Blog

Q:Dr. Eppley, Hello, I’m interested in clavicle lengthening. I haver a 45cm bideltoid measurement. I’m tall even I’m proportional for my height, it’s a small bideltoid size. I would like to lengthen 2 cm per clavicle. A:The most important question in clavicle lengthening is whether the procedure is worth it based on what can be achieved. […]

Q: Dr. Eppley,Hi doc  I wanted to ask how much narrowing can be done typically for shoulders ? I know it varies but just curious about the possibility  – and also do you suggest getting breast implants before this procedure or after ? A:The typical amount of clavicle shortening per side is 2.5 cm. The best way […]

Q: Dr. Eppley, Could you please in addition let me know the following: – how long in advance do I need to be in the clinic (time needed for preparation of the skull implant); – how long after the surgery do I need to stay in the USA for the post-treatment? – what is the […]

Q: Dr. Eppley, I am strongly considering a subtle chin and paranasal augmentation procedure. I’ve been genetically gifted with a small jaw and huge cheeks, now that I’m in my mid-30s and the fat pads have decreased, all my sagging soft tissue is hanging out below my jawline. I’ve consulted several doctors, and they advised […]

Q: Dr. Eppley, The right side of the back of my head is flat with no projection. I believe it was because i slept on my right side too much as a baby. So I want an implant there. My left and middle back head is fine. Also the right side of my head on […]

Q: Dr. Eppley, Fat transfer to the face is highly unpredictable and have a high cell mortality rate. To avoid hematomas, calcifications, lumpiness and infection that is often attributed to fat transfer to the face and because the face is so visible to the public world, most plastic surgeon do NOT recommend fat transfer to […]

Q: Dr. Eppley, I have read that many plastic surgeon believe the deep plane facelifts are extremely dangerous due to the plane being manipulated is the location of so many delicate facial nerves. Those who perform deep plane facelifts speak highly of it and criticize limitations of the traditional SMAS-adjacent facelifts. This can be a conflict […]

Q: Dr. Eppley, If you remove some chin or jaw reduction surgery, could that removed bone be milled and  “processed” to replace a small silicon implant for temporal or suporalateral orbital implant? This is for a patient who wants to use all his/her own body tissues. All foreign material, including silicon implants, will trigger and interact […]

Q: Dr. Eppley, I’ve always been self-conscious about my weak chin, but am unsure what the right solution is. I’ve received multiple consultations about options, but surgeons can’t agree on what type of implant is best. I’m curious whether you think an implant or a sliding genioplasty would be better. If an implant is the […]

Q: Dr. Eppley, I am interested in rib contouring to fix this protruding rib and to create a more narrow upper body. A: You appear to have a unilateral subcostal rib flare. That can be treated by either cartilage cuts and bending of the flared segment (requiring 6 weeks of banding to ensure that it […]

Q: Dr. Eppley, I was wondering if orbital box osteotomy to increase my IPD, this is for cosmetic purposes, as my eyes are too close together, and I don’t like how I look. A: The magnitude of orbital box osteotomy surgery is excessive and not appropriate for your IPD problem. It is a reconstructive procedure more […]

Q: Dr. Eppley, I wanted to enquire if there’s any surgery/ treatment that would be able to soften my labiomental crease in my chin? I’ve been advised about lengthening my chin vertically but I’d be worried it would look too long from the front view. Could a fat transfer or bone graft to the fold […]

Q: Dr. Eppley, I am wondering if it’s possible to “heighten” the mentalis fat pad and mentolabial fold, and shorten the sublabial subunit using fat grafts to create the look of a more robust, masculine chin. I’ve made this mock up in photoshop and am curious to hear your opinion on whether it is plausible […]

Q: Dr. Eppley, Based on your experience and where craniofacial surgery is realistically headed, do you expect limited orbital widening for normal anatomy (beyond very small changes) to become meaningfully safer or more justifiable for cosmetic use in the next decade or do you see the risk–benefit balance staying essentially the same? A: For eye […]

Q: Dr. Eppley, I am interested in discussing testicular implants. I have read that Dr. Eppley does this procedure, and does it differently than some other surgeons, however, I see no evidence of this procedure on his website. Please confirm that Dr Eppley performs this procedure before I book a consultation. A; I am not […]

