Blog

Q: Dr. Eppley, Hi Im very interested in ZSO on my right cheekbone to expand and match my left. A: The main concept to grasp is that when one side of the cheek is asymmetric (smaller ot bigger) it is a  three-dimensional problem not a two dimensional one.  The cheek is a solitary projection from […]

Q: Dr. Eppley, I am interested in changing the shape of my head. Attached below are two pictures of me and 3 picture that I can find to best describe what I want. Hope this helps. A: Based on the pictures you have sent you appear to have an inverted V shaped top of the […]

Q: Dr. Eppley, Hi!! I just heard that dr barry eppley had done inferior orbital box osteotomy, which is less riskier than 360 degree OBO. Actually i just wanna reduce my IPD as a woman. Can this technique reduce my IPD by upto 5 mm. Also can Dr. Eppley perform it? A:Inferior box osteotomies can […]

Q: Dr. Eppley, I was looking at some videos on youtube of Dr. Eppley performing this procedure and I was wondering if the implant that is slid under the skin on the scalp could cause some kind of damage to hair follicles? Also once the surgery is performed could the implant move? If the back […]

Q: Dr. Eppley, I wanted to do plastic surgery on my forehead. A: I believe you are referring to the bony prominences of upper forehead known as large forehead horns which is a form of frontal bossing. How successfully they can be reduced depends on the thickness of the upper forehead bone which requires a […]

Q: Dr. Eppley, I am interested in Skull Reshaping. Although I am a petite person, I feel that my head is too small head and would like to add some height and volume to the crown of my head.  What is involved in this surgery and how safe is it? A: You are referring to […]

Q: Dr. Eppley, isis any type of procedure that can shorten the midface area? I am assuming no because I already had double jaw surgery 8 years ago and cannot have any further orbital surgeries due to my surgical history.  Is a custom supraorbital/infraorbital implant something that may improve the eye area appearance compared to my […]

Q: Dr. Eppley, I contacted a couple of months ago about clavicle reduction surgery as a trans woman 28 with large shoulders at the beginning of transitioning. I was hoping to get a consultation to discuss this further and if you have done any manipulation or reduction of the scapula as my shoulders are so […]

Q: Dr. Eppley, Would temporal artery ligations be covered by insurance? A:That is a question to which the answer I would not know. But I would highly suspect unless their were medical symptoms associated with it (e.g., autoimmune, visual impairment) that it would be viewed as a cosmetic issue. Dr. Barry Eppley World-Renowned Plastic Surgeon

Q: Dr. Eppley, I have attached pictures of my penius both erect and flaccid.  I suppose this sort of surgery is always for aesthetic reasons, but I feel the need to justify anyway. :-)In the flaccid picture I just feel that the scrotum is smaller than it “should” be proportionally.  I realize this is because […]

Q: Dr. Eppley, I wanted to inquire about what I could realistically achieve when I commit to a full jawline implant and 2 cheek implants. I would like to restore what I had but wanted to see if it was possible without adding much vertical length. I feel that on the side that I liked […]

Q: Dr. Eppley, I had double-jaw surgery some time ago to correct my short face syndrome. The swelling is almost all gone. While there has definitely been some improvement in the length of my face, I still feel that my chin is too short and I think I could benefit from another 4-6 mm of […]

Q: Dr. Eppley, Hi there, I contacted a couple of months ago about clavicle reduction surgery as a trans woman 28 with large shoulders at the beginning of transitioning. I was hoping to get a consultation to discuss this further and if you have done any manipulation or reduction of the scapula as my shoulders […]

Q: Dr. Eppley, I currently have custom 3D PEKK jaw angle implants in place which was done in Houston. I would like the current implants removed, and replaced with a different custom made jaw implant. I was looking into double jaw surgery to fix slight jaw canting and my midline, but most surgeons agree that […]

Q: Dr. Eppley, What about a mini facelift to accompany a custom jawline implant? To address the jowls and get rid of the nasolabial folds? A:Any form of a facelift will get rid of the jowls along with the jawline implant but it can never really improve nasolabial folds. No one has been able to […]

