Blog

Q: Dr. Eppley, My question is about ribxcar vs rib removal with the Latismus Dorsi muscle resection you do. I have scoliosis and my left side has much more muscle while the right curve is concave giving me a great curve on the right side but straight on the left. I’m actually seeing better results […]

Q: Dr. Eppley, I’m a 70 year old man interested in the least expensive method to reduce Turkey Neck. (wattlectomy)? Thanks A: Thank you for sending your pictures. There is no question that the most surgically effective, quickest recovery and most economically efficient procedure for a turkey neck is the direct necklift. While this has […]

Q: Dr. Eppley, I am interested in a consultation for a unilateral cheekbone implant revision. I currently have Medpor cheek implants on both sides. I am very happy with the appearance of one side, but the other side has a visible asymmetry in size/projection that I would like to correct. In the photos I am […]

Q: Dr. Eppley, Does you perform the “Vertical Restore” facelift? A:Yes. But patient selection for this type of facelift is absolutely critical. The more vertically oriented facelift requires a superior vector in which the incision must run along the temporal hairline. This is what allows for the lift to be largely vertical rather than more […]

Q: Dr. Eppley, I am interested in reducing the bump on the back of my head. My questions are: It is safe? How much of the skull protrusion can be reduced? What are the risks? How long for full healing? A: In answer to your occipital skull reduction questions: 1) Occipital skull reduction is both […]

Q: Dr. Eppley, I am interested in shoulder widening surgery. My height is 188cm, waist measurement 72cm weight of 69kg and bideltoid measurement of 47cm. I have already tried the gym but even with 15kg of added muscle weight my shoulders look the same. A:Thank you for your inquiry and sending your pictures. Unlike shoulder […]

Q: Dr. Eppley, I want a more aesthetically pleasing forehead. I have a high hairline and a narrow forehead. What can I do? A:Your goals indicate a desire for both forehead-temproal widening and hairline lowering. The problem is each one is contrarian to the other. Meaning they can not be done at the same time. […]

Q: Dr. Eppley, Hi! Im reaching out wondering If based off these images if I’d be a candidate for skull reshaping, i have flat head syndrome and it is my biggest insecurity. I ideally want more projection in the back of my head, especially near the upper part as it kinda slopes inwards instead of […]

Q: Dr. Eppley, I’m still struggling with the same developmental dysphoria we discussed back then, and I’ve been researching newer rib-remodeling techniques such as RibXCAR and RibBOSS. Before I make any decisions, I would really value Dr. Eppley’s perspective, given his expertise with rib contouring and fixation techniques. A: To best understand the differences between […]

Q: Dr. Eppley, Hi! Im reaching out wondering If based off these images if I’d be a candidate for skull reshaping, i have flat head syndrome and it is my biggest insecurity. I ideally want more projection in the back of my head, especially near the upper part as it kinda slopes inwards instead of […]

Q: Dr. Eppley, I came across several of your detailed explanations about nasal sill loss after lip lift surgery, and they were the clearest I’ve found. I have a similar complication from a 2021 lift, and I’m trying to find someone experienced in revision or at least improving the appearance.If this isn’t something you treat […]

.Q: Dr. Eppley, Im looking to create and install custom infra orbital implants to fix my sad/tired look that has always bothered me and made me insecure. People have often told me that i look super tired and sad ive tried every undereye skincare cream there is and spent more than 1000€ for them and […]

Q: Dr. Eppley, Hello, I would like to ask for your professional guidance regarding several anatomical concerns that affect my self-image. In different areas of my body —the sides of my wrists, my elbows, shoulders, knees (especially when I bend them), kneecaps, hips, and ankles— I have very prominent and angular bony contours. They create […]

Q: Dr. Eppley, Do you perform anterior rib-10 / costal margin reduction? I have a lifelong prominence of the anterior costal margin (rib #10) directly under the breast fold. This sticks out even when I’m lying flat, and it’s not related to posture or abdominal tone. I am NOT interested in waist-narrowing procedures or removal/remodeling […]

Q: Dr. Eppley, what material is being used for skull implants? – is there a lifetime for the implants? Doe they need to be removed after a certain period of time? – Can the implants move/ change their position? – what is the chance of rejection of the implants? – what is the chance of […]

