Blog

Q: Dr. Eppley,  I had a sliding genioplasty 8 weeks ago and I have a significant step off on my right side and a smaller step off on my left. I also had endolift laser which gave me submental fibrosis. I would greatly appreciate help with this issue.  Both the endolift and sliding genioplasty were […]

Q: Dr. Eppley, I have a misshapen skull due to a cyst that is in between my brain and skull. I am desperate for help to correct my skull. I live in Australia and I would love some help. A: As is shown in your scan the upper temporal protrusion does have a bony component […]

Q: Dr. Eppley, Is the muscle divided for a buccal lipectomy reversal fat graft? A: The buccinator muscle is divided to enter the buccal space…just like is required for the original buccal lipectomy procedure. Rather than taking out fat a fat graft is out back in. Dr. Barry Eppley World-Renowned Plastic Surgeon

Q: Dr. Eppley, I have a question about the Iliac Crest Reduction surgery want to do this surgery but what about the side effects? Wont this surgery affect our flexibility? Body rotation? What about running and squatting? That would be very painful I think. But I dont know so im asking you. Will I still […]

Q: Dr. Eppley, I saw your good work on scalp reshaping on instagram, and was wondering if you do surgery like that in other country. I live in Sweden and it’s my dream to be able to change my head shape but unfortunately the distance It’s to far away and very expensive. If you only […]

Q: Dr. Eppley, When would be the ideal time to apply the allogenic bone chips for sliding genioplasty defects? (stepoffs) Would this be after the bone has healed, or while it is still healing? Are they place intraorally? If yes, how much does that disturb the muscle and nerve? A: The time to apply bone […]

Q: Dr. Eppley,  I am also looking in to premolar extractions on top and bottom and retracting the front teeth. If I were to also have custom mid face implants done, when in the process of the braces would you recommend having the implants done? Towards the end? Or after the braces are complete? And […]

Q: Dr. Eppley,  I’m looking for information about wrap around testicular implants, procedure, time frames for healing.  A: Despite the appeal of the wraparound testicle implant concept, it is not without its problems. Postoperative detachment of the implant from the testicle is not rare and is a postoperative problem to which there is no assured […]

Q: Dr. Eppley, Two years ago I got Medpor chin and mandibular angle implants, but there’s a serious degree of asymmetry which I would like to correct. But before eventual revision I need to do post-op CBCT scan and 3D visualisation of the inserted implants in order to properly recognize the problem. My surgeon ordered me […]

Q: Dr. Eppley, And is there typically much visible bruising or pooling of blood afterwards from temporal artery ligations? A: Significant bruising is not typically associated with temporal artery ligations. Each ligation site will be a little raised for a while afterwards and then settles down and smooths out over the ensuing month after the […]

Q: Dr. Eppley, I got in a car accident and my leg got caught under the seat cutting my bottom as it was healing the my buttock fold unfolded making it uneven. A:That is a most unusual mechanism to develop buttock ptosis but the entire inframammary fold and lower buttock tissues have lowered. This can […]

Q: Dr. Eppley, I am seeking vertical jaw angle implants to get a result like the attached pictures. A:Thank you for sending your pictures. Before deciding on what type of implant to use the first step is to determine what type of jaw shape change the patient is seeking and what amount of such change […]

Q: Dr. Eppley I had a consultation with you a few weeks ago and I’m in the process of booking the surgery but forgot to ask you what the recovery for a sliding genioplasty and custom angle implants is like. How long does the swelling last and is it significant? Also is there any bruising? […]

Q: Dr. Eppley, I am contacting you because after having studied I am sure that Dr. Eppley is the only one capable – especially since Dr. Botti (who created the Dynamic Canthopexy with drill hole) has retired – to perform the technique of Dynamic cantopexy with drill hole presented in the medical literature article that […]

Q: Dr. Eppley, Hello! I am a 26 Female who has chin ptosis. My chin to me doesn’t not seem overly large, but when I smile, it droops quite dramatically, creating a weird shape along with a double chin from my side profile.  A:I think the reason you have dynamic chin ptosis is because of […]

