Blog

Q: Dr. Eppley, do I need to was it 6 months before trying to reverse my hairline advancement? A:I don’t see the benefits of waiting six months after the original surgery to place a forehead tissue expander from a healing or biologic standpoint. From a psychologic standpoint I could see the benefits of waiting six […]

Q: Dr. Eppley, Can my overdone sliding genioplasty be reversed? A:Thank you for sending your x-rays. While there is not a side view after x-ray, which provides important information as to how much forward and downward bone movement was actually done, I can see in the Panorex that there are bone gaps which suggest there […]

Q: Dr. Eppley, I also sent pictures of a model of my jaw. I just want to know if Dr. Eppley is amenable to vertically shaving off 4 mm from my chin to reduce its vertical height. I prefer the submental approach since I already have a scar there and I do not want to […]

Dr. Eppley,I’ve considered for many years a genioplasty for a modest increase to the vertical length of my chin/face. Not looking for a super sharp chin, I know many Asians love the vline but I want to keep the shape but create a little more length (but also not widening). A lot to ask I […]

Q: Dr. Eppley, I know there is too much facial fat on my face but given the progress of cosmetic surgery with you as a pioneer over the last decades,  I am mailing you with interest for facial aesthetic surgery.My goal is to achieve a balanced, masculine facial structure with stronger midface and jawline proportions, […]

Q: Dr. Eppley, I had an endoscopic brow lift earlier this year and the result is over-done. I never wanted my brows lifted this high. My goal was a subtle, more youthful look at the temples because I am still young. Now the middle of my brows sits far too high, and it has completely changed my […]

Q: Dr. Eppley, I had a sliding genioplasty several years that I am interested in revising The initial genioplasty only dealt with horizontal chin projection and now I am unhappy with the shape of my jaw. I believe a revision with some vertical chin projection would help with this. A:Thank you for your inquiry and […]

Q: Dr. Eppley, I’m interested in pursuing full facial liposuction to achieve a more defined, chiseled facial contour. I am hoping for a face that is smaller, sleeker, and more angular.I’m specifically looking for a comprehensive procedure targeting areas such as the jowls and cheeks to enhance overall facial definition. I am interested in facial […]

Q: Dr. Eppley, I need infraorbital implants that saddle. What do you think based on my pictures and x-rays? A:By definition custom infraorbital implants always have a saddle component to them. That is one of their primary benefits as saddling the rim is the only way to try to improve lower lid position. The increased […]

Q: Dr. Eppley, Hello, I was wonder could this be corrected? I have buttock ptosis/drooping. A:What you have is buttock ptosis but with a  well defined infragluteal crease. This is solved by a lower buttock excision/tuck. Dr. Barry Eppley World-Renowned Plastic Surgeon

Q: Dr. Eppley, That’s an example of the procedure I’m talking about. Upon searching, I believe it’s called smile line implants.  A: Those are paranasal/labiomental fold implants…which has nothing to do with face shortening or surgery to try and accomplish that effect. Paranasal implants augment the nasal base area and may indirectly reduce the depth […]

Q: Dr. Eppley, I want to remove a big chin implant but I don’t want extra skin. I’m looking for a surgeon. When I smile its not really fitting to my face. People have suggested just taking it out but I rather fix the extra skin too. A: I believe you are referring to the […]

Q: Dr. Eppley, I’m interested in a forehead contouring procedure that goes beyond the standard “brow bossing reduction.” My main concern is the lateral width and curvature of my forehead. I would like to achieve a narrower and more compact forehead, with a softer transition from the upper lateral forehead (above the tail of the […]

Q: Dr. Eppley, I have a lot of neck sagging and lack of jaw prominence and s short chin. I would like a total jaw augmentation as well as a necklift. What do you think?  A: Thank you for your inquiry and sending your pictures. Your case poses a bit of a conundrum as the […]

Q: Dr. Eppley, Will my labiomental fold eventually soften? I had a 5 mm sliding genioplasty 5 weeks ago, and around weeks 3.5 to 4 I noticed a really deep crease in that area. It’s worrying me that it might stay like this. My surgeon says I’m still swollen based on my photos, but my […]

