Blog

Q: Dr. Eppley, I’m considering custom infraorbital-malar implants to reshape my cheek and eye region. As part of that, I want to raise the level of the lower, outermost corner of my orbital rim by around 1mm; my goal is to slightly raise the outer portion of my eyelid. However, I’ve heard that raising the […]

Q: Dr. Eppley, How long the recovery will take from webbed neck surgery? A:It depends on how one chooses to define recovery. What most patients define it by when can they resume most normal activities which should really be within 1 to 2 weeks. From an appearance standpoint one looks good from the beginning and […]

Q: Dr. Eppley, I had a chin implant placed over ten years ago. nI recall the surgeon used a McGann anatomical chin implant. Immediately once the compression bandage was removed and some initial swelling had resolved I could feel the left wing had been positioned or settled lower than the right. It’s not significant (perhaps […]

Q: Dr. Eppley, I am writing to ask whether you might consider providing some guidance. I have had two rhinoplasty and one septoplasty over the last 1o years. They have not been successful in correcting the columella position to centre of face. I have read your case study External Repositioning of the Deviated Columella and […]

Q: Dr. Eppley, Is there greater risk for bone recession with a chin implant of the size were using? Around 10mm? A:You are actually referring to bone imprinting rather than recession or erosion from a chin implant. Since imprinting is a self limiting pressure relief phenomenon in theory larger implants should show more of that  than […]

Q: Dr. Eppley, I was also thinking about canthoplasty, is that service available? A:I am assuming by your pictures that you are trying to achieve either a neutral for elevated outer eye corner position. If one is trying to achieve a neutral I corner position that I’d lateral canthoplasty alone would be sufficient. However if […]

Q: Dr. Eppley, What happens to the space created between old, unchanged facial implants and aging facial bones? Do the human face “fill in” this space to establish continued stability? Atrophy of muscles, bone, etc. is characteristics of aging. A gap is created. A: The concept of aging facial bones, often spoken about, is actually […]

Q: Dr. Eppley, in clavicle shortening surgery  you can reduce the overall width of shoulder but the drawback is that the hardware (if left on for life) will show and be palpable. If removed, the holes produced by the removed bone screws will render that altered clavicle bone much weaker than pre-surgery. Depending on the […]

Q: Dr. Eppley, I hope this message finds you well.  I’ve been following your work for some time and I’m very impressed by your expertise in craniofacial and skull reshaping procedures. I’m interested in learning more about a custom skull implant for one side of the head (unilateral augmentation), primarily for aesthetic purposes. Could you […]

Q: Dr. Eppley, I had a lower blepharoplasty a few months ago and one of my eyes now looks really hollow.It started out looking great. But it was like overnight it lost all the volume. So I was wondering if a tear trough implant would be an appropriate way to treat it. A:Right after surgery […]

Q: Dr. Eppley, Is there a percentage risk of chin imprinting with the chin implant? Or a general idea of how many patients experience it?  A:As a general rule 100% of chin implants experience it. It is the normal body response to the pressure of an implant when placed over a solitary pony projection that […]

Q: Dr. Eppley, I’m a young woman who was recently diagnosed with Turner Syndrome. I have a noticeable webbed neck and would like to ask if surgical correction might still be possible at my age. Additionally, I underwent two scoliosis surgeries about 20 years ago, so I wanted to mention this in case it may […]

Q: Dr. Eppley I had head trauma four years ago which required a  temporal craniotomy. As a result I have temple hollowing on my left side due to losing the fat during the craniectomy, so now I am left with a dent on the side of my face that is very hard for me to […]

Q: Dr. Eppley, Can I Get a second clavicle shortening procedure? A:Thank you for your inquiry and sending your pictures. As best as I can tell from the pictures the aesthetic difference in the prominence of the two clavicles appears to be in the larger midshaft segment of the bone. After 10 years it would […]

Q: Dr. Eppley, I am interested in a sliding genioplasty for recessed chin/jaw and side profile. However, I really like my smile and front profile most of the time. I do not like the double chin I always seem to have, even when my weight is down. A:Thank you for your inquiry and sending your […]

