Blog

Q: Dr. Eppley, Repaired Cleft Lip Vermilion Realignment and Insurance Inquiry Dear Dr. Eppley and Team, My name is Jessica and I am reaching out to request a consultation regarding a potential lip procedure. I am an adult with a repaired bilateral cleft lip and am currently seeking options to correct residual asymmetry and misalignment […]

Dr. Eppley, i have a very flat forehead and protruding brown bone, the front top of my head is also flat. A:With a flatter forehead and upper top of the head (these two always go together) this can make the brow bones look artificially protruding. Whether the brown bones should be reduced can be debated […]

Q: Dr. Eppley, I just want ur opinion as somebody who’s is attuned to facial aesthetics. I have vertical optical dystopia where my eyes are uneven, you confirmed this earlier this her. It’s hard to gauge from my own perspective. Do you think something like an optical rim augmentation would have a significant and noticeable […]

Q: Dr. Eppley, Hello doctor I hope you’re doing well I was wondering if you provide any surgery for a barrel chest deformity for more feminine contour without and bulge or excessive broadness as it’s causing me significant social embarrassment and dysphoria thank you so much.  A:The barrel chest deformity is not a problem yet […]

Q: Dr. Eppley, Would like to change the shape. I’m not sure what is the best option? The top of the head has a dip and is flat, not sure if could be burring or implant. Front forehead is also too large. A:Thank you for your inquiry and sending all of your pictures. You really […]

Q: Dr.Eppley, I had double jaw surgery back in 2019, and after the swelling had gone down, i noticed that my chin “button” or so my orthognatic surgeon called it, was able to be moved around easily, and protruded way too much, and when I smile, things look even worse, it gives a “witchy” look. […]

Q: Dr. Eppley, The custom silicone skull implant is not soft when a hand presses on it? I am asking because the silicone implants look hollow and soft on the website and the Instagram account.It is not clear to me how the silicone can feel just like bone? A:Like wall paper on a wall, it […]

Q: Dr. Eppley, what happens when a skull augmentation procedure is two-staged as in my case? Would I be staying in the hospital this whole time? How is the scalp expanded? Would the whole procedure leave any visible scars? And where? A:A two stage skull augmentation requires two separate surgeries spaced 8 to 12 weeks apart. […]

Q: Dr. Eppley, I am researching looking into Testicular implants due to testosterone therapy. My balls are very small due to the therapy. A:Most testicles implants done for enhancement due to atrophy are done by a side-by-side custom implant technique. This is effective and lowest complication risk approach. As a general rule we want the […]

Q: Dr. Eppley, I am indeed interested in the hip augmentation via implant. I seek is to add more width from a front/back view to my hips. Definitely give me your thoughts. Also, I read this on your website – “Secondly overall hip augmentation is the lateral zone from the iliac crest down almost to […]

Q Dr. Eppley,I researched where I could get surgery to increase the si ze of my thighs and legs (with silicone implants). And I found you. What would be the total cost of plastic surgery? This is my hip and it bothers me a lot that my butt is V-shaped (due to liposuction) and my […]

Q: Dr. Eppley, I’m looking into getting a facial fat graft under the eye area. My question is, if I lift weights at the gym 1 week post op will this prevent the fat from engrafting? Can it cause the fat to die or move around? Please let me know.  A:The understanding of the biology […]

Q: Dr. Eppley, For my right shoulder implant(s) for deltoid muscle atrophy which is better…measured custom or a  D custom implant approach? Which one do you think is more beneficial.  Cost is not an issue,  I just want to know which is better and why. A:3D custom body implants, designed by the patient’s 3-D CT […]

Q: Dr. Eppley, I’ve been looking into treatment options for my sunken under-eyes—potentially fat grafting?  A:Thank you for sending your pictures. You’re under eye hollowing, which primarily occurs along the infraorbital bony rim, can be treated buy a multitude of methods from fat injections to various implants placed along the bony rim. Each of these […]

Q: Dr. Eppley, In general, I feel like my head is too small for my body (I’m 5’7’’ and about 150 pounds). It’s kind of flat at the top and at the back, I feel like it lacks that roundness and volume at the top, I try to cover it with hairdos, fangs and such, […]