Q: Dr. Eppley, Can Mms chin be augmented successfully with less than 10mms projection?Also, I’ve found that almost no one mentions using Glasgold wafers or Flower mandibular glove implants. Are they just not as common?  Or do they not work for my anatomy? A: The relevance of the 10mm number is that is what creates […]

Q: Dr. Eppley, I had a vertical line on my upper lip when smiling. I consulted a board certified plastic surgeon about options. He recommended “frenulotomy”. Stayed the only impact on smile would be “more incisor show” no other significant impact. My entire smile changed with drop of upper lip. I believe he did a […]

Q: Dr. Eppley, I think the problem with my eyes is that the cheekbones are flat and wide. I would like to reduce my cheekbones a bit and maybe also the temple width or contoured. I need my eyes to look bigger and more open. My cheekbones are flat and too prominent. I notice this […]

Q: Dr. Eppley, Hello there, I have a tattoo going around my right wrist that I would to remove via surgical excision and skin graft replacement. A: Thank you for your inquiry and sending your pictures. Excision and skin grafting of your circumferential wrist tattoo is one treament option for it. Whether that is appropriate […]

Q: Dr. Eppley, how long I would need to wait after temporal artery arterial ligation to consider doing a brow lift? Or should I just wait and get the ligation done after the brow lift? It really makes no difference to me, I just want to do whatever will yield the safest and best aesthetic […]

Q: Dr. Eppley, Are you able to repair the greater auricular nerve that was damaged in a neck lift? A:That depends on the nature of the nerve injury. Was it cut? Was it trapped in a suture/scar? Can the nerve or its ends be found amidst the scar? These are all questions which can not […]

Q: Dr. Eppley, Hello, just inquiring. I don’t actually think there currently is any option, but is there any procedure to improve sacral sloping? Currently I have a very flat upper butt/lower back, but don’t think I’ve seen procedures for it. Closest is bbl, but that often seems to make the flatness more prominent in […]

Q: Dr. Eppley, Adore Dr. Barry Eppley’s work! I have been a big fan for many years!!! I have never had a breast augmentation. My breast tissue growth is related to hormones. Because of that I have noticed significant reduction in volume on the top of the breast and would like an implant to help […]

Q: Dr. Eppley, I want to get the tail of my eyebrows and eye corners lifted. Is this possible in me since they are already a bit high? A: Imaging is a very important step in considering any type of facial reshaping surgery. However it is first important to understand what imaging is and its role […]

Q: Dr. Eppley, mTo complement rib removal surgery, I would like you to perform resections of the dorsal muscles, liposuction, and a corset-style back lift to amplify the effects of the surgery. A: The vertical backlift to which you refer can be done provided one has adequate lax back skin to make it effective without creating […]

Q: Dr. Eppley, In the shoulders, I’d like to have a shoulder reduction with scapular filing. I’d also like to know if you file down the acromion? And if you can change the angle of the clavicle to a more feminine one, since the angle between men and women is different. A:For shoulder reduction the typical […]

Q: Dr. Eppley,In the pelvis, I’d like to have a pelvic scraping to improve the waist-hip transition. Another question: do you file down the iliac spines? Because mine are very prominent and pronounced. A: for iliac crest reduction this is done from the anterior superior iliac spine back to the mid-portion of the crest where it […]

Q: Dr. Eppley,I’ve been looking at your posts and I’ve noticed that you can modify the ribs up to the 7th or 6th, if I remember correctly. So I’d like to have a rib removal from the 12th to the 9th or 8th, and for the other two ribs or the rib above, an osteotomy […]

Q: Dr. Eppley, I want to have a mouth narrowing procedure. A While mouth narrowing surgery is possible I would be cautious about it due to the scar line that will result in the wake of moving the mouth corners more inward. Dr. Barry Eppley World-Renowned Plastic Surgeon

Q: Dr. Eppley, I desire all the procedures of a complete facial feminization, I want to use a more bony and deeper approach to the bone structure. That is, common facial feminization addresses the bone, but mostly by filing it down. In contrast, I have observed that the male face, in its physiognomy, is not only […]