Blog

Q: Dr. Eppley, I had a question regarding close set eyes. I am a 24 year old female with close set eyes. I have tried many different methods to try and camouflage this. When I was younger I started with makeup, using eyeliner to lengthen the outer corners of my eyes and plucking my inner […]

Q: Dr. Eppley, I had an ineffective horizontal projection chin reduction surgery about 5 years ago that only seems to get worse with time. The surgeon did it intraorally, and burred the bone down, but the fat pad was not properly taken care of and it now projects the same and scrunches oddly at the […]

Q:Dr. Eppley, Can the area between the ears and outer lateral canthus be slimmed down at all? I would assume this would be surgery on the zygomatic arch bone. One side of my face has similar projection to the image attached even with a normal ipd. The wide face makes my eyes small despite being […]

Q: Dr. Eppley, Is it possible to add a very modest jaw and chin lengthening implant in women without giving any horizontal attention widening effect? A: Yes but no. While an implant can be designed to provide vertical lengthening only it has to have some flanges to engage the sides for stability so some slight […]

Q: Dr. Eppley, These questions are regarding Clavicle Reductions: What are the complications associated with surgery? And your success rate? A: Success rate = 99% as defined by a bony union after surgery, one long term non-union. Complications = only seen 2 fixation failures out of 170 clavicles treated, replated and went on to heal. […]

Q: Dr. Eppley, I feel my eyes are quite high on my face, and lend to an overly long midface, and compressed brow-eye region. I’m not interested in brow lift because it will lengthen the face even more, which is the opposite of my visual goal. After a lot of research I’ve found some information […]

Q: Dr. Eppley, I was botched over 3 yrs ago when I had lipo. This past November I had revision lipo with fat transfer to oversuctioned hips. The fat did not stay so now considering implants. A: Hip implants are unlikely to be an effective technique for improving the irregularities from liposuction irregularities. Sunce they […]

Q: Dr. Eppley, I have quite a low eye space ratio of 0.425 with normal IPD. My eyes look close set as a result of a wide face / skull. Orbital box osteotomy is unrealistic and no surgeon does such. Per chance would shaving of the temporal bone on the side of the skull, muscles […]

Q: Dr. Eppley, I am writing to seek your expert opinion regarding my situation and potential corrective options. I had cheek implants placed via an intraoral approach and wore them for two months before having them removed. I am now three months post-removal and have noticed a significant change in my midface — specifically a […]

Q: Dr. Eppley, Can a custom chin implant fix a step deformity from a previous 10 mm genioplasty and add some extra projection as well (~5-6 mm)? I’m a patient that was born with extreme microgenia but with proper jaw alignment and teeth position, it’s just that the size of the chin is extremely small. […]

Q:Dr. Eppley, I came across your work and wanted to inquire about the possibility of clavicle augmentation for aesthetic purposes. Specifically, I’m interested in achieving a more defined and prominent collarbone appearance. Could you kindly advise: • Whether you offer any procedures (e.g. implants, contouring, or other techniques) to enhance clavicle prominence • What approach […]

Q: Dr, Eppley, I am writing to inquire about surgical options for modifying the mandibular angle (gonial region), specifically to increase its lateral/outward projection. Currently, my gonial angles appear to flare slightly inward, which reduces their visibility in profile and contributes to a weaker overall jawline. I am interested in achieving a more laterally prominent, […]

Q: Dr. Eppley, can orbital and midface implants be done on a patient who previously had implants placed behind the eyes to treat enophthalmos? A: Yes it can. I assume the enopthalmos implants are orbital floor implants. Dr. Barry Eppley Plastic Surgeon

Q: Dr. Eppley, Hello. I would like to discuss the possibility of getting a custom sized testicular implant. I currently have a prosthesis. The prosthesis is about 12 months old. It replaced another prothesis that I had. This one is the largest size Coloplast. But it is still significantly smaller than my other testicle. I’m […]

Q: Dr. Eppley, I had a genioplasty last year. My chin position looks good, but when I smile I notice some fullness or hanging under the chin area. I am about 7 months post-op and would like to know if a minor soft tissue procedure might be appropriate to remove it so the chin is […]

