Blog

Q: Dr. Eppley,  I am a cleft patient who have undergone successful cleft and rhinoplasty surgeries in the past. I am currently in the middle of teeth straightening and is looking for the right doctor for a paranasal implant procedure. Thank you for taking the time to read this message. A: As a cleft patient […]

Q: Dr. Eppley, By doing shoulder reduction surgery does it decrease the distance of the shoulder or only the collarbone resulting in a slim appearance? Is there’s any surgery that decrease the distance of the shoulder let say 18 cm to 14cm? Thank A: Clavicle reduction osteotomies reduces the visible width of the external shoulders. […]

Q: Dr. Eppley, Do under eye implants last into old age? I noticed on some aging vs youthful faces diagrams that the under eyes can hollow with age. In the diagram I also noticed that the canthal tilt gets lower as support gets worse. I can only imagine aging with a silicone implant whose base […]

Q: Dr. Eppley, I hav read the article entitled ‘Clavicle Lengthening by Distraction Osteogenesis for Congenital Clavicular Hypoplasia: Case Series and Description of Technique in the Journal of Pediatric Surgery from 2013. How do you think this applies to aesthetic shoulder widening surgery for men? A:  I am very familiar with that article which has […]

Q: Dr. Eppley, I previously reached out regarding surgical options for addressing plagiocephaly, a condition that has long been a personal concern for me. I am now interested in proceeding with the surgery and understand that a consultation is the necessary first step. At this stage, I would like to inquire about the current wait […]

Q: Dr. Eppley, I have previously had hydroxyapatite added to the jawline and chin, which I am not happy with and would like to remove some if possible. I would then like look at how to achieve a more angular look to my jawline. I also had it to my cheeks and various other areas […]

Q: Dr. Eppley, Specifically, I would like to know whether your practice performs circumferential outer‑table bone burring or other techniques that reduce the overall circumference and height of the head (rather than simply smoothing bumps or adding implants). Could you please let me know if you offer true skull‑size reduction? Just want things to be […]

Q: Dr. Eppley, I hope you are all well. In my research I ran across your site. Do you have experience working with male to female trans patients regarding forehead reconstruction to create a more female appearing forehead?  Your response indicating if you do or not would be appreciated.   Thank you and have a great day! A: You […]

Q: Dr. Eppley, I had a sliding genioplasty reversal 10 days ago of 5mms. I’m really worried that the chin area looks like a fat, round, fleshy block, and that it has no shape or contour . It is affecting my whole face shape, since now my lower face looks so rounded and has lost […]

Q: Dr. Eppley, I am looking to schedule lipo with 3D etching with another surgeon. Would you recommend that I do this surgery first before a back lift or would it be better to do the back-lift first? I’m worried about loose skin afterwards. A: Absolutely do the liposuction first and the backlift later for […]

Q: Dr. Eppley, I am  interested in thigh and leg implant/augmentation. I had a BBL three years ago. There was fat grafted to my thighs but it didn’t all stay and I don’t want to risk that happening again which is why I think I would be better suited for implants Ultimately I just want […]

Q: Dr. Eppley, Will the sagittal ridge reduction surgery leave a big scar or any scar visible tissue? A: Every incision leaves a scar, it is just a matter of how noticeable it is. But scalp incisions do exceptionally well and sagittal skull reduction incisions are very small (usually less than 4cms) Dr. Barry Eppley […]

Q: Dr. Eppley, I would like to know how many centimeters it is possible to reduce in a reduction of the temporal region of the skull. I do not have a large head, I am a man who is 164 cm tall and has a 53 cm head. My face is narrow (14 cm from […]

Q: Dr. Eppley, I have some questions about large skull augmentations using a first stage scalp expansion. I know you said the procedure would raise the hair line’s position, by how much do you estimate it would? I would just like to know if you think it would be a noticeable amount. Aside from the […]

Q: Dr. Eppley, Good morning/afternoon, my question is do you perform hip bone shaving and if yes how much can you remove in one procedure in grams or kilograms? A: In my experience with iliac crest reduction it is done in a linear amount not by weight. In most cases 1.0 to 1.5cms of bone […]