Q: Dr. Eppley, You did a custom forehead implant for me on six years. I am very pleased with the results. The reason I’m contacting you today is because I’m going to have an MRI of my prostate. I just want to confirm that the implant and the screws are safe to go into a […]

Q: Dr. Eppley, I’m a transgender woman 48 y/o. I’m starting the planning process for facial feminization surgery. Any help or information you could provide would be greatly appreciated. Thank you. A: In facial reshaping surgery the first thing you need to do is generate a list of your facial shape concerns in the other […]

Q: Dr. Eppley, I previously had double jaw surgery and V-line surgery that I regretted. After that, I underwent reversal double jaw surgery and received a custom jawline implant to restore my appearance, based on my before-and-after surgery CT scans. These procedures improved my appearance and reversed the changes to a certain extent, but my […]

Q: Dr. Eppley, https://www.eppleyplasticsurgery.com/how-much-shoulder-widening-clavicle-lengthening-can-be-safely-achieved/ I was wondering if you’ve learned anything new about the limits of clavicle lengthening, as well as its correlation with wingspan. A: There have been no improvements as to how much clavicle lengthening can be achieved per side (15 to 20mms). Nor do I envision that happening any time soon as […]

Q: Dr. Eppley, Hi there Dr 👋I’m wondering if you can help me. I am really insecure about my forehead scar from a previous hairline lowering surgery. They made it too low, so I had to have some of the hair removed to make my hairline bigger again, but now the scar is evident. Ive […]

Q: Dr. Eppley, I am considering a lower blepharoplasty as well to reduce sclera show. Do you also offer fat grafting on the upper eye region to reduce upper eyelid exposure? A: A lower blepharoplasty in the traditional sense is not an effective method for treating scleral show. Improving sclerai show requites a multitude of […]

Q:Dr. Eppley, My skull depression is about 2.5” by 2”. My only concern would be pressure on my skull/brain over time. A: No form of external skull augmentation has any risk of putting pressure on the brain which is protected by the intervening bone layer. Dr. Barry Eppley World-Renowned Plastic Surgeon

Q: Dr. Eppley, I’m interested in speaking with the Doctor about having pectoral implants done, both to increase size and correct a structural asymmetry. I previously had implants surgically inserted. Unknown to me at the time, the Doctor had detached the muscle (which wasn’t noticed due to the general healing from the surgery with the […]

Q: Dr. Eppley, I am looking for a lateral commisuroplasty to widen my mouth. After upper and lower direct lip lifts the scars fused at the corners of my mouth making the opening extremely small. It is challenging to eat, smile, talk, etc. I would really like to correct this and have a nice wide […]

Q: Dr. Eppley, I am seeking a conservative chin implant overlay to add approximately 6–7 mm of horizontal projection plus 3–4 mm of vertical lengthening on top of a previous sliding genioplasty (8–9 mm bony advancement at the time, now settled to ≈5.5–6 mm). I recently consulted with a local doctor in my area that […]

Q: Dr. Eppley, Given that I am planning to undergo a comprehensive facial rejuvenation, including a midface lift and a neck lift, how should the suggestion for custom infraorbital-malar implants be evaluated? Specifically, will the soft-tissue repositioning achieved by the midface lift be sufficient to address my volume concerns in the infraorbital and malar areas, […]

Q: Dr. Eppley, Is it possible to have a second sliding genioplasty to get the advancement needed?Is this a particularly risky procedure? Not sure how much bone can be extended or what issues there is with removing the current hardware? Is this something Dr. Eppley has experience in and does often? A: In answer to […]

Q: Dr. Eppley,I have a few questions. I have a concave profile similar to the one in the image. It makes me look like I have an underbite, and my nose lacks support. My tip is droopy, my nostrils appear pushed into my face, and my philtrum looks just like in the image. I wanted […]

Q: Dr. Eppley, I have struggled with cranial asymmetry for most of my life, and it has deeply affected my confidence and social life. My left occipital and posterior skull regions are flattened. My left temple is less rounded compared to the right. My left forehead is narrower and slightly recessed, with some volume loss. […]

Q: Dr. Eppley, I am seeking augmentation of my midface to get a more forward grown and masculine looking face, as well as improvement/correction of my eye area. As you can see my midface is quite flat and my eyes are tired-looking, which I think is because of severe upper eye lid exposure. I have […]