Blog

Q: Dr. Eppley, I have a question. I want to do shoulder width reduction. And that I want my shoulders to be lower and more droopy like these two examples. It is possible ? A:In clavicle reduction osteotomies it pulls the shoulders inward and down a bit…which I believe is what you mean by ‘droopy’.  […]

Q: Dr. Eppley, I got mandibular angle implants and now have masseter dehiscence. I have no outward projection, and the sunken angles have made my face look round from the front. My masseter is noticeably high up. This is the opposite of what I wanted. I find almost nothing when I research this, but nearly […]

Q: Dr. Eppley, I am interested in Hamstring implants, perhaps 1 in each back muscle or 1 big one.I was thinking of it as an implant like you would do with a butt implant: intramuscular. A: A hamstring implant would not be submuscular due to the sciatic nerve proximity and it would not be intramuscular […]

Q: Dr. Eppley, I was just thinking about the role of the buccinator muscle with smiling. When I smile it typically has 12 teeth show, but i notice that there is something inside the cheek that pushes against my 2nd molar preventing a 14 tooth smile, apparently this is the buccinator muscle I think. I […]

Q: Dr. Eppley, Quick question about cheek implant revision. If the first cheek implants were screwed is it ok if the revision surgeon doesnt screw them in? Im nervous that the pockets will be too big and the implant will shift in the preexisting pocket since im going for a much smaller implant the second […]

Q: Dr. Eppley, What is the realistically largest size for the wrap around jaw implant method? A: The size of a custom jawline implant depends on many factors of which the most important is the tissue’s tolerance for implant displacement.  That must be determined on an individual basis. Dr. Barry Eppley World-Renowned Plastic Surgeon

Q: Dr. Eppley, I am a 32 years old male which for the bigger part of my life I’ve been very uncertain about my skull shape, mainly driven by the laughs and giggles at school when I was young. Especially with buzzed hair, the shape of my skull is noticeably visible. By growing older, and […]

Q: Dr. Eppley, I am transsexual and have a very boxy torso as seen in the pictures attached, I have read through Dr. Eppley’s numerous blog posts and seen some amazing improvements, however, I am worried that my torso may not be able to be sufficiently feminised. Along with the usual 12, 11 and 10 […]

Q: Dr. Eppley, I got my medpor jaw angle implant procedure over 2 years ago.  One year ago I had one side of the implant shaved down to make my face look more symmetrical.  But, the second procedure caused a mandibular nerve injury, which has impacted my smile and caused a dimple in my chin.  […]

Q: Dr. Eppley, My son is now 7 years old, he  developed Plagiocephaly just two months after he was born. I was a young new mom with severe postpartum with no help and knowledge on soft skulls of babies. I noticed his head being oddly shaped. I informed his doctor at the time and he said […]

Q: Dr. Eppley, I have severe TMJ, would this be an issue? I use an anterior repositioning splint for my TMJ, would i be able to use the splint during post op? Will i be able to talk without pain? For work i need to talk so might be an issue Also how long post surgery an i […]

Q: Dr. Eppley, I think the cheek and infraorbital rim implants that I had placed in 2014 ended up moving upward from the orthognathic surgery I had in 2017. I just noticed this by comparing their current position to the position they were supposed to be in according to the original design, which I’m attaching. I […]

Q: Dr. Eppley ,Are you doing shoulder augmentation for women as well ?  My shoulders are too narrow and I want to change that. I included the pictures here for you see what I would like to make , could you confirm if it’s possible? And maybe you could send me more pictures similar surgery?  I […]

Q: Dr. Eppley, Is there a surgery I could get to reduce my temple width so glasses can fit without looking too small? My temple width is 165mm and I’d like to reduce at least 5mm per side. I’ve heard that removing the temporalis muscle can do, but when I press against my temple I […]

Q: Dr. Eppley, I see that you do thigh implant surgery (do you know how hard that is to find :-p) I was wondering, though, if you would do Hamstring implants, perhaps 1 in each back muscle or 1 big one.Thank you in advance for any of your help, have a great day! A:In regards to […]

