Blog

Q: Dr. Eppley, I want toi get rid of my perioral fullness that occurs when I smile…but does not exist when my face is at rest. A: What you are essentially asking is to treat a dynamic problem with a static procedure. Surgery is almost always performed to correct facial tissues at rest not if […]

Q: Dr. Eppley, I am writing to you because I recently had a chin implant infection, after a chin implant and mandible implant surgery. I am  now3 months post op, my surgeon had to remove the chin implant and the infection was resolved for a bit, then it seemed to have returned. I’d like to […]

Q: Dr. Eppley, To confirm my understanding: there is no significantly increased facial trauma risk with titanium or PEEK facial implants, with respects to combat sports, as the “stress-shield” effect is irrelevant? I am considering this procedure and want to ensure I understand whether I would need to give up boxing afterward with either titanium […]

Q: Dr. Eppley,  I am researching the best options for facial implants and have a couple of questions regarding material suitability and safety: Given that PEEK has a smaller elastic modulus mismatch compared to bone than titanium, does this make PEEK implants a better choice for reducing risks associated with stress shielding? If I were […]

Q: Dr. Eppley, ! I’m 59 years old and considering getting a face/neck lift, but don’t really like the idea of hairline scars. My question is, if I got a 3D printer skull implant to correct my flat head and tissue expanders weren’t used would that also give me a neck and face lift? I’m […]

Q: Dr. Eppley, Hi, I was wondering if a genioplasty could be be performed shortly (I.e. a week) after Hyaluronidase had been injected in the chin area to dissolve filler – would any soft tissue inflammation affect the outcome of surgery? A: Hyaluronidase is an enzyme injectate that it placed into the soft tissues while […]

Q: Dr. Eppley, I am inquiring about testicular implants. I take TRT as I am 61 years old and have also had penile enlargement surgery. My testicles now feel small as a result – smaller than before – and this bothers me badly. I am looking to increase their size through implants to the maximum level […]

Q: Dr. Eppley, I am 44 year old female. I don’t like how my face asymmetry is noticeable. I want to aquire more symmetrical features on my face, eyebrow, eyes, cheeks. I want to look normal. Can you help me? A: Like all facial asymmetries the first step is to determine the most important facial […]

Q: Dr. Eppley, Is there anywhere to see more before and after pictures of angles of the patients with the jaw implants and which type were used besides the website? A: How do other patient’s results help you understand what you may need when every patient’s jaw shape, soft tissue thicknesses and aesthetic goals are […]

Q: Dr. Eppley, Are malar implants only done with synthetic material? Can you use an autologous graft like cartilage as I am prone to inflammation. A:While one can use autologous and allogenic tissues for cheek augmentation the amount and size of the graft material that is available (by harvest ot tissue bank acquistion) limits their […]

Q: Dr. Eppley, I had genioplasty + bone graft for chin advancement and lengthening and jawbone osteotomy done in Korea about 11 months ago.I saw some improvements but there were a couple of unsatisfactory results: In terms of the chin: 1. there is a bony gap now in the chin from the genioplasty 2. there is […]

Q: Dr. Eppley, I believe I had plagiocephaly as a kid on one side of my head is a little pushed in which pushes half of my entire face forward. Teeth slanted, Jaw asymmetry, chin asymmetry, one eye bulging, uneven ears, one side of head sticking out kore, nose asymmetry. How bad do u think […]

Q: Dr. Eppley, I had a sliding genioplasty about 4 months ago, and have become increasingly certain that I have lower lip contraction, as I have to use force to push my lips together and there is a lot of tightness in my lower lip area. It has also become significantly smaller than it was […]

Q: Dr. Eppley, I’m interested in getting testicular implants. My main reason is I am not currently happy with size of my natural testicles and if I’m to be honest I have yet to see an implant size that I am happy with. That is why I come here, in theory what is the largest […]

Q: Dr. Eppley, can you remove Bellafill from the cheeks? I had Bellafill injected and the injector put it in the cheeks which I didn’t ask for. I wanted tear troughs only. They look really off, it was put in my medial and lateral cheek. One doctor said it can’t be removed from these areas, […]

