Blog

Q: Dr. Eppley, I am inquiring to see if I would be a candidate for mouth widening surgery as I have a very small mouth. A:Thank you for your inquiry and sending your picture. Your mouth appears small in width for two reasons; 1) it actually is a bit small in width BUT 2) that […]

Q: Dr. Eppley, I would like to have chin implant removed that was placed submental 25 years ago (XL silicone) I know from reading your blog (most informative that I have seen) that there is no way to know the outcome of removal.The most important aspect of removal to me are function and motor skills […]

Q: Dr. Eppley, I’m hoping to get saddled infraorbital malar implants that fits my natural profile harmoniously giving me a fiercer look also maybe some zygo projection as well as long as it doesn’t make me look bloated. A: For successful infraorbital-malar augmentation filler or fat injections are poor choices to do so. Effective skeletal […]

Q: Dr. Eppley, I am experiencing an issue with the shape of my skull, specifically a noticeable protrusion at the top of my head (the crown area). This bump is quite visible even when covered by hair, and it has been causing me significant psychological discomfort and a lack of confidence. I have attached a […]

Q: Dr. Eppley, With hardware removal, will the chin-bone remain in the same Location? In other words, would the chin implant purely add additional Volume to my X-ray? Or would there be some give and take? A: The chin bone is well healed at this point and the hardware now is not needed. Meaning the […]

Q: Dr. Eppley, At what age can the procedure for plagiocephaly be performed on a child? Would this permanently resolve the issue and grow with them or would they need more surgeries as they age? What does the recovery from this procedure look like? A: Skull implants for aesthetic augmentation is not recommended in young […]

Q: Dr. Eppley, I had surgery last year which included a brow lift and midfacelift, as well as shaving of the orbital rim. While I’m very happy with most of the results, I wanted to inquire about an implant to restore the orbital rim to my prior shape.  I feel the doctor shaved off too […]

Q: Dr. Eppley, Hello, I have a protruding forehead (frontal bossing). I would like to know if you treat this in adults A: Thank you for sending your pictures. The key question on forehead reductions is how thick is the bone and how much of iot can be safely removed. It is also evident in […]

Q: Dr. Eppley, Hello, I have pectus excvactum and was looking to get a consultation regarding an implant. I have also attached a picture. A: Thank you for your inquiry and sending your picture. This is a classic case of a moderate pectus excavatum involving the lower end of the sternum. This is treated by […]

Q: Dr. Eppley, I want to make enquiries about skull reduction or occipital reconstruction cause I’m interested in it. A: Thank you for your inquiry and sending your picture. In skull reduction surgery the most common request is for the back of the head reduction. The success of back of the head skull reduction is […]

Q: Dr. Eppley, I’m a 30 year old trans woman at 5’9” and 142 pounds. I am going to get my ribs done (broken in rather than removed), but I’m also interested in learning more about the iliac crest implant surgery that you perform. I’ve attached a photo for you to review. Do you think […]

Q: Dr. Eppley, I have a patient who had chin surgery and had a problem with her lip not closing properly. She is interested in going to the USA for further treatment. She would like more information to help her make a decision, for example: Can this condition be cured? How confident in your ability to […]

Q: Dr. Eppley, I want to know if it is possible to reduce the height of the head by reducing the size of the forehead bone, as well as reducing the size of the sides. I would also like to know if it is possible to change the general shape of the head and restore […]

Q: Dr. Eppley, Can you also ask the doctor that since cheekbone reduction involves the use of pins/screws and plates to secure the cheekbone, can these get knocked loose if there was blunt force facial trauma? A: Hardware loosening in cheekbone reduction osyteotomies is generally a risk that would most likely occur if substantial facial trauma […]

Q: Dr. Eppley, I came across your articles last night and was stunned at the depth of your knowledge and expertise. I look forward to being in contact! Procedures/areas of interest (individualized pricing/imaging for each as well as combined would be greatly appreciated but I understand if that is asking for too much): Lip reduction/augmentation […]

