Blog

Q: Dr. Eppley, Hello, I have a jaw contouring/ jaw reshaping concern. My right side lower jaw is bigger and draws the right side of my face downward. This is clear when seeing my lips, as the right side of the lips are pulled in a downward angle. It’s fairly clear to me that the […]

Q: Dr. Eppley, I’m interested in paranasal implants. My goal is to normalize the central part of my face having an aesthetic outcome. A:Thank you for sending your pictures. I would need to know exactly what you are hoping that paranasal implants can improve or resolve. When one says normalize the central part of my […]

Q: Dr. Eppley, I need to know if taking bisphosphonates (alendronic acid, specifically) would be a problem when it comes to getting an otoplasty done, even if it’s just an upper ear setback via sulcus reduction, as well as a head width reduction procedure, whether it be by removing muscle or bone.  A:Biphosphanates potentially affects bone […]

Q: Dr. Eppley, I was thinking of having a facial augmentation, which would include the zygomas and the chin. I tried to make some implants to get an idea of what the result might look like. What does the doctor think of the ones I made. Could the design and thickness be like this. The […]

Q: Dr. Eppley, A year ago, I had Medpor infraorbital implants placed to correct hollowing under my eyes. Unfortunately, I feel that the implants were not well suited – my facial proportions have changed, and the implants are visible beneath the thin skin of the lower eyelids. I have also noticed a deepening of the […]

Q: Dr. Eppley, I had a bimaxillary osteotomy to fix my bite 2 years ago. My bite is now fixed and both jaws have been moved forward and up but I feel like my midface is still pretty flat. The screws in my upper jaw have been removed already. (photo is older) Is there a possibility […]

Q: Dr. Eppley, Id like to ask about a step off after genioplasty. I had 2 step off sites right after my sliding genioplasty (6mm forward only) one side is worse than the other. I did a revision 7 weeks post-op to set the bone back to its original position but the step offs are […]

Q: Dr. Eppley, Hello doctor, in skull aesthetics, screws are used. What happens if these screws get infected, and is it a risky surgery? A: Skull reshaping is as safe as any other aesthetic surgery. Screws don’t get infected, never seen it in 35 years of doing the surgery. Dr. Barry Eppley World Renowned Plastic […]

Q: Dr. Eppley, I have had perioral mounds since I was a kid. I had micro liposuction and it made some difference but did not get rid of them as much as I would like. I tried device skin tightening but it didn’t make any further change. Several surgeons have suggested a deep plane facelift […]

Q: Dr. Eppley, Interested in midface augmentation to address some recession and rhinoplasty. Possibly minor bone reduction and implants to resolve some asymmetry. Attached a mockup of what I’m looking for, but it looks kinda unnatural in the eyes. A:Thank you for your inquiry and sending your pictures. I have toggled back-and-forth between the before […]

Q: Dr. Eppley, I am very interested in learning more about the Iliac Crest Reduction procedure that your clinic offers. I would greatly appreciate it if you could provide me with information regarding the following:.). The expected recovery time and any lifestyle restrictions following the procedure. Whether this surgery can be combined with other contouring […]

Q: Dr. Eppley, I’m emailing you wondering if I would at all be a candidate for cosmetic skull reshaping. When I was born I was delivered with forceps that unfortunately shaped my head in an odd way. There’s an indent on the back left side of my head that has pushed the front right side […]

Q: Dr. Eppley, I had cheek implants that I initially liked and then replaced them with new cheek implants that I thought would be better…but they weren’t. I now realize that I like my original cheek implants much better. I would also like some paranasal augmentation as well. My question is whether I should go […]

Q:Dr. Eppley, What is your experience with treating negative orbital vectors with custom implants. Is it favorable? Also I want enough of a result to be seen but I don’t want to look unnatural so something conservative. A: In answer to your questions: 1) My experience is favorable one. Compared to any other treatment methods […]

Q: Dr. Eppley, I had Bellafill injections under my eyes and on my cheeks . As I am aging, it’s becoming more noticeable. Like to have a consultation to see what could be done. Not expecting a miracle, but hoping that I can soften the effects somewhat if possible. Thank you A: Bellafill is a […]

