Blog

Q: Dr. Eppley, I have some questions about custom pectoral implants: Do you believe it is safe to work out the pectoral muscles in the gym after having pectoral implants (especially if big), and if so, when can one start chest exercises safely after surgery? What is the risk of seroma and/or displacement (highly theoretical  […]

Q: Dr. Eppley, I am inquiring about a genioplasty. I would like to make my chin vertically taller and gain significant forward projection. Ideally around 10-12mm. I would also like to hear your expert opinion on whether my entire jaw looks recessed and if I would need more invasive jaw surgery like a BSSO for […]

Q: Dr. Eppley, I would like to know if I would be a candidate fordeltoid implants and or shoulder lengthening/clavicle lengthening. (pictures attached) A:I would definitely opt for deltoid implants as your shoulders are already broad based on your pictures. It is just that the ‘corners’ of the shoulders are rounded and lack a more […]

Q: Dr. Eppley,Hello I am interested in surgery to my chin. I want to increase vertical height, reduce the depth of the labiomental fold and if possible decrease horizontal projection. I have been advised this is not possible as my horizontal projection is caused my muscle and fat and it is too complicated to surgically […]

Q: Dr. Eppley, I had 2 really big love bands before I had a lower eyelid surgery. I had little extra skin under my eyes and just wanted to look refreshed and the surgeon removed the extra skin and said she also did fat transpostioning. I now still have a big love band under my […]

Q: Dr. Eppley, Would like to know more about this procedure. As you can see in the photo I have a skull bump in the back of my head that i can do without. I have a short haircut and would like to know if scarring will be visible after the operation? And how much […]

Q: Dr. Eppley, I want to consider total midface augmentation with custom implant.I know you are one if not the best in the world using implants. I have a question. I suffer for years from chronic allergic rhinitis.I would like to know if a custom midface implant may be effected from allergic or sinusitis. In […]

Q: Dr. Eppley, I’m thinking about having a couple of skull reduction surgeries and I was wondering if you could provide a price estimate for all the surgeries together. Overall, through these surgeries I would like to decrease the overall look and size of my skull. Here are the surgeries that I plan on having.  […]

Q: Dr. Eppley, For a customized jaw implant, do you use a CT scan and special software to design the customized implant? A: All custom facial implants are designed for each patient off of their 3D CT scan using Geoform implant designing software. Dr. Barry Eppley World Renowned Plastic Surgeon

Q: Dr. Eppley, Can midface implant make nasomaxillary complex more forward and change the angle of “cheek line”. By a cheek line I mean a line from lower eyelid to nasal base; on flat midface is it more vertical while on projected midface it is more sloped(I attach photos to make it clean). Standard double […]

Q: Dr. Eppley, I think I am going to have my Terino II implant removed and will be going the custom route. The date for removal will most likely be in around 3 weeks. However, I thought I should send some more photos in advance of the video consultation so that he gets a better […]

Q: Dr. Eppley,Hello. Can i get wider and taller chin with genioplasty? A:I believe you mean a wider and vertically longer chin and by using the term ‘genioplasty’ (which is a generic term for any type of chin change) you probably are referring to a bony genioplasty by osteotomy. An osteotomy can be used to […]

Q: Dr. Eppley, I made a big mistake ten years ago and did a rhinoplasty. The results are not very good, since I looked better before. Recently I’ve been researching the best plastic surgeons to correct it. My nose is broader, rounder and shorter than before the surgery. They cut off too much bones to […]

Q: Dr. Eppley, When I push up the tissue over my chin it creates a better angle and my face looks less long.  I think that my issue has more to do with the tissue/muscle and a reposition of the tissue or muscle would make a big difference.  But I’m not an expert, this is simply […]

Q: Dr. Eppley, I am interested in a testicular implant, from torsion and removal at birth. I like the idea of the solid silicone. Are you still implanting those solid silicones?  Do you also have data of infection/removal from all of your procedures? As well as cost? I have a few other questions about high […]