Q: Dr. Eppley, Good afternoon,I wanted to inquire about the face shortening surgery. I’m not really sure about the name of the procedure, however, I believe it makes your face look rounder instead of longer, I guess the name is face shortening procedure, correct me if I’m wrong A:When you are referring to in face […]

Q: Dr. Eppley, I have attached some pictures below. I would like to inquire about lateral canthoplasty, fat transfer to the upper and lower eyelids, mild ptosis repair and spacer grafts all in one if possible. Does the doctor perform drill hole canthoplasty? I would prefer this technique combined with the spacer grafts to eliminate […]

Q: Dr. Eppley,I am a man but I had Facial Feminization Surgery at one point it my life where I believed I was trans, would it be possible to ‘reverse’ most of the forehead work(type 3 browbone reduction and orbital rims shaving)? I know I won’t look exactly like I did before, but I have […]

Q: Dr. Eppley,I’m interested in a forehead and upper skull contouring procedure to improve the overall proportions of my head. I’ve seen your case where you performed a full-head reduction by a few millimeters, and I’m curious whether it’s possible to apply a similar technique limited to the frontal area.My main goal is to reduce the […]

Q: Dr. Eppley, Honestly speaking I’d only like to have an opinion It d be very appreciated if the doctor that is a the best could say me his opinion on this implant shape and thickness. A: Looking at an implant design by itself is meaningless as there is no context to it. What is […]

Q: Dr. Eppley, Hello, Do you perform Xiphoidectomy’s at your office? Thank You. A: Yes. Xiphoidectomies are performed in my surgery center as an outpatient procedure under general anesthesia. Dr. Barry Eppley World Renowned Plastic Surgeon

Q: Dr. Eppley, I am writing with an interest in your opinion on how to go about correcting a minor dent in the upper right side of the back of my skull. I would estimate the overall indentation measures about 2″ x 1″ and indents into my skull about 1 cm. This is not a […]

Q: Dr. Eppley, I am looking for quotes to have my butt revised with adding mesh to hold up the implants. I have now had two different butt implant procedures. The doctor said he did his best with what was possible and maybe mesh could work but hes not experinced in this. I can feel […]

Q: Dr. Eppley, I would like to know Dr Eppleys assessment of the CT scan and if it confirms what we are suspecting, and if based on the CT scan, the planned procedure remains suitable with the expected outcomes we discussed? A: To clarify common custom implant misconceptions: 1) The 3D CT scan is merely […]

 Q: Dr. Eppley,you said the limitation of clavicle lengthening was the soft tissue. I was wondering if, just like the 2nd leg lengthening surgery I had, the real limitation of my soft tissue length was due to the fascia. Perhaps if the fascia was released, more lengthening could be achieved. A: The soft tissue limitations […]

Q: Dr. Eppley, Can you create custom facial implants with a 3D MRI scan instead of a CT? Don’t CT-scans increase the risk of cancer? Wouldn’t MRI remove that risk while still providing a 3D model of the skull? Thank you, A: Custiom facial implants  need to have CT data for implant design. MRIs unfortunately […]

Dr. Eppley, Shoulder width reduction: is there a way for the hardware used to not be so palpable and obvious? On a woman, clavicle is delicate and dainty; the bulkiness of the hardware make that surgery seem not so appealing. A:The fixation hardware used for any form of clavicle reshaping surgery, albeit lengthening or reduction, […]

Q: Dr. Eppley, Facial customized implants: your workmanship in this area, I believe, is unmatched. However, these implants are intended to be for life. But faces change – our face grows thinner and saggier with age. How do these facial implants age with the patient? It seems the implants do not and, at some point, […]

Q: Dr. Eppley, I have a question about pectoral implants for filling a chest gap. As you can see in the picture below, my pectoral muscles insert very widely against my sternum, creating a big gap which I have always been insecure about. I’m wondering if it would be possible to fill this gap with […]

Q: Dr. Eppley, I have a tattoo on the side of my arm that i would love to get removed. I’m assuming skin graft would be needed. Any info helps. Thanks a ton. A:In large multicolored tattoos the standard treatment approach would be laser treatments. Between the large number of treatments needed and that complete […]