Blog

Q: Dr. Eppley,  i have untreated sagittal craniosynostosis as a child. it has always bothered me greatly I’m in my early 30s now and seeking help form somebody that may be able to help me. Thanks for your time. A: Most adult sagittal craniosynostosis are treated by a custom skull implant with potentially some bone […]

Q: Dr. Eppley, Calf: I would like a muscle augmentation from knee to ankle. Forearm: Muscle augmentation from elbow to wrist. Could you please confirm if a longer implant is feasible in both areas in your clinic. A: What you are seeking can not be done. In the lower leg and forearm the upper half […]

Q: Dr. Eppley, Can I get facelift and lipectomy and necklift/lipo? Goal is tighter and thinner look. I have loose tissue cheek area after having buccal removal annd malar implants put in back in 2022.  A: As a general rule you can’t lift your way into improved facial definition, at least not in the cheek […]

Q: Dr. Eppley, I am a male patient considering lip augmentation. Given that I have identified I do not have the right shaped lip for a bullhorn lift, I am interested in the vermillion advancement procedure you have written about. My only reservation is the risk of bad scarring, such as a keloid, forming at […]

Q: Dr. Eppley, Hi, just wondering if I can send a picture so you can let me know if a brow bone implant is appropriate for my issue? I damaged my brow as a kid and have become increasingly self conscious of the indent and lack of symmetry it caused in my brow. I don’t […]

Q: Dr. Eppley, I am hoping that you can help. I have previously had Medpor Malar cheek implant surgery done through the mouth, upper/ lower eyelid blepharoplasty procedures in the past 6 months. However I am not satisfied with the results, one implant is oversized to the other. Would you be able to help correct […]

Q: Dr. Eppley,  I was tested for Noonan’s syndrome and tests came back negative. I have lived with a relatively mild variation of a webbed neck since I was an infant. Judging from the pictures attached to this email. A: In cases of mild/moderate webs in a male I am less than enthusiastic about webbed […]

Q: Dr. Eppley, Upon reading your jaw augmentation page I stumbled upon the Chin wing osteotomy. I was wondering if you do this procedure yourself. A: I do perform the chin wing osteotomy provided the patient is properly qualified for it which requires two criteria: 1) That they understand that the chin wing osteotomy is […]

Q: Dr. Eppley, Seeking Chin Implant Revision, Custom Implant for a more square, symmetrical and masculine appearance. The implant was placed about 4.5 years ago. The implant was in a size ‘large’ and was a silicone material; placed sub-mental (small incision under chin). The brand of the impact was Implantech Associates, Inc. Some information: Reference: […]

Q: Dr. Eppley, I have a few questions – could you please help with these? When I smile, I have creases that form under my eyes every time. Would the under-eye implants eliminate or reduce these? Is there anything that can be done to the under-eye implants to further minimize my nasolabial folds? If not, […]

Q: Dr. Eppley, I’d like to inquire about procedures for improving narrowly spaced eyes. My narrowly spaced eyes have been a lifelong insecurity  and it increasingly negatively impacts my disposition. I understand that procedures to improve this trait are risky (orbital box osteotomy), but I am tremendously motivated. To put the extent of the trait […]

Q: Dr. Eppley, I am a 55 year old female located in Oklahoma. I recently had a small button chin implant removed after 30 years along with a neck lift. My surgeon replaced it with a large terino chin implant. I was not expecting it to be so large. It was very uncomfortable and the […]

Q: Dr. Eppley, I wrote to you a while ago that I was interested in replacing Medpor mandibular angle implants with custom implants.The thing is that after visiting a surgeon he told me that the medpor implants I have caused my masseter to tear and the area has become too skeletal. Therefore, I wanted to […]

Q: Dr. Eppley, Hey!! I have seen cheek arch implants done by dr eppley!! I just wanna know can cheek arch implants be 1 inch in size ?? As i have read on your website that it must be 5 mm in thickness, but i wanna know can it be 20 mm in thickness?? A: […]

Q: Dr. Eppley, I would like to ask, in general, what is the maximum upper jaw advancement movement in mm (Lefort 1) that will not cause discrepancy between the lower and upper midface and that will not disrupt the facial harmony? A: This is a question that would be affected by many factors most notably […]