Q: Dr. Eppley, Would you do shoulder reduction, rib removal and back lift in one surgery? I’malso interested in a upper lip V-Y plasty laterally to make the sides and corners have more volume and be more flipped. A: Thank you for your inquiry and sending your pictures. The combination of shoulder narrowing, back lift […]

Q: Dr. Eppley, I had an ineffective horizontal projection chin reduction surgery about 5 years ago that only seems to get worse with time. The surgeon did it orally, and burred the bone down, but the fat pad was not properly taken care of and it now projects the same and scrunches oddly at the […]

Q: Dr. Eppley, I have very very dark circles I tried everything to get rid of it but does not work so was thinking of orbital rim implant. A: Dark circles are often a combination of shading from undereye hollows and hyperpigmentation particularly in certain skin types.If you have significant undereye hollowing orbital rim implants […]

Q: Dr. Eppley, For skull reshaping, what does the recovery process and timeline look like? A: Skull reshaping is a general term that refers to over 30 different procedures who have various surgery and recovery times. Without knowing what exact skull reshaping procedure to which you refer I can only provide a general statement based […]

Q: Dr. Eppley, Quick question before I book the CT. I had some hyaluronic acid filler in the infraorbital area about a year ago, and there may still be minor residual present. A couple of questions: 1. Is the 3D cranio-maxillofacial CT sufficient for planning, or would you recommend additional imaging (e.g. high-frequency ultrasound) to […]

Q: Dr. Eppley, Could you give me a potential price range for fat grating or implant for moderate glabella lines? Thank you! A:Any injection therapy into the glabellar area, whether it is filler or fat, has a risk of vascular occlusion with potential vision loss. As a result this would not be an advisable treatment […]

Q: Dr. Eppley, I’m very curious about this kind of fat graft for moderate lines of the glabella but without the release component. Had a hypersensitivity reaction after many year of using it to filler and to botox. Not interested in fat injection due to embolism risk so your procedure looks promising. Can you provide […]

Q: Dr. Eppley, Wondering if the chin augmentation and rhinoplasty procedures could be completed in same session. A:It is very common to perform nose and chin surgery together. it would be the norm and not the exception. Dr. Barry Eppley Plastic Surgeon

Q: Dr. Eppley, I’m looking to get revision bimax surgery and some implants to make it look more harmonious A:Secondary Bimax surgery and custom facial implants should be done separately for the best results. Any facial bone repositioning should be done first followed secondarily by custom facial implants for optimal aesthetic enhancement. Bimax surgery are […]

Q: Dr. Eppley,I am interested in a consultation on quad implants. I am specifically interested to hear about placement outside inner the muscle fascia. My quad muscle bellies are very short and I would like to hear if its possible to place an implant below the vastus lateralis muscle belly. The goal is not to […]

Q: Dr. Eppley, I’m reaching out after reading your material on orbital box osteotomies and orbital translocation for interorbital distance correction. I’m specifically interested in understanding whether a procedure to reduce intercanthal/orbital distance (bringing the eyes closer together) is ever performed for aesthetic cases rather than congenital hypertelorism. I had a few questions: • Do […]

Q: Dr. Eppley, I am writing to inquire about a standalone paranasal/premaxillary implant procedure. My situation: I have a recessed premaxilla with no support at the nasal base, a flat philtrum, and an acute nasolabial angle. This creates the appearance of a dorsal hump and a downward-rotated nasal tip, which I believe are largely optical […]

Q: Dr. Eppley, Seeking midface implant. I am 3 months post revision jaw surgery, my mandible a has been advanced twice and mid face now feels like it’s been left behind and looks very flat. A:It is very common after bimaxillary advancements to develop a midface deficiency. The lower midface of the LeFort I dentoalveolar […]

Q: Dr. Eppley, I am seeking treatment for self harm scars using the autograft method that Dr. Eppley discusses in “Treatment of Self-Harm Forearm Scars with a Rotated Ultrathin Autograft.” I was hoping to find out if I would be a candidate and approximately how much the procedure would cost. Attached are photos of scars […]

Q: Dr. Eppley, what can be done for my facial asymmetry? A:In facial asymmetry the initial step is to go to 3-D CT facial scan on which treatment planning can then be done. It is clear that your right facial side is short from top to bottom as evidenced by the lower eye and the […]