Q: Dr. Eppley, I’m wondering what skull reshaping options there are for plagiocephaly. I would be interested in augmenting the back right side of my head, slight augmentation on the top left side, as well as bridging what I would describe as a divot/dent at the top just above the forehead, as well as reducing […]

Dr. Eppley, Do most cheekbone reductions result in a bony union? Are there some that result in a fibrous union? A:With plate and screw fixation there is a high probability of bony union. Without it a fibrous union will usually result. Whether it really matters that a bony union results in a midface bone which […]

Q: Dr. Eppley, my eyes are pretty far apart and my bizygomatic width is narrow-average. This throws off my face a ton. Is there any way to widen the cheekbones with implants? If yes, how much mm width could you possibly get? A: Increasing bi-zygomatic with is done by zygomatic arch augmentation using custom made […]

Q: Dr. Eppley, Injectable filler found during chin implant surgery can be removed, and will not sit on top of the augmented chin and cause overprojection? A:Filler that presents itself in surgery would be removed because it is visualized. Any non-visualized filler would remain and would need to eventually dissipate by the normal resorption process […]

Q: Dr. Eppley, I had a buccal fat removal with liposuction almost 5 months ago and I ended up like this. I need to know how this can be fixed. A: Submalar hollowing caused by buccal at removal is treated by a fat injection approach in the majority of patients. This offers the least invasive […]

Q: Dr. Eppley,Please Dr. Barry Can we ask please that question which is With Which kind of Breast Implant’s type is can someone achieve XXXL sizes with Overfilled Saline or Expanders please ? Thank you A: Silicone gel breast implant sizes are now available up to 1430ccs.But perhaps the question may be can one go from […]

Q: Dr. Eppley,What kind of Breast Implant’s type can someone achieve 2000cc or more cc with Overfilled Saline or Expanders or has to be ordered Custom size Silicone gel Implants like 2000cc Custom Silicone gel ones or more? A: There are no custom made silicone breast implants which is not allowed per the FDA. Thus the […]

Q: Dr. Eppley, I am inquiring about rib removals 10-11-12 or only 11-12? Does it matters how old i i’m because I’m gonna turn 20? I don’t know if you speak Greek but I send a little bit of Greek to see if you are from Cyprus. A: I am neither Greek nor Cyprus but […]

Q: Dr. Eppley, I am a young male experiencing significant psychological distress due to the shape of the back of my head. Specifically, I have a prominent occipital bone (possibly an occipital knob or bun), which creates a visible bulge at the back of my skull. This prominence causes me extreme self-consciousness in public, especially when […]

Q: Dr. Eppley, Based on what you described — that it is a pseudo sagittal crest caused by side deficiencies — I would like to ask your opinion on what you think would give the most balanced and natural-looking result. I am looking for an improvement that makes the top of my head appear smoother […]

Q: Dr. Eppley, Do you have a surgery that can reduce the skull circumference? Thank you A:In answer to the question if is there a surgery that can reduce the skull circumference the answer is maybe. While such procedures as temporary reduction do an excellent job of changing the shape of the side of the […]

Q: Dr. Eppley, This is regarding Occipital Skull Reductions: It takes how many days to cool the pain after surgery. A:In almost all skull reduction procedures postoperative pain  s not a major issue. The bone itself has little feeling and  the overlying scalp is often for a period of time after the surgery. Dr. Barry […]

Q: Dr. Eppley, just wondering if I would be a good candidate for frontal bossing (forehead horns) and hair like lowering surgery? A:Thank you for your inquiry and sending your pictures. I don’t think there is any question with the prominence of the frontal bossing and the high hairline that the combination of a frontal […]

Q: Dr. Eppley, Is there any way to widen lips surgically without leaving scars? A:No. Mouth widening exerts its effects by external skin removal, relocating the corner vermilion-cutaneous junctions. Thus the external excision leads to a fine scar line around the corners. Dr. Barry Eppley World-Renowned Plastic Surgeon

Q: Dr. Eppley, I am interested in your chin augmentations. I was wondering if derma filler needs to be removed before the procedure, it is not a lot. And if this is possible to be done during the augmentation. A:I do not usually recommend or feel the need for removing injectable fillers from the chin […]