Q: Dr. Eppley, I’ve seen your pelvic plasty and shoulder width reduction results and think they’re quite impressive, but I’m trying to achieve the inverse as I am female to male transgender, primarily a narrowing of the hips. I’m aware that the logistics of reconstructing the pelvis would differ significantly from simply adding an implant […]

Q: Dr. Eppley, are there skull reshaping cases where a blood transfusion is necessary? I believe that transfusion of other people’s blood is inherently dangerous. (I am no problem with autologous blood donation.) A:There is no significant blood loss in any aesthetic skull reshaping procedure. A blood transfusion would never be needed. Dr. Barry Eppley […]

Q: Dr. Eppley, I am getting a hair transplant in Turkey next year and was wondering how long after it would be safe to get a forehead implant without damaging the hair follicles. A: I would wait 6 months after the hair transplants so the newly transplanted hair is fully growing and healthy. Dr. Barry […]

Q: Dr. Eppley, Last year I had mandible contouring that was especially aggressive on the right side due to bony overgrowth. Since then I’ve been hoping my lower lip asymmetry would resolve but has not. I feel the muscle pulling my lip to the right and down. My right lower lip kinda feels swollen. If […]

Q: Dr. Eppley, I  have a small mouth like to get it widened if possible please send me some info about the procedure and the cost of it.I also would like to have a lower face lift. A:Thank you for your inquiry and sending your pictures. With a small and downturned mouth with sagging facial […]

Q: Dr. Eppley, I am interested in the collarbone lengthening surgery. A few years ago, I had a fall and broke my collarbone. The fracture shortened my collarbone by an inch and since then, my back, shoulder, and arm hurt. A: Untreated clavicle fractures are well known to shorten as they heal. Clavicle lengthening would […]

Q: Dr. Eppley, Hello, I wanted to ask a few questions before I schedule a virtual appointment. I’m interested in wraparound testicle implants, but I’m from Poland and if those are custom, I guess I would have to come to the clinic to measure everything or is there another way to do this ? Next […]

Q: Dr. Eppley, As you can see, my son’s face is not symmetrical. I think the most serious part is his slanted jaw which appears to contribute to differing eye level. Other than that, one side of his cheek seems to be slightly larger than the other. Many doctors I’ve consulted have suggested that this […]

Q: Dr. Eppley, Also my hair is not covering the scar where the forehead was inserted. It’s 2.5 month now since the surgery. Is this expected? Shall I wait longer or do I start considering hair transplant? I think I can see some hair growing but I don’t understand why the gap. I can temporarily […]

Q: Dr. Eppley, I had a medpor chin implant done about 15 years ago and have felt it’s too masculine (wide) and would love to have it altered (not removed) – customized to fit my face better. I’ve seen several local plastic surgeons but none have experience with Medpor implants let alone modifying one. A: […]

Q: Dr. Eppley, I am the not-so-proud owner of some XXY testicles and one very large empty sac. I swear, I am the typical 70s Ken doll with a nub. While the testicles work modestly, I’ll never want to parade around in a speedo. I’m wondering if you have done the envelope testicles for an […]

Q: Dr. Eppley, I also need the dr opinion on this if he can answer me back : So I want to achieve smaller and more masculine eyes to get to more hunter eyes look. A surgeon in the US proposed lower lid retraction with alloderm graft with canthopexy but I have been reading a lot […]

Q: Dr. Eppley, I am having paying following a revision chin implant surgery I had 5 months ago. I have a small silicone implant with wings. I believe the chin implant is slightly skewed to the right after rolling over onto my side in my sleep a week after surgery. The implant is visually just […]

Q: Dr. Eppley, I wanted to get your thoughts on the process of perhaps moving the alar and columella base on the nose up about 2 mms or so. I’m not sure how close the actual nasal cavity is above the base of the nose, but with a lip lift to hopefully forgive some of […]

Q: Dr. Eppley, I’m a 30 year old trans woman that underwent facial feminization surgery earlier this year. The surgery was a success, and I look beautiful and certainly got what I asked for. However, I’ve since realized that I wasn’t quite specific in my instructions with my surgeon about the level of reduction I […]