Q: Dr. Eppley, I have a defibrillator but could I get breast implants under the muscle ??? A: When a patient is considering breast augmentation with an indwellng on  demand pacemaker or a defibrillator the followiong three pieces of information are needed: 1) Medical/cardiac history 2) Operative notes from the device placement 3) AP/Lateral chest […]

Q: Dr. Eppley, Can the Pelvic Plasty procedure give stability to a females hips? I want to know if it will alter my balance. A: The Pelvic Plasty procedure is an aesthetic augmentation procedure of the hip bone (iliac crest) and the subiliac soft tissue hollow. It is not intended to be a functional procedure […]

Q: Dr. Eppley, may I ask what materials are used in 3D printing? Is it primarily silicone? A:3D printing can use virtually any material so that should not be the basis for choosing an implant material.  You choose an implant material based upon the most overlooked property by patients and surgeons alike… and that its […]

Q: Dr. Eppley,I have had a sagittal bump reduction done in 2023. The bump gradually reocurred and reached the same extend 2 years after the procedure (pictures). If surgery was performed again: Is reocurrence as likely and are there any preventive measures? A:Recurrence after a sagittal skull reduction, or any form of skull reduction, is […]

Q: Dr. Eppley, I am looking for a specialist for a mentalis/lip resuspension after à terrible génioplasty years ago.  But if you have a real beautiful solution to my problem ( I cannot close my mouth, the lower lip is far too low in the resting position etc…)  Here are some photos. A:Thank you for […]

Q: Dr. Eppley, Looking for implant as I lack bone in underye and looking for affordable treatment. A:Based on your Picture infraorbital rim augmentation done through to a lower blepharoplasty incision would be a long lasting and effective treatment. Well ideally this should be done through custom infraorbital implants there also options for standard implants […]

Q: Dr. Eppley, I was born with craniosynostosis and had a corrective procedure when I was only a few months old. As I aged, the shape of my head was always a concern for me. I am eventually seeking to get a large skull augmentation procedure performed in the near future. I have a pretty […]

Q: Dr. Eppley,I have always had a rather large head that has a conical shaped section at the top. I would like to know if I could be a candidate for successful skull reshaping surgery. My desire is for my head to have a more rounded shape. I recently viewed a side profile picture of […]

Q: Dr. Eppley,I’ve spent countless hours reading your blog, and reviewing your incredible work.  I had orbital rim, malar and paranasal implants (medpor porex) with accompanying midface lift ten years ago.  Although I was pleased at the time, and in the immediate short term, as years passed the extremely subtle intervention has been disappointing.  I would like to […]

Q: Dr. Eppley, I’m interested in s head implant to be taller but I’m not sure how it would look. It’s this a common procedure and does it turn out looking normal? I would like to be about an inch taller A:At a full inch of height it may or may not look unnatural. At […]

Q: Dr. Eppley, Hi!!! I’m super interested in a few procedures (Clavicle Reduction, Hip Augmentation, and Rib Contouring/Narrowing) and have a few questions! Would love to schedule a consultation to discuss! I’m curious for the Rib Contouring/Narrowing if you all use the RibXCar method or a different procedure for it. I’m also curious about cost […]

Q: Dr. Eppley, I’m a fan of your blog articles – thanks for all the helpful information. I’m looking into getting a midface lift as I have sagging In that region from cheek implant removal. I would love to see someone who specializes here such as yourself, but am considering local options for consults to […]

Q: Dr. Eppley, Can i have 5 sessions of Iliac crest reduction? A: Whatever amount bone reduction that can be done to the iliac crest is accomplished in a single surgery. Dr. Barry Eppley World-Renowned Plastic Surgeon

Q: Dr. Eppley, Please allow me to provide the context and reasoning for my case. I have a slightly recessed midface but a prognathic upper and lower jaw (SNA angle of 102 degrees), and because of this my upper midface looks significantly recessed compared to my lower third. I would like a cosmetic correction to […]

Q: Dr. Eppley, Would love a consultation around reducing the overall size of my head please. A: Thank you for sending your video of your head. When you speak of head size reduction that could mean overall head reduction or spot areas of reduction. I am going to assume it is the former. When considering […]