Blog

Q: Dr. Eppley ,10mm chin implant removal and replaced with a 8mm sliding genioplasty… 8 weeks ago. Having discomfort in area under the lip which I try ought was just the scar healing but it seems to be a bit lower than the scar and only on the left side. It is so sensitive that […]

Q: Dr. Eppley,, I underwent bimaxillary surgery which in my opinion was unsuccessful and after removing the titanium plates I found myself with holes in the central part of my face… I removed the maxillary plates because they gave me a strange appearance but now I find myself worse than before… I see my midface […]

Q: Dr. Eppley, is there a way to correct nasolabial folds caused by my deep canine fossa ideally something more permanent and not filler. Thanks for your time, have a nice day. A:Nasolabial folds are largely created soft tissue ptosis. In the upper part of a nasolabial fold near the nose (and over the canine […]

Q: Dr. Eppley, Is it possible for a head to be too big for reshaping? A:I think the question you are really asking is whether a skull reduction at certain head sizes would not be particularly effective. (aka nit make much of a difference) Abd that answer would be yes that is possible. Which is […]

Q: Dr. Eppley ,I was wondering if the skull augmentation procedure that will be done will also change my hairline. I was hoping that it would by default as the whole skull would be widened but I wasn’t sure. My hairline is quite feminine due to my narrow skull. I used to shave my hairline to make it […]

Q: Dr. Eppley, I read the piece by Dr Barry Eppley concerning removal of a pulsatile facial artery near the mouth. I have had this for about 15 years following an injection of facial filler into the area. It is always visible and it would be a real blessing to me if it could be […]

Q: Dr. Eppley, ( have been interested in getting shoulder reduction surgery for the longest time and want to learn more its recovery. A:Recovery from shoulder surgery is mainly the restriction in arm motion that is needed. In the first 2 weeks after the surgery I have patients keep their elbows close to their sides […]

Q: Dr. Eppley I have under eye hollows. Can they be improved with laser c02 treatments and plasma under eye injections? Because I had that done recently, no change as of yet. A:Those are procedures that you have as a first step to see what can be achieved non-surgically for your undereye hollows. You hope […]

Q: Dr. Eppley, I want to get skull reduction surgery. When I was a child and teenager growing up I was bullied relentlessly for my head being big. The back of my head is so big that everyone says that it looks like a peanut. I think it might be a deformities or something. But […]

Q: Dr. Eppley, Emailing in regards to your shoulder reduction surgery. I’ve been looking extensively into this for the past 3 years and I’ve been hesitating whether to proceed with it due to the lengthy nature of recovery and the overall benefits of how much can be removed. It’s a big factor for me as […]

Q: Dr. Eppley, Can gynecomastia surgery be combined with chest implants as I think I need both. A: Thank you for sending your pictures. In your case you could do gynecomastia reduction surgery with pectoral implants and the reality is you really can’t have one by itself with a satisfactory aesthetic result. Your chest lacks […]

Q: Dr. Eppley, I have Mild plagiochephaly. I’m looking to see what my options are about contouring my orbital rims possible reducing one side and planting and contouring the other , also maybe options about the asymmetry in the forehead to address the protruding side and the flat side A: The effects of plagiocephaly in […]

Q: Dr. Eppley, I wanted to ask you if it is possible to use a Funnel for inserting wrap around chin implant through submental incision to reduce the risk of infection and if so do you believe Supore od Medpore (I believe this is the same) material can be utilized? Some doctors (such as Dr. […]

Q: Dr. Eppley,. I am 23 and have questions regarding my jaw, more specifically the lower jaw/chin. My chin, or at least the part of my jaw below my lower lip, is very long. From a side profile, it also seems to have plenty of downward growth, compared to a more desirable forward angle. I […]

Q: Dr. Eppley, I have extremely hollow cheek and huge hollows under the eyes. In the past, I got filler but that is very temporary. I want to go Cheek/under eye implant. I am also a runner so would these implant be ok if I keep running. Also I have big bumpy nose and can’t […]