Q: Dr. Eppley, I was just looking at your amazing work as regards to chin wing !I’m a middle age guyand I would like to know more please, recovery times, awaiting list? & cost please.I have just finished Invisalign retainers so my teeth are good! I would  ideally like a more stronger jaw line ? […]

Q: Dr. Eppley, I want the top of the head to look not peaked. I  guess I need implants. I want it to be straight. A:Based on your pictures you don’t have a true peaked or sagittal ridge head shape. It is a parasagittal deficiency for which implants would be the correct treatment approach. Dr. […]

Q: Dr. Eppley,I ended up getting bi-max… could there possibly be any room, room whatsoever, for a custom VLC implant”. The geniplasty fixed my lip incompetence but created a MASSIVE step-off. A:There is always room in my experience to add an implant along the inferior border of the jawline in cases of sagittal split and sliding genioplasty stepoffs […]

Q: Dr. Eppley, my goal to widen my face and look more masculine. Currently, my bigonial/bizygomatic/bitemporal width all fall into the ideal range, but that’s only because the 3 are narrow. Therefore, would getting infraorbital-malars + jaw implants be enough, or would I need a total skull augmentation with skull implants for the effect to […]

Q: Dr. Eppley, My maxilla has no forward growth and my cheekbones are not prominent at all I have quite wide zygomatic bones, and quite low cheekbones if im correct but I dont want to widen my face anymore, I want more hollow set cheekbones that look higher similar to the model like Francesco lachowski, […]

Q: Dr. Eppley, Well i think i have plagiocephaly as i have my left side of the skull bigger, eyes and ears at different height and an irregular jawline. I also noticed as you can see in the x ray , my higher face (eyes and nose area) is moved all to the right wich […]

Q: Dr. Eppley, Hello, I read your recent article on iliac crest reduction in October 2024 and i was blown away by the results! I have been battling with gender dysphoria because of the width of my pelvis for awhile but could not find any before and after photos online, nor examples of surgical scaring […]

Q: Dr. Eppley, Previous implant in chin and very unsatisfied with it with previous Dr.  My 3D T scan shows a tilted chin implant with long wings. A: This is a classic aesthetic issue with most commonly used chin implant styles in females….they make the chin wider because they all have wings.(aka extended anatomic style) […]

Q: Dr. Eppley, I’ve been thinking about getting the mouth widening procedure for a while because I’ve always felt like my mouth width is too small but I decided against it earlier due to the risk of scarring being bad and needing a scar revision. However, after my genioplasty, my mouth seems even smaller to […]

Q: Dr. Eppley, I dislike the vertical length of my lower face. I am interested in a consultation for a custom jawline implant can adequately vertically lengthen the entire bone along the inferior border from angle to angle. Dropping down the entire jawline 5mm to 7mms with some small horizontal lengthening if required.  A: I […]

Q: Dr. Eppley, I’ve had two prior breast augmentations, the first was in 2015 and the second was in 2018.  I currently have Mentor saline shells filled to 900cc in my right and 950cc in my left.  I had a daughter in December of 2022 and would like to fix the “damage” from that.  I […]

Q:Dr. Eppley, This shoulder reduction result caught my attention because the patient had pronounced collarbones before surgery, which I find very similar to mine. After the clavicle reduction, her collarbones seem less visible. Will they become prominent again after recovery? I’m interested in narrowing my shoulders but would like to maintain the visible collarbones. Thank […]

Q: Dr. Eppley, I am interested in a sliding genioplasty surgery. I do boxing for sport and I wonder if the bone would healed completely after a certain amount of time! A: You will be able to return to contact sports like boxing 2 to 3 months after the surgery when you are fully healed. […]

Q: Dr. Eppley, I’ve been researching surgeons who can perform a temporal artery removal. Does your clinic perform similar procedures? If so, when can I receive a consultation? Thank you. A: You are referring to temporal artery ligations for a reduction in their appearance. I have done over a hundred of such procedures. I would […]

Q: Dr. Eppley, I am considering having an occipital bun reduction. To the touch, I can even clearly feel the unevenness of the surrounded area (See attached picture). My skull is clearly not uniform there. When I have a bit of hair and since I also have a bit of fat, it reduces a bit […]