Q: Dr. Eppley, My concern is that my lower face appears vertically short, which makes my neck seem longer and my head proportionally smaller. When I relax my jaw slightly (keeping my lips closed), my face looks noticeably more balanced, which makes me think I might have lower facial vertical deficiency.I’m interested in understanding whether […]

Q: Dr. Eppley, Hi, I’m interested in a temporal skull implant, but i wanted to ask, how many centimeters can i add to my skull circumference with this implant? I want to make the temporal area more full A:Thank you for your inquiry and sending your pictures to which I can make the following comments: […]

Q: Dr. Eppley, Could a Custom Jawline be done in PEEK/Titanium? A:Yes, it is done all the time. It costs more but it can be done. Also be aware that the dimensions of the implant will be smaller when composed of these rigid materials as they pose placement limitations. Dr. Barry Eppley World-Renowned Plastic Surgeon

Q: Dr. Eppley, I underwent a custom implant treatment on the occipital area (right side) at your clinic earlier this year. I’m very satisfied with the results, but I’m missing a little volume just above my ear (lower right occipital area), so I’d like to have additional surgery.(I don’t think it needs to protrude much.) […]

Q: Dr. Eppley, Interested to see what procedures are worth it for me, insecure about my side profile, especially lower jaw and chin. DJS, LJS, or sliding genioplasty? A:Thank you for your inquiry and sending your x-rays. However, X-rays are not the means by which you determine the appropriate strategy for any facial reshaping surgery. […]

Q: Dr. Eppley, I am a woman interested in a minimal forehead augmentation, and I would like your advice. I have attached reference photos to show my desired result, and I would like to know if this outcome is realistic and achievable. I would also like to schedule a virtual consultation with you. In preparation, […]

Q: Dr. Eppley, Hi, I have a pronounced sagittal crest which then transitions into a flat angled shape at the back of my skull. I was hoping to understand whether a mix of surgery and implants could correct the shape without making the skull overly-large looking? Happy to schedule a consultation if you believe this […]

Q: Dr. Eppley, Hello, I’m seeking professional guidance regarding a recessed chin and a weak jawline, particularly in relation to the gonial angle. I also have noticeable facial asymmetry—specifically, the right side of my face shows a more recessed cheekbone and a weaker jaw angle compared to the left. I’d appreciate help understanding the underlying […]

Q: Dr. Eppley, Hi i would like to do a forehead and back reduction.I would like a flatter back and forehead. A:Thank you for your inquiry and sending your pictures. You have a combination of an occipital protrusion and frontal or for head bossing. Both can be reduced as per the attached imaging. The bone […]

Q: Dr. Eppley, Hi, my goal is to reduce my neck and trap muscles to achieve a more feminine look. I don’t think I can afford the standard Trap botox treatments of ~6k over 2 years.  I thought electrocautery may be more affordable and effective. A:I believe what you are fundamentally trying to accomplish is […]

Q: Dr. Eppley, Hi! I am reaching out regarding your procedure for waist narrowing by rib removal. I understand there is two ways of doing It, one is fully removing the ribs, the other is remodeling them by breaking them in. Which do you do? Also what is the probability of the intercostal nerve damage during […]

Q: Dr. Eppley,  My right shoulder is much wider than my left shoulder, and my left shoulder is somewhat rounded and sloped.  Looks very asymmetrical and somewhat impinged.  In my teenage years, I’m pretty sure I had broken my collarbone or clavicle, and I never did anything about it.  I’m not 100% sure this is […]

Q: Dr. Eppley, had a buccal fat removal which I truly regret. It has thrown off my face proportions and now my face looks very long and narrow. The surgeon assured me that it was a myth that it could age the face and he assured me it would not happen. Are there ways to […]

Q: Dr. Eppley, I am a young male with hypogonadism. I am currently on the maximum dose of testosterone gel and I am interested in learning more about the side-by-side procedure for testicular enlargement. I have a few questions: How are the implants secured in place to prevent the appearance of four testes? Are my […]

Q: Dr. Eppley, I would like to do  also an hairline advancement. So advance the hairline about 2 cm and make it straight. A:Certainly one can have a frontal hairline advancement at the same time as frontal bossing reduction as the two procedures are synergistic both in terms of technical execution as well as their […]