Blog

Q: Dr. Eppley, I had a full jaw implant three years ago by a surgeon in Europe. My jaw wraparound implant got infected a few months ago somehow and formed two fistulas on either corners of chin. I took antibiotics and so far no more problems thank god. But the muscle when I smile looks […]

Q: Dr. Eppley, Im interested in finding a way to reduce my skull and came across your site. I have a very large, elongated cranium that has bothered me my whole life. It has a circumference of 64,5 cm. Since I guess its not possible to change or replace parts of the cranium itself, maybe […]

Q: Dr. Eppley, I have my initial virtual consultation with you in a couple months, all of which so far are regarding various face concerns. I am now wondering about your custom biceps implant. Personally, I am satisfied with the anterior projection of my biceps muscle. However, I do wish for the lateral and medial […]

Q: Dr. Eppley, For orbital rims if you are on a lower budget is fat grafting better then non custom implants? I have a flat face and am worried fat grafting won’t make much difference. A:You are correct that in your face with very significant midfacial flatness fat grafting would be a wasted surgical effort. […]

Q: Dr. Eppley, I am a big fan of your work. I was wondering if you would perform a medial lacrimalplasty, z-plasty, whatever you would like to coin the term since this surgery probably hasn’t been performed for superficial aesthetic reasons. Ideally I would like to extend the medial canthi vertically downwards, I know it […]

Q: Dr. Eppley, I am considering a revision sliding genioplasty as I had a 4mm advancement which made my chin overprojected (this was two years ago). I have a mild tightness and altered sensation on the right side of my chin which is only in a small area. I read here that this might have […]

Q: Dr. Eppley, I have an virtual appointment with you this December. I plan to get custom facial implants, probably some time Summer or Fall next year. What is the timeline for when you get the CT and also how long before does the final implant design need to be finalized? Isn’t it a good […]

Q: Dr. Eppley, I am interested in cheek implant removal and willing to fly over to USA for it. But I have 2 questions  1) WIll cheek go back to normal after removal of small implants, it has only been in for 1 year and its silicone based implantech  2) Are any ligaments cut during […]

Q: Dr. Eppley, I hope you’re well. I have midface hypoplasia and want to correct this. The problem is I believe the recession is too great for just implants. Would getting a malar osteotomy first be ideal? Here is my lateral ceph. Thank you.  A:Thank you for your inquiry to which I can say: 1) […]

Q: Dr. Eppley, I am a 28 year old male writing to you because of my aesthetic concerns about my wide head. I am interested in your skull reshaping surgery because I have a wide head and it has always bothered me psychologically and I have always wanted to reduce its width.  My current head […]

Q: Dr. Eppley, I don’t like the shape of my chin, how there’s a sharp dip from my lip to my chin, and my cleft. I am a very serious patient. I have spent a lot of time researching surgeons and when I came across Dr. Eppley’s before and after photos I was really amazed.  […]

Q: Dr. Eppley, I had a chin implant placed in the fall of 2019. It was placed crookedly, and in my opinion too high. Although I voiced these concern’s to my surgeon, he would ultimately tell me each time that the implant was placed perfectly and I looked great. Even if this was the case, […]

Q: Dr. Eppley, I underwent chin implantation (extended anatomical chin, large) 2 years ago, with postop course c/b persistent right lower lip numbness. We later found the right wing of the implant was malpositioned superiorly and could be clearly palpated externally and intraorally. Aesthetically, the malposition isn’t very noticeable. Right lower lip sensation is currently […]

Q: Dr. Eppley, I am a 29 year old male who has forehead bossing. I am very self conscious of my side profile and would love to find a fix to the problem. In addition to that, I have a pretty sloped forehead with a hair hairline which does not help. I have thought about […]

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 […]