Q: Dr. Eppley, Hallo , my question or my problem is that I have really a very thin wrists (14 inches) each one of them and I am in my twenties. I wear all the time long arm T-shirts that my wrists are not showing. I am really insecure about them. So is there maybe […]

Q: Dr. Eppley, I’ve seen a lot of videos and posts about jaw implant revision surgeries you have done. If I were to downsize my implants (assuming same style), how would you compare the swelling with getting brand new implants. Would it be just as bad or less since the body’s had implants there for […]

Q: Dr. Eppley, I have a flat head at the back (occiput), all the way down. I have attached a picture of a woman with a similar head shape to mine (but my head is also flat at the top). I was wondering if it’s possible to put implants at the lower part of the […]

Q: Dr. Eppley, Is it possible to have a brow ridge or glabella implant placed without using a scalp incision, maybe an upper eyelid incision? Additionally, could hydroxyapatite be an alternative to implants in this area? A:Custom brow bone implants are usually placed with endoscopic visualization through a very small scalp incision (1.5cms) which may […]

Q: Dr. Eppley, I have had two previous reconstructive surgeries on my forehead. Originally a feminisation surgery was performed which went poorly, using an unusual technique of essentially recreating the conditions of a frontal sinus fracture and suturing it all back together. Following that surgery I had a revision with another surgeon to try to […]

Q: Dr. Eppley, I had a L shaped malar osteotomy to widen the cheekbones and a chin wing osteotomy for my jawline 4 years ago.Both of these ostectomies have left me with visible bone gaps(depressions) on the bone as per pictures attached. What would be the best way to correct this issue? Would HA paste as […]

Q: Dr. Eppley,  I previously had Zygomatic Sandwich Osteotomies which left my cheeks very irregular. I would like to ask if its possible to use an off the shelf implant and place it over the cheek defects to cover it to act like a cover basically.   Or this has to be custom implant? The depth of […]

Q: Dr. Eppley, I have Mild plagiochephaly. I’m looking to see what my options are about contouring my orbital rims possible reducing one side and planting and contouring the other , also maybe options about the asymmetry in the forehead to address the protruding side and the flat side. A: The effects of plagiocephaly in […]

Q: Dr. Eppley, I have been looking into options for decreasing the width of my head. I really don’t want to do surgery now so was looking into non-surgical options. My head is exactly like the pictures attached. The picture attached is a patient of yours that had, “Bilateral head width reduction through excision of […]

Q: Dr. Eppley, Is it possible to reduce the appearance of maxillary alveolar protrusion with custom implants? Say like paranasal combined with custom cheek implants if someone was trying to avoid jaw surgery to reposition jaws? A: Theoretically midface augmentation should make the maxillary alveolar protrusion look less so. Computer imaging in profile will provide […]

Q: Dr. Eppley, Hello, I am looking for information on chin ptosis surgery.I have had a number of chin and jaw surgeries and currently have a sliding genioplasty plus an implant on top. I now have bad lower lip incompetence and chin ptosis. From my understanding, the muscle needs to be resuspended and fixated to […]

Q: Dr. Eppley, I am interested in shoulder and waistline narrowing? Would it make sense the come back after shoulders are healed to have the hardware removed and the ribs done at the same time? A: That would make perfect sense and is a very practical way to stage it with hardware removal in mind. […]

Q: Dr. Eppley, So do implants made of metal guarantee no infection???? A: No material is better than another at implant infection. The surface characteristics are probably more important than the material as smooth surfaces are less prone to infection than textured/porous/irregular surfaces. (bacteria love to adhere to microscopically rough surfaces) Dr. Barry Eppley World-Renowned […]

Q: Dr. Eppley, Can the top of my head bene made less tall? A: How much skull height that can be reduced is controlled by the thickness of the skull bone. But as a usual estimate the maximum bone that can be moved is in the range of 7mms. How that number transfers to your […]

Q: Dr. Eppley, I would like to schedule a consultation. I had a few questions,What is the implant material? Can Titanium be used? I had an orbital fracture when I was young and titanium screws are still in my orbital bone. Is this a problem? A: For custom facial implants a variety of biomaterials can be […]