Blog

Q: Dr. Eppley, If you remove some chin or jaw reduction surgery, could that removed bone be milled and  “processed” to replace a small silicon implant for temporal or suporalateral orbital implant? This is for a patient who wants to use all his/her own body tissues. All foreign material, including silicon implants, will trigger and interact […]

Q: Dr. Eppley, I’ve always been self-conscious about my weak chin, but am unsure what the right solution is. I’ve received multiple consultations about options, but surgeons can’t agree on what type of implant is best. I’m curious whether you think an implant or a sliding genioplasty would be better. If an implant is the […]

Q: Dr. Eppley, I am interested in rib contouring to fix this protruding rib and to create a more narrow upper body. A: You appear to have a unilateral subcostal rib flare. That can be treated by either cartilage cuts and bending of the flared segment (requiring 6 weeks of banding to ensure that it […]

Q: Dr. Eppley, I was wondering if orbital box osteotomy to increase my IPD, this is for cosmetic purposes, as my eyes are too close together, and I don’t like how I look. A: The magnitude of orbital box osteotomy surgery is excessive and not appropriate for your IPD problem. It is a reconstructive procedure more […]

Q: Dr. Eppley, I wanted to enquire if there’s any surgery/ treatment that would be able to soften my labiomental crease in my chin? I’ve been advised about lengthening my chin vertically but I’d be worried it would look too long from the front view. Could a fat transfer or bone graft to the fold […]

Q: Dr. Eppley, I am wondering if it’s possible to “heighten” the mentalis fat pad and mentolabial fold, and shorten the sublabial subunit using fat grafts to create the look of a more robust, masculine chin. I’ve made this mock up in photoshop and am curious to hear your opinion on whether it is plausible […]

Q: Dr. Eppley, Based on your experience and where craniofacial surgery is realistically headed, do you expect limited orbital widening for normal anatomy (beyond very small changes) to become meaningfully safer or more justifiable for cosmetic use in the next decade or do you see the risk–benefit balance staying essentially the same? A: For eye […]

Q: Dr. Eppley, I am interested in discussing testicular implants. I have read that Dr. Eppley does this procedure, and does it differently than some other surgeons, however, I see no evidence of this procedure on his website. Please confirm that Dr Eppley performs this procedure before I book a consultation. A; I am not […]

Q: Dr. Eppley, Can Mms chin be augmented successfully with less than 10mms projection?Also, I’ve found that almost no one mentions using Glasgold wafers or Flower mandibular glove implants. Are they just not as common?  Or do they not work for my anatomy? A: The relevance of the 10mm number is that is what creates […]

Q: Dr. Eppley, I had a vertical line on my upper lip when smiling. I consulted a board certified plastic surgeon about options. He recommended “frenulotomy”. Stayed the only impact on smile would be “more incisor show” no other significant impact. My entire smile changed with drop of upper lip. I believe he did a […]

Q: Dr. Eppley, I think the problem with my eyes is that the cheekbones are flat and wide. I would like to reduce my cheekbones a bit and maybe also the temple width or contoured. I need my eyes to look bigger and more open. My cheekbones are flat and too prominent. I notice this […]

Q: Dr. Eppley, Hello there, I have a tattoo going around my right wrist that I would to remove via surgical excision and skin graft replacement. A: Thank you for your inquiry and sending your pictures. Excision and skin grafting of your circumferential wrist tattoo is one treament option for it. Whether that is appropriate […]

Q: Dr. Eppley, how long I would need to wait after temporal artery arterial ligation to consider doing a brow lift? Or should I just wait and get the ligation done after the brow lift? It really makes no difference to me, I just want to do whatever will yield the safest and best aesthetic […]

Q: Dr. Eppley, Are you able to repair the greater auricular nerve that was damaged in a neck lift? A:That depends on the nature of the nerve injury. Was it cut? Was it trapped in a suture/scar? Can the nerve or its ends be found amidst the scar? These are all questions which can not […]

Q: Dr. Eppley, Hello, just inquiring. I don’t actually think there currently is any option, but is there any procedure to improve sacral sloping? Currently I have a very flat upper butt/lower back, but don’t think I’ve seen procedures for it. Closest is bbl, but that often seems to make the flatness more prominent in […]

