Blog

Q: Dr. Eppley, I had facial feminization surgery with very bad results. My chin was amputated instead of contoured or a genioplasty. My mandibular angles were totally obliterated too. This has left my face looking unnatural and with a U shaped. My chin pad hangs below my chin bone now.  I’m interested in Rib reduction […]

Q: Dr. Eppley, I just want to clarify that after the surgery, once the clavicle is healed and strength restored, the procedure can be done again, this time lengthening both clavicles. It is my understanding that a clavicle lengthening procedure can be done more than once as long as adequate healing time is given in between. My […]

Q: Dr. Eppley, The left side of my face appears entirely flattened and hollow. My forehead is hollow on the left, my left cheek bone is pushed in, my left jaw is flattened, and my lip is also misaligned. My eyes are also uneven (one smaller than the other) due to plagiocephaly, and my nose tilts […]

Q: Dr. Eppley, I had cheek implant removed a year ago along with chin implant, wondering how long it takes for the implant capsule to fully go away or if it will fully go away, it was a silicon implant that was only in for 8 months.  A: Facial implant capsules take 6 to 12 […]

Q: Dr. Eppley, I suffer with chronic infections at the corners of my mouth, due to saliva tracking there, I wanted to ask my dermatologist if surgery was a option, as summer approaches when I suffer the most. I`m concerned my insurance will consider it cosmetic. At this point, I`m just asking questions. (I`m 71 […]

Q: Dr. Eppley, Would it be unwise to undergo total periorbital augmentation, potentially including the zygomatic arch, PRIOR to orthognathic surgery in both jaws? I suppose this is an issue mainly for the infra orbital rim part of the implant design process. The aesthetic concern is, for the most part,vertical deficiency that results in round, […]

Q: Dr. Eppley, I noticed that your clavicle lengthening results usually add about two inches overall. Since the pectoral muscle attaches to the clavicle does this usually result in a broader chest? A: Your supposition would be correct. As the clavicle is lengthened it pushes the shoulder out. Since the insertion of the pectoralis muscle […]

Q: Dr. Eppley, Hello, I have dynamic/ hyperdynamic chin ptosis. I‘ve planned to get a V-line Surgery in Seoul in some months, where the blunt and wide tip of the chin is cut off by osteotomy, and unnecessary bone parts are cut out, which are reassembled at the bottom center. My question is can I […]

Q: Dr. Eppley, Question about how to correct a sloping forehead with a very strong low brow bone with temporal hollowing.  A: This is a not uncommon forehead shape seen since it is reflective of an overall more narrow skull shape in an anteroposterior direction. Because you are a male your brow bones developed normally […]

Q: Dr. Eppley, I am contacting with regards to my request for a virtual consultation.With this message I want to outline my concerns/expectations in detail since that wasn’t possible with the other form.  1) My primary wish is to improve the lower third of my face (chin, jaw). By that I mean:  a. Making it […]

Q: Dr. Eppley, Do the temporal shell implant last forever and how much does it cost? Thank you for answering in advance. A:The temporal implant is made of an ultrasoft solid silicone material that does not degrade or break down. It can only changes its chemical structure at 375 degrees F. Thus it will last […]

Q: Dr. Eppley,Hi, I understand your practice specializes in custom facial implants. I have a cosmetic bony deformity from trauma and I would like to learn about your experience with the outcomes of those specific implants and complications, planning procedure, choice of material, etc. Thanks A: Thank you for your inquiry and sending your 3D  […]

Q: Dr. Eppley, Is there any way to reduce the width of the forehead? A:Yes there is. It is known as temporal line reduction….the bony anatomic lateral birder of the forehead. Dr. Barry Eppley Indianapolis, Indiana

Q: Dr. Eppley, My question is about the possibility of ribcage expansion + pelvic narrowing + clavicle lengthening to create a bone structure for the optimal “V-taper look”, that is desired by many bodybuilders. I notice you already answered a similar question (https://www.eppleyplasticsurgery.com/ribcage-expansion) But i am asking again in the case of any new technological […]

Q: Dr. Eppley, I would like to consult about the treatment of my protruding forehead. I think my forehead is too prominent for Asian people, and it doesn’t match my facial features or my aesthetics. The pictures below are my original picture and my desired look (with photoshopped forehead area) addition, my own hairline is […]

