Blog

Q: Dr. Eppley, would it be possible to add such a ‘mini’ implant to my under-eye area to address the hollowness? Right now honestly, the under-eyes are the one aspect of my face I find to be considerably deficient aesthetically even after IOM implants/fat transfers (i.e. the chin is not that bad all things considered). Fat […]

Q: Dr. Eppley, I had a question regarding chin tightness after a revision chin reduction following an initial sliding genioplasty. As I have read your previous answers mentioning a lack of soft tissue causing the tightness, would a potential chin narrowing and height reduction procedure alleviate this symptom due to the reduced surface area that […]

Q: Dr. Eppley, I was wondering if it would be possible (and if so what the main issues would be) to make a low osteotomy on the iliac crest and then rotate it inwards as a mean to achieve a greater hip reduction than it’s currently offered with the iliac crest resection method. In the […]

Q: Dr. Eppley, I have had chin and jaw implants (both silicone, the jaw implants are fixated by screws, the chin implant is not) for roughly 10 years now. They were placed about a year apart, with different surgeons. I regret having anything in my face, and am looking to remove them entirely, and do […]

Q: Dr. Eppley, I’m trying to clarify whether this is even a real, standard option (not some crazy experiment). In the same way rhinoplasty is a well-established solution for a nose someone doesn’t like, is surgically increasing facial width (e.g., via cheek/malar and/or jaw angle implants) a recognized and commonly performed solution for patients with a proportionally narrow face? […]

Q: Dr. Eppley, I wanted to ask about the feasibility of achieving a small, conservative increase in intercanthal distance (approximately 2–3 mm total or 1-1.5mm per side) through a combination of limited bony and soft-tissue approaches. Specifically, I was wondering whether a 180° orbital box osteotomy combined with soft-tissue adjustments such as medial canthoplasty / medial canthal tendon […]

Q: Dr. Eppley ,I previously had a chin implant that initially created vertical elongation, but over time the contour has become rounded and anterior. I’m concerned about capsular contracture or bone remodeling and want an evaluation comparing implant revision versus sliding genioplasty. I loved how my implant looked at first, but over time I believe […]

Q:Dr. Eppley, I have a pulsating bulge on my upper lip that I this is a vein. It is gradually getting bigger. How can I get rid of it? A: Every symptom you describe as well as the picture suggests that this is an aneurysm of the upper labial artery, patrticularly its pulsatile nature. Surgical […]

Q: Dr. Eppley, I saw a surgery you did to shrink a person’s head, is it possible on me? A: Skull reductions are best thought of as area reductions…not shrinking the whole head down. Thus the key question is what skull areas are the most promienent to you. In looking at your pictures I would […]

Dr. Eppley, My goal is to get rid of the sagging skin above my knee. A: Crescentic shaped excisional knee lifts can remove suprapatellar skin rolls with the tradeoff of a crescentic scar line. Dr. Barry Eppley World-Renowned Plastic Surgeon

Q: Dr. Eppley, I like the chin augmentation imaging but I wish the jawline was sharper. Would this be possible with weight loss? Also, I think the chin looks a bit pointy. A: 1) A sharper jawline s never going to come from a sliding genioplasty or any form of soft tissue reduction. Better jawlines […]

Q: DR. Eppley, Overall, my stomach looks good standing, but when I sit down I notice skin folding that feels more like mild skin laxity rather than excess fat. I’m looking for an honest opinion on whether this is better addressed with observation, a conservative approach, or if any surgical option would even be worthwhile […]

Q: Dr. Eppley, Hey there, I am interested in testicular implant surgery for cosmetic enlargement (not medically required – I have both testicles though they have atrophied a lot from being on TRT). How much is the total cost of procedure? And if custom implants were needed, how much more would that be?  A:The first […]

Q: Dr. Eppley,  I want to go from 700cc to 2000 cc breast implants. A:Trying to go from 775 CC breast implants to 2000 cc breast implants is neither possible, and even if it was, it is certainly not advised. That is a complication waiting to happen. On a more practical basis going from 775 […]

