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Q: Dr. Eppley, The marked part of my chin is too long in the downward direction. Is there a chin implant that can show this part higher? or can this jawbone be filed from below.Is there an implant to cut the bone or show it higher? A:Thank you for your inquiry and sending your picture. […]

Q: Dr. Eppley, I wanted to inquire about the removal of my medium medpor chin implant that was placed submentally four years ago with one or two screws used for extra adherence. This request would be for removal only, and not replacement with another implant. It’s my understanding that due to the nature of the implant’s […]

Q: Dr. Eppley, I have a wide philtrum for a woman, it is too wide about an inch in between points. It is an anomaly and I think it is ugly. My sister calls them “bat-wing” lips. Can anything be done to reduce distance or even just smoothen the area. I would rather have a […]

A: Thank you for your inquiry and detailing your skull reshaping objectives. I have yet to see a patient who didn’t get adequate skull width reduction with muscle removal alone. But that issue aside the question of whether bone reduction will finally get you to the head width you desire depends on the surface area […]

Q: Dr. Eppley, My background is I use to wear a 34I and lost around 85lbs on the past year or so. I’ve had 4 children. No longer wishing for more. I currently wear a 34D that is deflated at the top. I’m wishing for more fullness at the top. I’m okay with larger implants […]

Q: Dr. Eppley, I was wondering if you do bicep implants. I tore a muscle in my arm and now it’s what they call a popeye arm.its normal at the top but it’s totally flat at the bottom where the muscle snapped. If you can do  something for this it would be great. A: Thank you for your […]

Q: Dr. Eppley, I recently had bimaxillary surgery for sleep apnea and TMJ issues, but I was worried if I was advanced too much? I worry about a “chimp” like look, but strangers online and people I know in person say this isn’t the case.  Either way, I was worried that my cheekbones were left […]

Q: Dr. Eppley, When previously researching the sliding genioplasty procedure locally, I have been told to achieve the best results a neck lift would be best compared to submental liposuction that Dr. yourecommended. Can you explain the difference?  A: I would never do a necklift in a young male with no real skin laxity. Quite […]

Q: Dr. Eppley, My philtrum length is roughly 1.7 – 1.8cm long, and so I think I would be an ideal candidate for a lip lift. My concern is that having the procedure would deform my nostrils. I have attached both side profile and front on images of my face. My nostrils are already quite prominent. […]

Q: Dr. Eppley, I’m looking at the website, but it’s not like most plastic surgeon websites. Does the doctor actually perform the surgery? Or does he supply the custom implant to a surgeon of my choosing?  A: I assume you are looking at www.eppleycustomfacialimplants.com in which after 1,000 custom facial implants performed I show the […]

Q: Dr. Eppley, I’m currently undergoing orthodontic treatment for a Lefort I + SARPE surgery in the future. I have a class 3 malocclusion. This surgery should help (though not completely fix my bite). The lower portion of my maxilla is very narrow, and my mandible has shifted and become asymmetric so that my molars […]

Q: Dr. Eppley, how much clavicle lengthening in shoulder widening surgery is safe? A: t is not a question of safety but what the regional anatomic limitations are. The amount of clavicle lengthening that can be achieved on each side is 20mms. More lengthening would still be safe but the attached shoulder and scapular tissues […]

Q: Dr. Eppley, I am interested in making my brow bones more symmetrical, especially in bringing the higher brow to a lower position, can this be done through custom brow bone implants, and I don’t want to have to raise the position of the lower brow because I think it is more aesthetic than the […]

Q: Dr. Eppley, I have read online that I could wear a garment to improve outcomes of rib removal waist reduction? Will that help? I need some curve!! And for shoulder reduction when can I get back to the gym for lower body then upper body/ do a push up like yoga?  A: Compression garments, […]

Q: Dr. Eppley, I had PMMA cheek and chin implants placed 6 years ago. I’m looking to go the custom route now to address the asymmetry caused by the implants. As such, I have a couple of questions: – Can the PMMA implants be removed easily without damaging soft tissue? – Will the existing implants […]