Q: Dr. Eppley, I am mainly looking to fix my lower lip – it looks like I have a wad of chewing tobacco under it. A: A major contributor to the ‘compressed’ look of the lower lip-chin area is that the chin is vertically short. This makes the enveloping soft tissues become compressed up against […]

Q: Dr. Eppley, can your buccinator myectomy procedure, the one where you excise muscle to create a more concave effect, incorporate the same principles into the upper parts of the cheek to create a more concave appearance in those higher cheek areas?  A:That is a good question but that can’t be done higher because of […]

Q: Dr. Eppley, I was wondering if filler or fat transfer could be safely applied slightly below and above the zygomatic arch to conceal vertical asymmetry between the left and right arches? I was born with one zygomatic arch noticeably lower than the other (see attached CT scan image).  I’m assuming the zygomatic arches cannot […]

Q: Dr. Eppley, I had a sliding genioplasty four weeks ago. It involved a +3mm lengthening, +3mm projection, and +4mm widening. As my swelling has gone down, I realize that from a side profile view I like the lengthening and projection achieved, BUT, from the front view I see that my chin is asymmetric. I […]

Q: Dr. Eppley,I’m hoping you could help me here. I had a reduction genioplasty 8mm bone shave. The outcome looks awful but I’m now suffering with tightness in the chin. I feel like I’m unable to move my chin. It feels tight where the muscle has been stitched. My intraoral incision has scarred to high […]

Q: Dr. Eppley, I am looking into deltoid augmentation through fat grafting.  Is this something you have done in males?  Is the result permanent? A:I have done fat grafting to the deltoids numerous times in men. Like all fat injections the survival is not always 100% predictable but what does survive should be permanent long […]

Q: Dr. Eppley, I have an average jaw and chin. I was wondering if the off the shelf implants would suffice, or if the custom chin wrap would be more fruitful. I would love to consult with you and compare options. I have included pictures for computer imaging.  Thank you, A:I have done some initial […]

Q: Dr. Eppley, I am a naturally broad shouldered female with narrow hips. I am interested in a hip augmentation procedure to widen the width of my hips in proportion to my shoulders. I likely do not have enough donor fat to have a fat transfer to the hips, so I am primarily interested in […]

Q: Dr. Eppley, I am potentially interested in a skull reshaping procedure, specifically crown augmentation. I was wondering if you could answer a few questions for me.? How long is the recovery in general? Is hair loss at the incision site common?  Thank you very much, A: In answer to your skull augmentation questions: 1) […]

Q: Dr. Eppley, I also had a few practical and technical questions about soft tissue jaw angle implants to treat masseteric muscle dehiscence: 1 – Once I commit to the surgery, how long does the planning process take leading up to the operation date? (I.e. will I need new 3d CT scans)  2 – After […]

Q: Dr. Eppley, I’m having a bilateral orchiectomy next month. Right side is potential stage 0. I opted to have both removed at once so that I can do implants later on. I don’t like the size or the idea of doing fluid filled ones. I want some big ones if I’m going all in. […]

Q: Dr. Eppley, Hello, my main concern is my nose. I would like a more feminine nose. I think the bridge is to wide I have a hump and my nostrils are much to wide and large. I have had trouble finding a surgeon that will reduce the size of my nostrils. I’ve been told […]

Q: Dr. Eppley, i had buccal fat removal twice. Most recent one was 2 years ago so im over the swelling phase. The doctor claimed he took out all the fat but my face still looks fat in the area where ive drawn the red arrow.  What on earth is going on and please tell […]

Q: Dr. Eppley, I really hate my wide, feminine hips and dream of having really narrow masculine hips. Can this be achieved by shaving down the tronchater or something similar? If so, I’d be quite concerned about chronic pain or other complications post surgery.  What would the actual procedure be? Cost? Scarring? Complications? Chance of […]

Q: Dr. Eppley, Due to a car accident two years ago I have deltoid paralysis in my right shoulder due to axillary nerve impingement. I was wondering if you could help me find my way back to have even looking shoulders. A: Thank you for your inquiry. The first place to start is to send […]