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Q: Dr. Eppley, I am interested in a head oval shaping operation. I would like to ask about the whole process. starting from the consultation ending with the operation. How does this process work? is an online consultation enough and after that I can make an appointment for the operation right away? A:The first place […]

Q: Dr  Eppley, I am a 20 year old woman with a naturally slim build, but despite being pretty skinny, my clavicles are not visible or pronounced in the way I would like them to be. This has been a long-standing aesthetic concern for me, and I’m reaching out to ask about your custom clavicle […]

Q: Dr. Eppley, I am interested in learning more about cosmetic skull reshaping procedures. I’ve been researching options for correcting certain head shape irregularities and would greatly appreciate your expert guidance. Specifically, I am looking to address:       •     A sloped forehead that I would like to make fuller or more vertically aligned.       •     A flat back of the […]

Q: Dr. Eppley, I have attached a photo, and I drew blue lines. I am concerned that my skull bulges out laterally, whereas the angle in most females goes toward the center as the blue lines indicate.  It is less apparent in photos and more noticeable in person.  But hopefully this helps.  Please let us know if […]

Q: Dr. Eppley, am I a good candidate for hip implants? A:To determine if you are a good candidate for hip implants I need to have the following information: 1) current pictures of your hips 2) pictures that show your desired hip augmentation goals 3) prior surgical history that may include fat grafting and/or synthetic […]

Q: Dr. Eppley, I am interested in glagella furrow reconstruction. I recently had a brow lift and filler but still no improvement. A:The surgical treatment of a deep glabella furrow that is refractory to Botox, injectable fillers, an endoscopic release is a direct excision of the furrow with a placement of a glabellar implant beneath […]

Q: Dr. Eppley, My head is not evenly shaped and I want to explore options for contouring. A:Thank you for sending your pictures as this is the first I’ve seen them. What day demonstrate to me or two issues. First there is hey left sided top of the head asymmetry where the parasagittal area is […]

Q: Dr. Eppley, I always desired a pointy chin. I did two surgeries already to add a silicone implant, but as usual, there are no available silicone implants which are pointy In this picture I am with the new implant which doctor has placed on my chin (purple hair) But I would like my chin to […]

Q: Dr. Eppley, Hello, I’m interested in Injectable cranioplasty. I was diagnosed with Gorham disease, causing two dents/indentations on my forehead. A:Injectable cranioplasty as a skull contouring technique was abandoned years ago due to the high incidence of irregularities and edge contour issues which then required an open approach to solve. It was  replaced by […]

Q: Dr. Eppley, Hello, yes in my case it wouldn’t even be forward growth, it would only be horizontal. I have a crossbite and mild sleep apnea, so it would just be for tooth crowding. I’m not sure I want to go through with it, but I was wondering if I did, if it would […]

Q: Dr. Eppley, I had a genioplasty almost 6 months ago and then I had to get a revision in April or 2 months ago exactly because the bone was not healing. When I touch my chin it feels fleshy, so some of the volume is soft tissue since it was reduced from the first […]

Q: Dr. Eppley, For my potential side of my waistline reduction the line I have drawn on the first picture indicates how my skin sits when I’m not wearing any clothes (or pulling on it) this part of skin hangs over when i’m wearing basically anything that sits fitted on my waist, for example leggings, […]

Q: Dr. Eppley, I would love some information on the crescent knee lift. I have attached pictures of my knees. A:Thank you for sending all of your neat pictures. Unfortunately, I question how good of the candidate for a kneelift procedure you are. The knee lift is a classic example of understanding the concept of […]

Q: Dr. Eppley, Hi there. I was doing some research and I came across your website. I have a misshaped head, very flat on the back and a little lob sided. I would like to know if and what my options are in order to fix this. Thank you in advance and I look forward […]

Q: Dr. Eppley, I am getting a double jaw surgery for my underbite next year and my surgeon has told me he thinks i need some sort of zygomatic augmentation to make it all look the best. Do you think i’m a good case for a zygomatic implant? Targeted to improve lateral and anterior projection […]