Q: Dr. Eppley, what’s the % of muscle detachment or displacement that happens with jaw angle implants? it seems muscle issues are the main issue and can ruin ur face. A:The question you are asking is what is the risk of postoperative masseteric muscle dehiscence after jaw angle implants. That risk depends on many factors […]

Q: Dr. Eppley, I’m a trans woman who is interested in having surgery with you. Specifically clavicle shortening surgery and hip implants. I was wondering if I am a good candidate for them? If you can get them at the same time? And any other information you can provide me. Thank you! A:Thank you for […]

Q: Dr. Eppley,You have correctly surmised that with a long upper lip and many vertical lip lines that an excisional approach would be helpful with two caveats: 1) the amount of vertical lip line improvement will be limited to what is removed in the excisional area (see attached image) and 2) by doing a combined […]

Q: Dr. Eppley, i have severe Craniofacial Facial Asymmetry. i have yet to find a dr to fix my face and then i stumbled on your website. my face is more closer to the shorter side (i can tell due to genetics, my mothers face shape and 3 of my female cousins) please help. i […]

Q:Dr. Eppley, I’ve been planning on supraorbital augmentation by fat grafts and I was wondering how much millimeters could be added to the protrusion of the supraorbital/brow ridge at most and at least, at least while still maintaining a natural appearance. A:I suspect in the long run you will find brow bone augmentation by fat […]

Q: Dr. Eppley, I am considering shoulder widening surgery , and I have one question :How much lengthening do you think could be feasible in the case of a healthy flexible professional 26 year old athlete?Would 5 cm on each side be feasible IN SOME CASES (I’m not asking about every case nor one case […]

Q: Dr. Eppley, Have you done skull reshaping for a patient with right side coronal craniosynostosis (flatness right side of forehead and back head and protrusion on left side front and back head also sagittal ridge hump) A: I have treated every variation of skull shape abnormality that probably exists, either as a single or […]

Q: Dr. Eppley, Hello…I am interested in rib modification or repositioning. Do you just perform rib removal or also do rib repositioning? Do you think rib removal is better? A:Rib removal always produces better long term results than rib bending/modification as it removes the rib protrusion and reduces the thickness of the overlying latissimus dorsi […]

Q: Dr. Eppley, Am I a good candidate for thigh implants? A:With your very thin legs you are a good candidate for thigh implants as long as you understand what thigh implants can and can not. There are a method to enlarge the anterolateral aspect of the thighs. (aka the front of the thighs) The […]

Q: Dr. Eppley, Hi I would like to know around how much does the procedure cost and do I have to cut my hair for the procedure? A:The term ‘skull reshaping’ is a general one which refers to a collection of over 30 different specific skull procedures. To provide information on what skull reshaping procedure(s) would […]

Q: Dr. Eppley, On the top of my head I have a bump that I would really like to be removed if possible. Not sure what it is. A:This is a classic skull osteoma which are benign bony growths on the outer surface of the skull. This can be removed through a very small overlying […]

Q: Dr. Eppley, I’m interested in getting a sliding genioplasty surgery to advance my chin both horizontally and vertically in a significant way. I was hoping to schedule a consultation soon and ideally have the surgery completed by the end of this calendar year. I have attached a photo of my current side profile for […]

Q: Dr. Eppley, I have been doing lip incompetence exercises for w months now and no progress. I also have braces and I still can’t close my mouth. A:You have lower lip incompetence due to your very short chin/jaw. This is a structural issue for which exercises will not help. Ideally you need lower jaw […]

Q: Dr. Eppley, hi I’m interested in getting a facelift, but I have a shaved head, and if the doctor has done this procedure before A: In the male facelift in general, and in the shaved head male inj particular, the key is to limit the incisions to the immediate periauricular area. (in and around […]

Q: Dr. Eppley, My goals are to remove my medpor implant and then perform a sliding genioplasty. I do not like the implant and I don’t like how it makes me chin look longer, and did not give a lot of projection forward (it’s is a 5mm one) A: Admittedly if that is what you […]