear is their displacement and extrusion. I read on your site that they tend to come up at the site of the intraoral excision. That being said, I was wondering if the chances of both extrusion and displacement […]

Q: Dr. Eppley, in 2015 I had a double jaw operation and also my chin is done. I am really dissapointed off the results I lost my ‘ jaw angle’ is it possible to get it back I don’t want a square face. but this really does not look good.  Hope to hear if something […]

Q: Dr. Eppley, I am a big fan of your work. I am from UK and for the kind of treatment I need my options here are quite limited. Very few surgeons are experienced in implants here in Europe.  I am contemplating doing something to get my jaws wider and more defined. I do not […]

Q: Dr. Eppley, I’m a 33 year old female. As a teenager 4 of my premolars were extracted for braces, and later 4 wisdom teeth. My facial profile is very flat with no frontal projection of the cheekbones as a result (I lost several mm of volume in my face). I tried to have my […]

Q: Dr. Eppley, I had a punch to my face almost 4 years ago and now have a dimple in my cheek. It is not painful but I do not like how it looks. If I smile to much, to hard, or to long it does feel somewhat odd and looks like a big ball […]

Q: Dr. Eppley, Over the years I have lost fat above my left eyebrow that is causing a very noticeable shadow in different lights. The shadow/dent makes it seem I am angry all the time even when my face is at rest. It is causing me to be very insecure with my appearance. I have […]

Q: Dr. Eppley, I want to shorten my midface to bring it into better facial balance. I think a LeFort I impaction osteotomy will work, what do you think? I have attached another surgeon’s result from a similar procedure which is why I ask. A: Thank you for your inquiry and sending your picture. In […]

Q: Dr. Eppley, my chin soft tissue is really just sitting on top of the bone and does not feel super attached. I just would like to know if you believe that a vertical lengthening bony genioplasty will cause it to move down as well. Thank you so much for your time.  A:Whether the soft […]

Q: Dr. Eppley, Hello I would like to know if I’m candidate for bone cement….I would like to reshape my head….I have attached 2 photos one is the actual shape of my head and the other one is my desire how I would like to be shaped.  A:Thank you for your inquiry and sending your […]

Q: Dr. Eppley, My sliding geniopasty surgery was in early September.  I recently had a panoramic dental x-ray and noticed that the line of bone where it was cut for the genioplasty is dark – doesn’t look like there is mineralization there yet.  Is that normal or anything to be concerned about?  I would imagine […]

Q: Dr. Eppley, Hello i have scar left from the upper lip lift with corner lip lift. From that my mouth can’t open wide even can’t see a dentist, corner of my mouth become so tight and short. I have concerned it so much and seeking for help if it can be fixed. Thank you […]

Q: Dr. Eppley, I am very interested in getting standard mandibular widening jaw implants and custom cheek implants (For the male model look). After extensive research on these procedures, you seem to be the best surgeon to perform this so I plan on seeing you in the near future! I have a few questions I […]

Q: Dr. Eppley, What is the average cost of a forehead horn reduction surgery and can it be combined with a hairline lowering procedure? A:It would be very common as well as convenient to put upper forehead bony reduction surgery with a frontal hairline advancement. Dr. Barry Eppley Indianapolis, Indiana

Q: Dr. Eppley, after sliding genioplasty, when the bone is healed, what will be the shape of mandible? will it be moulded in the natural shape or will it be in form of as placed postoperatively? another quere is is afterward that mandible will be weak and more prone to fractures? A:If you place tissue […]

Q: Dr. Eppley, I have another question for you regarding jumping genioplasty. If the midline of the jumped chin segment were cut and a cadaver bone block were placed and the sides of the chin pushed out, would the step offs be hidden as illustrated in the attached images? Also, do the tongue muscles remain […]

Q: Dr. Eppley, I have a big head. Is there surgical procedure to reduce forehead and back of head size? A:Like all skull reduction procedures the question is not whether it can be reduced but whether the amount of reduction possible is enough to aesthetically satisfy the patient. That has to be determined on an […]

Q: Dr. Eppley, Hi, I am interested in getting a reduction of the zygomatic arch and an occipital reduction. But after getting these procedures will I still be able to play contact sports like rugby? Will I be more at risk of a skull fracture or brain injury in the future after these procedures? A: […]

Q: Dr. Eppley, If I were to do jumping genioplasty instead of sliding genioplasty would you still use bone chips to fill the ‘dead space’ and would the step-offs become less noticeable as the bone remodels? And could the bone cut be made low to keep the vertical shortening in the 2-4mm range?  Just curious […]

Q: Dr. Eppley, I am aware that your office performs rib removal for body contouring purposes. After doing some research into rib removal and other methods of waistline reduction I have come across the Kudzaev method of waist narrowing[1]. This procedure is currently only popular and performed in eastern Europe and involves performing a partial osteotomy […]

Q: Dr. Eppley, I would like to know if it is possible to reduce the volume of the greater trochanter bone ? Because for me, it sticks out a lot and makes my silhouette look very weird. My greater trochanter isn’t in the continuity of my hips and it causes me a great pain (impossible […]

Q: Dr. Eppley, Hi, I have a natural narrow mouth in neutral position. I am considering a lateral commissuroplasty to make my mouth in neutral position a little bit wider and model look. (2mms each side). However, when I smile my mouth is wide, so by getting this lateral commissuroplasty, while my smile get wider? […]

Q: Dr. Eppley, Hi I am considering lateral commissuroplasty of increased outer mouth width (1-2mms) equally. Will the scarring be bad? I know the area around mouth is sensible and easily scar-able. But how bad is it? Can the scars be seen from face to face distance or do you have to really look at […]

Q: Dr. Eppley, I had a gynecomastia surgery in two years ago. The result looked very good in the first month, but after removing the compression strap a scarred tissue lump appeared on both nipples and the skin was also flabby. Six months later my doctor injected steroids and I didn’t like the result, the […]

Q: Dr. Eppley, interested in removing excess sagging around belly button and what the cost and procedure would be.  A:Thank you for your inquiry and sending your picture. With loose skin around the umbilicus there is no good direct way to remove it. (i.e., vertical excision or periumbilical excision) Such scarring is just as bad […]

Q: Dr. Eppley, I had a chin Implant 3 years ago when I had a rhinoplasty done. I never wanted a chin implant however the surgeon recommended so I got it. Nine months after I decided to get it removed because I felt it made me look masculine, too much projection. However my skin began […]

Q: Dr. Eppley, Hi! While I’m in no place to afford a cosmetic cranial implant right now, I was wondering if I could see results in the future. I’m a 5’9″ male with a cranial circumference of 53 cm. So extremely small, and I absolutely hate my head. Can a cranial implant make my head […]