Q: Dr. Eppley, my face is getting increasingly crooked as I think my implant is displaced. it feels like its sitting on an angle. i would like a video consultation to understand what went wrong and my options now. I feel awful and it doesnt look good. its also hurting a little where the implant […]

Q: Dr. Eppley, I have attached some images for potential hip reduction surgery. I would also like to say that I’ve had liposuction before, it was a quick fix but the issue is the structure of the bones.I will also attach an image of when I’m at my thinnest, the hips are quite prominent. My […]

Q: Dr. Eppley, Im a 32 year old transgender Man. I am wondering if it’s possible to make hip bones smaller or more narrow by shaving/removing bone from my pelvis? It’s something that I think about constantly and it bothers me a lot. Please let me know if there is anything available like this that could help […]

Q: Dr. Eppley, Is there a surgery I could get to reduce my temple width so glasses can fit without looking too small? My temple width is 165mm and I’d like to reduce at least 5mm per side. I’ve heard that removing the temporalis muscle can do, but when I press against my temple I […]

Q: Dr. Eppley, Are you doing  that for women as well? Mmy shoulders are too narrow and I want to change that. I included the pictures here for you see what I would like to make , could you confirm if it’s possible? And maybe you could send me more pictures similar surgery?  I hope […]

Q: Dr. Eppley, I think the cheek and infraorbital rim implants that I had placed in 2014 ended up moving upward from the orthognathic surgery I had in 2017. I just noticed this by comparing their current position to the position they were supposed to be in according to the original design, which I’m attaching. I […]

Q: Dr. Eppley,  I have some sliding genioplasty questions. I have severe TMJ, would this be an issue? I use an anterior repositioning splint for my TMJ, would i be able to use the splint during post op? Will i be able to talk without pain? For work i need to talk so might be an issue […]

Q: Dr. Eppley, My son is now 7 years old,  he developed Plagiocephaly just two months after he was born. I was a young new mom with severe postpartum with no help and knowledge on soft skulls of babies. I noticed his head being oddly shaped. I informed his doctor at the time and he said […]

Q: Dr. Eppley,I got my Medpor jaw angle implant procedure over 2 years ago.  One year ago I had one side of the implant shaved down to make my face look more symmetrical.  But, the second procedure caused a mandibular nerve injury, which has impacted my smile and caused a dimple in my chin.  My […]

Q: Dr. Eppley, The post cheek reduction X-rays look pretty even but the cheekbones seem off and there’s some hollowing I wasn’t expecting. I’m not sure how much is due to swelling. It’s been almost five months since the procedure. Some areas of skin seem to be very loose. And one cheekbone does seem to […]

Q: Dr. Eppley, Hello I was wanting to get your opinion if a Large vertical lengthening chin implant (VLC) can help achieve these results. A: That will not create that imaged effect as that is a square chin result and the VLC implant has a rounded shape. That  specific chin shape effect requires a custom […]

Q: Dr. Eppley, my skull has a congenital deformity, which looks like a melon (they say due to premature closure of the skull sutures), which is elongated from the back of the head and protrudes from the forehead and The width of both sides of the skull is small, and this matter has bothered me a […]

Q: Dr. Eppley, I have a few questions about sliding genioplasty surgery. 1. I had a sliding (osseous) genioplasty last summer, but I still have a decent labiomental crease. I am not experiencing tightness unless I really pull by lower chin down, but it’s not bothersome. My surgeon is suggesting hardware removal (since he says […]

Q: Dr. Eppley, Given your vast experience within every type of jaw implant, and all the designs on implantech are made by you, I thought it would make sense to ask you these questions. Out of the standard implants, I noticed in a previous blog you had mentioned you would not recommend the conform mandibular […]

Q: Dr. Eppley, I wanted to increase chin width and mandibular length and I wanted to ask based on the pictures attached which procedures could make sense. I already consulted with a few surgeons and I got varying answers and I am unsure what to do. The left side shows my current face and the […]