Q: Dr. Eppley, I am writing to you with great respect for your extensive experience and contributions in the field of craniofacial and aesthetic surgery. I have been researching potential avenues to address a specific aesthetic concern I have, and your name consistently comes up as a leading expert regarding more niche but possible surgeries. […]

Q: Dr. Eppley, I want to flatten to narrow my skull and have it more inward like normal skull. I had a children’s hospital provide me a surgery in my teens because my skull grew outward randomly on one side of my jaw and on the side of my head I had another surgery over […]

Q: Dr. Eppley, I am unhappy with a medpor chin implant that was placed 5 months ago. It is too long, wide, square, and adds to the the asymmetry of my chin. I am interested in replacing it with a smaller implant but I am worried that it will still add to the asymmetry. Is […]

Q: Dr. Eppley, I am a kidney transplant recipient currently taking Tacrolimus (Prograf) as part of my immunosuppressive therapy. I am exploring the possibility of undergoing breast reduction surgery due to ongoing physical discomfort and quality-of-life concerns. Given my medical background, I am seeking guidance and potentially a consultation with a specialist experienced in performing […]

Q: Dr. Eppley, what size is a safer hip implant? A: The best way to think about it is the size of the hip implant would fall short of your expectations/goals. Big hip implants have a very high rate of problems. The concept is it is better to have 50% of what you want with […]

Q: Dr. Eppley, Hello, I live a very healthy lifestyle, I work out daily I go to the gym, I lift. All with the want to have visible abdominal muscles. After all everyone has abs they just aren’t always defined. I worked out for going on 3 years now and combined with a healthy diet. […]

Q: Dr. Eppley, I have too much fat grafting in my cheeks, i see in his webpage Dr, Eppley could help me. I would like to be more natural as I was before the fat grafting. A: Reversing facial fat grafting is very difficult and there is no ‘returning home’ again. Minor reductions are usually […]

Q: Dr. Eppley, Is it possible to make the ribcage laterally wider with implants on each rib. Also do you still offer clavicle lengthening. Have you seen dr Leif rogers do clavicle lengthening using distraction osteogenesis? What are your thoughts on distraction osteogenesis of the clavicle bone. The limb lengthening doctor disagrees with the clavicle […]

Q: Dr. Eppley, I have always had the problem of the mental crease, and feeling like it causes a witch chin when I smile and a double chin. I don’t like the crease the most. But I also do not like the protrusion of the chin when I smile and the double chin. I’m not […]

Q: Dr. Eppley, Id like to talk about getting a revision surgery. I received a wraparound custom jawline implant than im unhappy with a year and a half ago. Its too wide laterally, it added 7 or 8 mm width. I think it would be far more aesthetic to add only 3mm laterally. It goes […]

Q: Dr. Eppley, Is it possible to add canine fossa implants? Similar to how you want cheekbone implants for more cheek prominence and angularity. The shallowness of the canine fossa can have a significant effect on the appearance of the ogee curve and midface fullness. I have attached images below of fossa variances and theirs […]

Q: Dr. Eppley, I had a previous sliding genioplasty. I’m now exploring the possibility of adding a chin implant on top of the previous procedure and wanted to ask if this is something Dr. Eppley offers. If so, could you kindly walk me through the consultation and photo submission process again? It’s been a while, and […]

Q: Dr. Eppley, I am looking to get a set of permanent and customized implants for my cheekbones. As you can see in the photos, I dont have a defined ogee curve whatsoever and it’s only partially visible in certain lighting. My side profile also lacks cheekbone projection. I am looking for a very sharp, […]

Q: Dr. Eppley, Will inner eye widening cause any problem to the eyes’ tear system? And is there anyway to basically reduce the medial area while keeping the lacrimal lake? Like while keeping the medial canthi reducing the sclera? A: It is done medial to the lacrimal punctums/ducts. The procedure works because of the lacrimal lake reduction […]

Q: Dr. Eppley, I mostly feel like the bottom half of my face is quite heavy and creates a pear shaped look to my face. A lack of cheekbone definition and the appearance of jowls are all part of this. There also seems to be a concentration of fat right by my nose and lips […]