Q: Dr. Eppley, I would like to enquire about buccal fat reversal with dermal fat graft as I underwent it last year. May I asked what is your experience with this surgery and how many cases have you done?  Kind regards A: It is an effective procedure based on the 3 cases I have done […]

Q: Dr. Eppley, I have attached some computer imaging done at a clinic to show me some face changes. I am wondering if these results are attainable as I am suspicious of Photoshop use. A:The first concept to grasp is that imaging is designed to set the patient’s aesthetic target …from which the operations are […]

Q: Dr. Eppley, I have a virtual consult with you last year  but I’m worried that an augmentative rhinoplasty won’t be enough to create proportions within my side profile since my lips are so protruding, so could you confirm if I need my premolars extracted to bring inward the lips before I get the rhinoplasty […]

Q: Dr. Eppley, Two years ago I had a displaced fractured cheekbone and other fractures.  No surgery was done at the time or since. I have been left with a major cosmetic defect and chronic 24hr/7days pain/painful pressure above my upper center and side teeth -same side as the fractured cheekbone. The pain is very […]

Dr. Eppley, I have a clavicle that is shorter than the left by 3cms give or take, can it be fixed and look like the left and be symmetrical.  A :Clavicle lengthening in a normal non-muscular patient is limited to 15 to 20mm lengthening at best. In a well muscularized patient that lengthening would be […]

Q: Dr. Eppley, I have been reading about jaw recession and chin recession, which I now realise to be much of the same issue: if the chin is recessed, so usually is the jaw.  I have read that when correcting a recessed chin via genioplasty, chin implant, or both, a problem known as the “crescent […]

Q: Dr. Eppley, I had a forward sliding genoplasty almost 20 years ago. It was advanced an estimated 8-10 mm. I was left with a tightness in lower gum line. 3-4 years later after this procedure tightness still existed so the original Dr. did another procedure sliding back the bone half way, so as of now […]

Q: Dr. Eppley,I would like a bicep implant. I had a botched tendenesis. Tendon was torn and atrophied. Got tendon reattached. Would like to investigate if an implant under atrophied tissue is possible. The tattoos makes it hard to tell, but it’s retracted toward the elbow. It’s balled up like Popeye. I’m not sure I […]

Q: Dr. Eppley, Zygomatic/Malar Osteotomy may be beneficial to my appearance. I have attached a photo of myself when I was very young (around 20 years old) it shows my facial bone structure better then my more recent photo from a couple years ago (im 33 now). Maybe Zygomatic/Malar Osteotomy would be more beneficial than seeking out Orthognathic […]

Q: Dr. Eppley, Last year I underwent surgery to improve the mandibular contour through personalized PEEK implants in the chin and jaw. About 3 months after the operation, I had an infection plus a posterior lump on my left side. The doctor drained it, but soon after the abscess turned into a fistula that oozes pus […]

Q: Dr. Eppley, Im interested in the procedure of Rib removal. Can you please provide me more information. I want to know if the ribs are going to be removal or just break them and leave it inside the body. I’m a little confused about that part. A: Thank you for your inquiry and sending […]

Q: Dr. Eppley, Im interested in the procedure of Rib removal. Can you please provide me more information. I want to know if the ribs are going to be removal or just break them and leave it inside the body. I’m a little confused about that part. A: Thank you for your inquiry and sending […]

Q: Dr. Eppley, I would like to have a small revision genioplasty as my chin was moved too far forward and down, but would not like titanium plates and screws to be in my body. I read that you did a paper on using reabsorbable polylactic-polyglycolic acid plates and screws, claiming they were an effective […]

Q: Dr. Eppley, I have a question about midface (nasomaxillary) projection. My nose(practically entire mid-face) from profile looks quite flat and my cheek line” from profile is almost vertical. I would prefer to have a nose that projects more and a more sloped cheek line. In the book “Aesthetic Surgery of the Craniofacial Skeleton: An Atlas” […]

Q: Dr. Eppley, Hello! I have two questions: one, how much does rib shaving cost (or could you give me a start-up estimate)? Two, is it possible to shave down the width of a ribcage? Mine is terribly wide and it gives the illusion of a male shape. This is NOT what I want. I’m […]