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Q: Dr. Eppley, I underwent a buccal fat pad removal surgery, during which approximately 5.0 ml of tissue was removed from each side. Unfortunately, I have since developed very significant adverse effects, including severe cheek hollowing, noticeable facial sagging, and what appears to be a collapse of the facial support structure. This has also led […]

Q: Dr. Eppley, Hello, I am curious if the resorbable lag screws that can be used in a sliding genioplasty go unnoticed in dental x-rays and x-rays in general? If so, how long does it take for the complete healing and for the lags screws to be reabsorbed? Will it be 100% undetectable? Thanks! A: […]

Q: Dr. Eppley, I am interested in jaw implant augmentation where a small external skin incision is placed either right at the back of the jaw angle or around the base of the earlobe. A:A completely transcutaneous approach to jaw augmentation can be done provided at the amount of angle augmentation is not excessive. Such […]

Q: Dr. Eppley, Hello, as you can see there is an obvious difference between the right side od the frontal bone and the left side. On my right side you can see concavity and lower brow bone . So im asking is there some sort of implant that can be inserted safely so i can […]

Q: Dr. Eppley, I have a quick question about jawline implants and thick soft tissue. If someone has thicker coverage (skin, subcutaneous fat, and masseter muscle), does reducing some of those layers improve implant definition? Specifically: Would masseter Botox (to slim the muscle by ~25–30%) before or after surgery help the implant show better? If […]

Q: Dr. Eppley, Recently I lost some weight, and a family member was wondering why I am frowning, was I in a bad mood etc… On a side profile picture, I have a frown, like a hollow in my forehead. I have sent some photos for you to see. What can be done to improve […]

Q: Dr. Eppley, Will the aesthetic outcome look like how it did before removing the buccal fat pad? A:The simple answer is no. Whenever you have removal of tissues that are then secondarily reconstructed by the placement of new tissues one should never expect to return exactly to what they look like before the original […]

Q: Dr. Eppley, I wound up getting pelvic plasty with the Korean yonsei baro chuk group that does it  as well. I went for a first surgery 6 months ago and then an attempted revision to fix the plastic portion again 1 month ago. Unfortunately neither helped at all, and now I am even worse off […]

Q: Dr. Eppley, My goals are to get rid of the under eye exposure maybe through orbital rim implants and to get a sharper jawline that still looks natural and a wider lower jaw. A:For under exposure an orbital rim implant is certainly needed but that alone will not completely elevate the lower lid. This […]

Q: Dr. Eppley, I don’t have any pictures but I do have cd’s of scans of my entire skull and face.. I’m interested in the services the Dr. Eppley provides. He must be the only one in the country that can help me. A:To determine of what you need is something in which I may […]

Q: Dr. Eppley, Hello, do you do jawline shaving to where you make me look more feminine? A:The question is not whether you can have chin and jawline reduction, as you can,  but whether in doing so it would make you look more feminine. This type of potential change is best assessed in the front […]

Q: Dr. Eppley, I want to reduce the skull. There are prominent bones and a lot of asymmetry. The skull is wide. A:Thank you for sending your illustrated pictures. On the one picture with the drawling I am going to assume that these are the desired general areas of reduction not necessarily how much you […]

Q: Dr. Eppley, I had custom infraorbital implants placed earlier this year and it did not make my undereyes look a lot less hollow. Why is this? I have good lower eyelid position with no sclera show. Is this because I have no fat pads under my eyes and need a fat transfer, or because […]

Q: Dr. Eppley, I would like a very dramatic midface transformation; I have been insecure of my strong nasolabial folds and premature genetic jowls since I was a child. I would like the implant to be at least 2-3 cm thick in some areas, for example the under-nose area, where my recession is evident.  A: […]

Q: Dr. Eppley, What kind of suture technique  does Dr. Eppley use in the forehead reduction ( hairline lowering surgery) to reduce suture tension? A: Bone anchored flap scalp advancement…that is the most effective method of reducing tension on the scalp-forehead suture line closure. Dr. Barry Eppley World-Renowned Plastic Surgeon