Q: Dr. Eppley, Adore Dr. Barry Eppley’s work! I have been a big fan for many years!!! I have never had a breast augmentation. My breast tissue growth is related to hormones. Because of that I have noticed significant reduction in volume on the top of the breast and would like an implant to help […]

Q: Dr. Eppley, I want to get the tail of my eyebrows and eye corners lifted. Is this possible in me since they are already a bit high? A: Imaging is a very important step in considering any type of facial reshaping surgery. However it is first important to understand what imaging is and its role […]

Q: Dr. Eppley, mTo complement rib removal surgery, I would like you to perform resections of the dorsal muscles, liposuction, and a corset-style back lift to amplify the effects of the surgery. A: The vertical backlift to which you refer can be done provided one has adequate lax back skin to make it effective without creating […]

Q: Dr. Eppley, In the shoulders, I’d like to have a shoulder reduction with scapular filing. I’d also like to know if you file down the acromion? And if you can change the angle of the clavicle to a more feminine one, since the angle between men and women is different. A:For shoulder reduction the typical […]

Q: Dr. Eppley,In the pelvis, I’d like to have a pelvic scraping to improve the waist-hip transition. Another question: do you file down the iliac spines? Because mine are very prominent and pronounced. A: for iliac crest reduction this is done from the anterior superior iliac spine back to the mid-portion of the crest where it […]

Q: Dr. Eppley,I’ve been looking at your posts and I’ve noticed that you can modify the ribs up to the 7th or 6th, if I remember correctly. So I’d like to have a rib removal from the 12th to the 9th or 8th, and for the other two ribs or the rib above, an osteotomy […]

Q: Dr. Eppley, I want to have a mouth narrowing procedure. A While mouth narrowing surgery is possible I would be cautious about it due to the scar line that will result in the wake of moving the mouth corners more inward. Dr. Barry Eppley World-Renowned Plastic Surgeon

Q: Dr. Eppley, I desire all the procedures of a complete facial feminization, I want to use a more bony and deeper approach to the bone structure. That is, common facial feminization addresses the bone, but mostly by filing it down. In contrast, I have observed that the male face, in its physiognomy, is not only […]

Q: Dr. Eppley, Regarding the head: – I would like to have a facial and cranial reduction and feminization procedure. This means shortening, narrowing, and filing down the bony prominences of the skull to make it more rounded and smaller, that is, more feminine. Among the things I want most is to reduce the lower […]

Q: Dr. Eppley, My face is wide and short. How can I fix it? A: In the wide and short face the typical approach would be to lengthen it vertically at the chin area and do soft tissue reductions in the cheek and lower facial area. However your pictures shows a very prominent chin that […]

Q: Dr. Eppley, I’m looking into the temporal reduction for the width of my forehead.(temporal muscle reduction) Looks to be the most solid option from what I’ve researched. Seems like my width/corners of forehead are just wide and pop out too much throwing my face off if i dont have hair covering my forehead or […]

Q: Dr. Eppley, I understand that the most common approach to treating VOD involves an orbital floor implant. I also note that he mentioned that performing a floor implant would likely require repositioning of both the upper and lower eyelids. A:An orbital floor implant is the easiest and most predictable part of VOD surgery. However,  […]

Q: Dr. Eppley, how can I attempt to improve my asymmetrical eyes? You will note that the medial canthii are different to each other. A: I assume that you realize that the differences between the two medial canthi positions is relfective of the more global issue of vertical orbital dystopia (VOD). The right eye and […]

Q: Dr. Eppley, I would like to know, in my case if an occpital bun reduction would be possible. I would also like to know if Dr Eppley use video consultation for clients from others country. Thank You A: You have provided the definitive answer to the question of whether occipital skull reduction would be […]

Q: Dr. Eppley, I do have a couple of follow-up questions as I think through which approach would be the best fit for my goals: For Rib Xcar, since the permanence is listed as dependent on corset wear, is there any updated information on how stable the results tend to be long term once patients […]