Q: Dr. Eppley, . I would also like to know if it is possible to have the clavicle lengthening procedure performed more than once in order to further widen the shoulders? A: Theoretically clavicle lengthening can be done again…but no one really knows for sure since it has never been done yet. Dr. Barry Eppley […]

Q: Dr. Eppley, I designed a custom implant prototype on a 3D modelling software called Tinkercad. I designed a nose implant prototype and a jaw implant prototype. The files are .stl format and I would like to send them to you for viewing. I would like to know if the implants are possible to instal […]

Q: Dr. Eppley, I have several questions about iliac crest reduction such as:  local or general Anesthesia?  What is the timeline for healing?  What can i expect immediately afterwards?  What are the long-term effects 10-20 years down the line?  Will the bone grow back?  The photo attached is not mine but very comparable; basically wondering […]

Q: Dr. Eppley, Hi. How much lengthening of clavicle is possible at max? What are the limiting factors of extension? A: In my experience to date the maximum amount of clavicle lengthening is 20mms per side. The limiting factor is that in lengthening the distal clavicle after the osteotomies it is pushing against all of […]

Q: Dr. Eppley, I am a huge fan of your work. No other surgeon seems to actually listen to what his clients actually request – and also thinks out if the box. I wonder whether you may be able to comment on my recent chin implant that I had performed. I really wanted a very square […]

Q: Dr. Eppley, How is it possible to to lengthen the clavicles without expanding the upper ribcage? How does postoperative functionality and biomechanics compare to people with naturally long clavicles? A: When the clavicles are lengthened the ribcage is unaffected. The ribs are connected to the spine and the sternum and are not influenced by […]

Q: Dr. Eppley, I have a couple of questions regarding correction of Plagiocephaly.  1. What deformities are able/not able to be corrected.  2. How often are people unhappy with the corrections that have been made  3. What is a general cost estimate for a Custom skull implant, along with reduction of the forehead if there […]

Q: Dr. Eppley, what are the of outer limits of iliac implants projection from the iliac? how wide, long and thick can they be? (excuse me if my language is imprecise), what is the maximum longitudinal/axal/transverse length an implant can go from the iliac crest, and what is the maximum sagittal/ longitudinal width one can make […]

Q: Dr. Eppley, Hello! I currently have fillers in my chin and jawline. I am considering geting a permanent custom chin/jawline implant but I was wondering how long I would need to wait since my last treatment of fillers before i am eligible for implant, or, if there is a certain protocol (dissolving, waiting a […]

Q: Dr. Eppley, With the addition of a peek implant to only the forehead to increase bone thickness and prominence of the forehead, will it automatically cause the top of the head to also look slightly fuller? This is because I imagine that the skin would have to stretched over an extra area over the […]

Q: Dr. Eppley, 1. I am an Asian, but can you make my eyes go deep like Westerners with orbital box osteotomy?  2. Is this surgery as dangerous as the Lefort3 surgery?  3. If it is possible to operate deeper, I wonder if the size of the eyes will decrease or increase . A: The only […]

Q: Dr. Eppley, Hello, I’m interested in a genioplasty revision. To give you context, I had a genioplasty a couple of years ago where my chin was moved forward 8mm and down 3mm, about 8 months later I went in for a revision to have it reversed. The surgeon used the burring method, it’s been […]

Q: Dr. Eppley, I don’t have syndrome, but I’m stressed because my mid-eye area is very flat. I know that Lefort3 surgery is very dangerous, but I wonder if Lefort2 is also a very dangerous operation to receive for cosmetic purposes.I know there is a prosthesis in the mid-face, but I really want to have […]

Q: Dr. Eppley, Is it possible to extend the collarbone 3 or 4 times for a total of 12cm or 16cm? I want to get an extension effect of 12cm or more through at least 3 surgeries. Is it possible if there is enough time and rehabilitation?  A: Such a degree of clavicle lengthening (12 […]

Q: Dr. Eppley, I am looking to get a consultation on a BBL – reconstructive surgery. Reaching out to you based on your previous experience in handling similar surgery (Plastic Surgery Case Study – Buttock Reconstruction with Dermal-Fat Grafts). To give more context, I had a childhood trauma which resulted in a deep scar on […]