Q: Dr. Eppley, Basically, I did an endonasal lip lift 4 months ago that, despite giving me a really good upper lip, changed my nasal sill’s shape (it cut the nasal sill’s skin in between the transition from nose and philtrum). I spoke about it to my surgeon, but he said he does not know […]

Q: Dr. Eppley, I attached before and after photos for a procedure called FaceTite with microliposuction of the perioral mounds. I’m wearing very little makeup in these photos, and overall I’ve been bothered by my perioral mounds since I was a young adult. I’ve had them since I was even a child/teenager.  I’ve consulted three different […]

Q: Dr. Eppley, Hello! I had a consult with Dr. Eppley a while back about testicular implants which had been done in Beverly Hills. I was not satisfied with them because they were too hard. Upon Dr. Eppley’s advice, I had them removed. Now I find that I would like to have implants again but […]

Q: Dr. Eppley, Unfortunately it is not easy to show in pictures how my knees look. Therefore I sent the video. The upper part of the knees is actually fat and skin. Hope this helps ? A:Thank you for sending the additional pictures. What you are not factoring into the consideration of any knee lift with and […]

Q: Dr. Eppley,I’m attaching photos of what I’m looking for. I don’t like the projection of the chin which in my opinion is too much (profile), I would prefer it to be wider and a little more squared like in the photos (not excessively)(frontal/ 3/4). Also I would like a consistent cheek augmentation. My main […]

Q: Dr. Eppley, My eye are very close and my inner eye corner are very big and down turned my eye is over all very round and short and high on my face and very up turned and very unsymmetrical they are very close A:Thank you for your inquiry and sending your picture. You have […]

Q: Dr. Eppley, I previously had two small implants at the base of my nose to increase the fullness (decrease flattened facial appearance) Although the doctor was on the right track, I think larger implants are needed. (he has since retired) A:With confirmation from her previous surgery at paranasal implant augmentation what is the correct […]

Q: Dr. Eppley, I underwent a buccal fat pad removal surgery, during which approximately 5.0 ml of tissue was removed from each side. Unfortunately, I have since developed very significant adverse effects, including severe cheek hollowing, noticeable facial sagging, and what appears to be a collapse of the facial support structure. This has also led […]

Q: Dr. Eppley, Hello, I am curious if the resorbable lag screws that can be used in a sliding genioplasty go unnoticed in dental x-rays and x-rays in general? If so, how long does it take for the complete healing and for the lags screws to be reabsorbed? Will it be 100% undetectable? Thanks! A: […]

Q: Dr. Eppley, I am interested in jaw implant augmentation where a small external skin incision is placed either right at the back of the jaw angle or around the base of the earlobe. A:A completely transcutaneous approach to jaw augmentation can be done provided at the amount of angle augmentation is not excessive. Such […]

Q: Dr. Eppley, Hello, as you can see there is an obvious difference between the right side od the frontal bone and the left side. On my right side you can see concavity and lower brow bone . So im asking is there some sort of implant that can be inserted safely so i can […]

Q: Dr. Eppley, I have a quick question about jawline implants and thick soft tissue. If someone has thicker coverage (skin, subcutaneous fat, and masseter muscle), does reducing some of those layers improve implant definition? Specifically: Would masseter Botox (to slim the muscle by ~25–30%) before or after surgery help the implant show better? If […]

Q: Dr. Eppley, Recently I lost some weight, and a family member was wondering why I am frowning, was I in a bad mood etc… On a side profile picture, I have a frown, like a hollow in my forehead. I have sent some photos for you to see. What can be done to improve […]

Q: Dr. Eppley, Will the aesthetic outcome look like how it did before removing the buccal fat pad? A:The simple answer is no. Whenever you have removal of tissues that are then secondarily reconstructed by the placement of new tissues one should never expect to return exactly to what they look like before the original […]

Q: Dr. Eppley, I wound up getting pelvic plasty with the Korean yonsei baro chuk group that does it  as well. I went for a first surgery 6 months ago and then an attempted revision to fix the plastic portion again 1 month ago. Unfortunately neither helped at all, and now I am even worse off […]