Q: Dr. Eppley, I am interested in the chin reduction surgery. I would like to ask more questions. A: Your chin is long because it is horizontally short. It needs to be brought forward and vertically shortened by a sliding genioplasty procedure. Dr Barry Eppley World Renowned Plastic Surgeon

Q: Dr. Eppley, Can I see how custom facial implant designs would look on me by 3D modeling before my surgery? A: While implants are designed using the patient’s 3D CT scan there is no accurate 3D modeling of the potential changes that may occur in any implant design. That is a common misconception about […]

Q: Dr. Eppley, I’m currently doing myofunctional therapy and I was recommended to get a marpe device, which I have a consult for next week. I’m not sure if I will be getting it, but I was wondering how this could potentially impact the midface implant? A: No matter what they say a MARPE device […]

Q: Dr. Eppley, Hello, As you can see my ipd is wide. Does Dr. Eppley perform some sort of z-plasty or medial canthoplasty? Where the tendons are reangled or made longer in any way? Is there any way to reduce or fraud the eye spacing? Also would a lateral canthoplasty be possible for me? My […]

Q: Dr. Eppley, Regarding cheek shaving Is this only good for reducing zygomatic protrusion and does it necessarily have to do so? Is this a good procedure good for giving an illusion of higher set cheekbones? A: Cheek reduction by shaving is almost always an ill-advised procedure as it has a minimal effect and runs […]

Q: Dr. Eppley, I have a fairly deep labiomental groove (~6mm) and acute labiomental angle (~100 degrees). I also have a noticeably recessed (about 5-6 mm behind bottom lip) though still prominent chin. I was hoping to do a sliding genioplasty but don’t want to seriously worsen my labiomental angle and depth. I had three […]

Q: Dr. Eppley, Hi there. I was doing some research and I came across your website. I have a misshaped head, very flat on the back and a little lob sided. I would like to know if and what my options are in order to fix this. Thank you in advance and I look forward […]

Q: Dr. Eppley, Repaired Cleft Lip Vermilion Realignment and Insurance Inquiry Dear Dr. Eppley and Team, My name is Jessica and I am reaching out to request a consultation regarding a potential lip procedure. I am an adult with a repaired bilateral cleft lip and am currently seeking options to correct residual asymmetry and misalignment […]

Dr. Eppley, i have a very flat forehead and protruding brown bone, the front top of my head is also flat. A:With a flatter forehead and upper top of the head (these two always go together) this can make the brow bones look artificially protruding. Whether the brown bones should be reduced can be debated […]

Q: Dr. Eppley, I just want ur opinion as somebody who’s is attuned to facial aesthetics. I have vertical optical dystopia where my eyes are uneven, you confirmed this earlier this her. It’s hard to gauge from my own perspective. Do you think something like an optical rim augmentation would have a significant and noticeable […]

Q: Dr. Eppley, Hello doctor I hope you’re doing well I was wondering if you provide any surgery for a barrel chest deformity for more feminine contour without and bulge or excessive broadness as it’s causing me significant social embarrassment and dysphoria thank you so much.  A:The barrel chest deformity is not a problem yet […]

Q: Dr. Eppley, Would like to change the shape. I’m not sure what is the best option? The top of the head has a dip and is flat, not sure if could be burring or implant. Front forehead is also too large. A:Thank you for your inquiry and sending all of your pictures. You really […]

Q: Dr.Eppley, I had double jaw surgery back in 2019, and after the swelling had gone down, i noticed that my chin “button” or so my orthognatic surgeon called it, was able to be moved around easily, and protruded way too much, and when I smile, things look even worse, it gives a “witchy” look. […]

Q: Dr. Eppley, The custom silicone skull implant is not soft when a hand presses on it? I am asking because the silicone implants look hollow and soft on the website and the Instagram account.It is not clear to me how the silicone can feel just like bone? A:Like wall paper on a wall, it […]

Q: Dr. Eppley, what happens when a skull augmentation procedure is two-staged as in my case? Would I be staying in the hospital this whole time? How is the scalp expanded? Would the whole procedure leave any visible scars? And where? A:A two stage skull augmentation requires two separate surgeries spaced 8 to 12 weeks apart. […]