Q: Dr. Eppley, I am interested in getting a combination of surgeries done. The surgeries I am interested in consist of shoulder narrowing plus rib removal and iliac crest implants. Could these surgeries be done at the same time? And would I require assistance from another person (ie family member) or friend to be present […]

Q: Dr. Eppley, I am curious about ribcage narrowing. Removing my floating ribs wouldn’t make much difference I don’t think. It’s my side ribs that bulge out making my back too wide for my narrow frame. I have no fat really. It’s rib 10,9,8. My floating ribs do not show much because my side ribs […]

Q: Dr. Eppley, I wan to reduce the size of my face as it is larger than a normal human being as its size is extra large. A: I don’t see any effective method for reducing the size of your face. What makes your face ‘large’ is the amount of thick soft tissue over it. There […]

Q: Dr. Eppley, Here are some pictures of my face. Based on these would it be possible to say that the lefort 1 surgery affected my facial harmony? A: Every Lefort I osteotomy alters the natural shape of the face essentially leaving what lies above it behind. (infraorbital-malar region) Your current facial pictures certainly reflects that […]

Q: Dr. Eppley, My breast implant size, I think there is 250 in one and 235 in the other. They are saline, probably close to 15 years old. Yes, I would like to go up in size. A: Thanks for the info. To see an appreciable/visible increase in breast size you should at least go […]

Q: Dr. Eppley, As you can see I have the side of the skull on the right in the photo and on the left in life larger than the other. What I would like would be to refine and reduce this side so that it is homogeneous with the other side. A really flattened skull […]

Q: Dr. Eppley, Hi, I’m interested in both the cheekbone reduction and double eyelid surgery. Therefore, I was wondering which one should I do first? Lastly, how soon could I have the plates and screws removed and is shaving of the Zygoma cheaper than L-Osteotomy method? A: The order of  cheekbone reduction and double eyelid […]

Q: Dr. Eppley, I am a 42 year old male. I follow you on Instagram. I would like a consultation about my right clavicle. When I was 8 years old, my father had me fire a rifle that caused a greenstick fracture on my right clavicle. The callus makes a prominent bump as you can […]

Q: Dr. Eppley, For my plagiocephaly compared to the side of the skull I think reducing the bigger side is a better solution. The back of my head will have to be cohesive with the side reduction by increasing the flatness. I also have a few questions to ask you about the risk of this […]

Q: Dr. Eppley, I have two inquiries, the first wanting to know which option testicle implants of side by side and wrap around allows for the largest sizes? I was also wondering if surgical steel or something could be included to make them weight more? A: Both testicle enhancement techniques allow for the same increases […]

Q: Dr. Eppley, My question is relate to a 5mm genioplasty reduction i had done 25 years ago. As a result I’ve lost some contour as far as the muscle below the lip fold. I’ve read that tissue can be tied up to create the natural curve. In a second procedure A small chin implant […]

Q: Dr. Eppley, Hey just wondering at what age would you perform skull reshaping surgery? Would it be 18 or fully grown or what age would you consider performing this surgery? Thank you A: Adults age 18 and older is the minimum age for skull reshaping surgery. Dr. Barry Eppley World-Renowned Plastic Surgeon

Q: Dr. Eppley, I have a question about the general behavior of implants when removed. Perhaps you can answer this: Does removing implants after 6 months cause any permanent tissue damage and face changes? Does it create saggy skin or slightly change your appearance, etc? Or will the face and muscles go back to normal […]

Q: Dr. Eppley, I have recently had a canthoplasty to fix my eye asymmetry and tilt 6 months ago. I’m at the point now where I believe I need more volume with infraorbital implants. Is this possible after me having a canthoplasty? A: Having a prior lateral canthoplasty does not preclude getting infraorbital implants secondarily. […]

Q: Dr. Eppley, Can i still get infraorbital malar implants if i got a cheekbone reduction before? A: That is not an implant limitation. Custom infraorbital  malar implants can be placed over any bony anatomy regardless of its prior surgical changes. Dr. Barry Eppley World-Renowned Plastic Surgeon