Q: Dr. Eppley, Hello, I always thought my head is really wide and weirdly shaped. I think I didnt look like that when I was a child and now It looks like its huge and rounded. Is it possible that my bones grew up and thats the reason I look like this or it could […]

Q: Dr. Eppley, Interested in knee lift and lower buttock lift ( ptosis case II) I had failed thigh lift and my buttock dropped. A: Thank you for sending your well illusrated buttock and knee pictures. Your buttock pictures show a low infragluteal crease with a resultant elongated buttock appearance. The type of buttock lifted […]

Q: Dr. Eppley, I’ve been interested in getting a rhinoplasty as well as a chin implant/genioplasty. My question is, in your professional opinion, does a genioplasty have an advantage over a chin implant when it comes to breathing/opening the airway? My understanding it that it stretches the muscles out more which improves sleep apnea. Wouldn’t […]

Q:Dr. Eppley, Hello, Im looking into skull augmentation focused on temporal and forehead areas. i believe i have an underdeveloped skull and facial structure. please see attached pics and video. my overall skull seems underdeveloped and grown downward. i was planning on getting cheeks and a chin implant for forward projection and width to help […]

Q: Dr. Eppley, My eyes are uneven and I’m looking for something to help with it. Would you be able to help? Here is a picture for reference. Thank you! is a pic. Please let me know if he thinks he can bring one eye up higher and if he thinks I would look drastically […]

Q: Dr. Eppley, I would like a very dramatic midface transformation; I have been insecure of my strong nasolabial folds and premature genetic jowls since I was a child. I would like the implant to be at least 2-3 cm thick in some areas, for example the under-nose area, where my recession is evident.  A: […]

Q: Dr. Eppley, , I have been on corticosteroids for around 20 years due to kidney disease, and I had a kidney transplant 12 years ago. Over time, long-term steroid use has significantly changed the shape and size of my face and head, as shown in the attached photos (age 16 before steroids vs. age […]

Q: Dr. Eppley, Hello! I was wondering if you perform surgeries that can increase the space between the eyes? My eyes are too close together, and I am interested in getting a surgery to make them more wide-set A: The type of procedures that can make a significant difference in increasing interpupillary distance, orbital box, […]

Q: Dr. Eppley, Hi, I am interested in your large skull reduction procedure. My head circumference is about 23.5 inches, and it looks disproportionately large compared to my frame. I was wondering if the burring method could be used around the entire skull to reduce the size, and if it would be possible to get […]

Q: Dr. Eppley, I’d like to make my face more angular. I thought that a three level facial augmentation could be my best option. Is it a good idea or does It risk too look “too much” for me? I’m not sure about brow bone augmentation btw. I’ve had double jaw surgery and rhinoplasty in […]

Q: Dr. Eppley, I have VOD (right eye lower). I will send (attach) photo. can it be fixed? I am planning on getting the right eyebrow lifted with botox next week (I have done this before), which kind of helps to even things up, but as you can see, the pupils do not line up […]

Q: Dr. Eppley, I would like to know more information about scalp rolls removals and wrinkled skin at back of head. A:Thank you for your inquiry and sending your pictures. In looking at your pictures my suspicion is that this scalp roll may be associated with a bony overgrowth of the occipital knob or nuchal […]

Q: Dr. Eppley,I’m interested in undergoing a reverse otoplasty targeting the lower and middle portions of my ear. I previously had otoplasty and part of the ears are too close to my head. From my research, I believe this may require the use of a grafting material to achieve the desired projection. Given your extensive […]

Q: Dr. Eppley,I have currently have silicone implants, size medium. Please see link to the model below: https://www.implantech.com/product/conform-terino-malar-shell/ Previously to this, I had the combine malar shell implants in size small: https://www.implantech.com/product/combined-submalar-shell-2/ I absolutely loved these implants and feel they really suited my face. Unfortunately I developed a small infection, so the surgeon opted to […]

Q: Dr. Eppley, https://exploreplasticsurgery.com/case-study-correction-of-eyeorbital-asymmetry-with-hydroxyapatite-cement/ Hello, I found you through this article. The man in your post is experiencing the same problem with my eyes. I live in Türkiye, and I don’t know if there are any doctors specializing in this. If I were to come to you for an examination and surgery, could I inquire […]