Q: Dr. Eppley, Here are some pics of my damage occipital bone. I was involved in a roll over accident I hit my head so I have a bump on the rear right of my head, a hole fractured inwards as you can see in the image a circled. I’m trying to see if I […]

Q: Dr. Eppley, I had a sliding genioplasty 7 months ago. Unfortunately, ever since then I have been facing lip imcompetence, open lips at rest and feel like I have to pull a muscle everytime I force my lips to close. Additionally from my observation the surgery has left me with a longer chin, longer […]

Q: Dr. Eppley, Hello. I have read that the most amount of lengthening that could be done was about 1-2 inches. Based on this image below, how much width do you think could be added? Would it be possible to achieve a v taper? A:I would doubt that clavicle lengthening alone due to the soft […]

Q: Dr. Eppley, I’m looking into supraorbital rim implant. Because I want to get asian blephraplasty which is asian double eyelid surgery which will give me a double eyelid and remove the monolid eye look I beielve, then I think canthoplasty is something I may need for the right eye size and width and cantal […]

Q: Dr. Eppley, do you do saddled infraorbital implants with PEEK? If so, what kind of incision do you use to insert them? A:In the United States PEEK is not a material that is allowed to be used for custom facial implants for aesthetic purposes. It is not approved by the FDA for any craniofacial […]

Q: Dr. Eppley, How long after Bimax jaw surgery can I get infraorbital-malar implants?  A:Since the infraorbital – malar area is at a superior level to that of the LeFort I osteotomy you only need to wait long enough so all of the tissues settle down and you have a clear understanding of weather augmentation […]

Q: Dr. Eppley, Can I get custom cheekbone implants combined with a canine fossa extension to fill in my deep canine fossa and create my dream hollow cheek look. A:With custom implant designing you can make implant any way one wants to try and achieve a desired aesthetic effect. Dr. Barry Eppley World-Renowned Plastic Surgeon

Q: Dr. Eppley, I’d like you to remove the elongated crown so that my head becomes rounder. A:Thank you for your inquiry and sending your pictures. I can definitely see your skull concern quite clearly. Crown of the skull reduction is not an uncommon skull reshaping procedure. The key question is how much of it […]

Q: Dr. Eppley, I’ve been a client of yours who is considering adding implants on my Sagittal skull look of cone shape and to ask to of muscles that move on side of head when chewing for mid year next year if possible, when you get a chance to respond, Thank You!…. A:Good to hear […]

Q: Dr. Eppley, I started noticing changes in my skull two years ago. First thing I noticed was the skate ramp that developed at the back, then a couple symmetrical lumps on the lower back, and eventually my head started looking wider, giving me a baby or alien-like appearance, which I really dislike. As bad […]

Q: Dr. Eppley, I had one previous surgery along the sagittal suture about one and a half years ago by a german surgeon, but the result was not satisfactory. I am interested in additional bone burring along the sagittal line but more laterally this time. Also The scar in that area has become significantly indented and […]

Q: Dr. Eppley, I was wondering how much of an impact that a supraorbital implant can have on the “hooding” of the upper eyelid, and if it can be done sparingly. I was also curious if this can be done in conjunction with a fat graft? A:I believe your fundamental question is whether a brow […]

Q: Dr. Eppley, I have a right recessed cheekbone and slightly recessed jawline. i would like to do an augmentation for both. A:In facial skeletal asymmetries custom implants made from the patient’s 3D CT scan is the ideal method for correction. That is a scan you get where you live (we provide you with the […]

Q: Dr. Eppley, I am interested in a scalp roll excision procedure on the back of my head. Can I see what the scar would look like in someone. A:The scar question is a good one and is the most appropriate metric as to whether the surgery is worth it or not to a patient […]

Q: Dr. Eppley ,I’m getting asian eye surgery so I can maximize the look but I will try to keep a lot of the eye shape features the same from mine and the male models like a down turned medial canthas, and a narrow eye shape not too round like most asian patients get without […]

Q: Dr. Dr. Eppley,I am reaching out to inquire about doing a hairline raising procedure. I had facial feminization surgery about a year ago that included a hairline lowering procedure. This improved my temple recession. However, the surgeon also lowered the center of my hairline to avoid creating an extreme arch to my eyebrows. Overall, […]