Blog

Q: Dr. Eppley, I have hip implants but they don’t look natural. You can see the contour of the entire perimeter of the implants. I have had them revised and the revision did not conceal the edges of the implants. Two questions:  1. Could sculptra be used to surround the hip implants and soften their […]

Q: Dr. Eppley, I’m 25 year old I’ve having similar skull issues as attached, Is it possible to be reshaped kindly advise. A: Plagiocephaly is one of the most common reasons people present for skull reshaping surgery. Whether it is the back of the head and/or the forehead both skull regions can be reshaped. Dr. […]

Q: Dr. Eppley, I had a cranioplasty surgery done over 15 years ago which filled in my large brow bone and dents in my forehead. We did an MRI of my skull. He cut me from ear to ear and went that far with the cranioplast. The problem is that he did not raise the top […]

Q: Dr. Eppley, At birth they pulled my head so hard my skull really stretched out. I camouflage it well with my hair but its still bothers me. Are there any possibilities for Total skull replacement with custom implant?  A: While you can replace your skull bone with an implant, that will not be of […]

Q: Dr. Eppley, I have lip incompetence/mentalis strain. I have tried relaxing with Botox and it had worked but it is not permanent. I have been to the orthodontist and I have a slight skeletal open bite for which they said only jaw surgery would be able to fix my incompetent lips. However jaw surgery […]

Q: Dr. Eppley, I had a sliding genioplasty five years ago and hydroxyapatite paste added to the jaw angles. However, the HA paste is VERY uneven and one side is rounded and the other more angular. I tried to have it removed but the surgeon was unable to remove it since it had integrated too […]

Q: Dr. Eppley, I have Poland’s Syndrome. Do you offer custom pec implants or are they pre-made? A: All Poland’s syndome pectoral implants are custom made. It would be impossible to achieve a good result in most cases with a standard pectoral implant. Dr. Barry Eppley Indianapolis, Indiana

Q: Dr. Eppley, I was affected by positional plagiocephaly after birth and now have a strange head shape. Can total correction of the skull be done in heads like mine which would include the forehead, temporal and back of head areas? A: Optimal treatment of cranioscoliosis from positional plagiocephaly would involve the forehead/frontal (reduction vs […]

Q: Dr. Eppley, I have a slightly recessed chin. I want it to be more protruded and shorter. My profile angle is also weak (is there an alternative to getting implants? can bone be broken instead to wake it wider?)  My cheekbone is also flat on the front view. I’ve had a previous consultation, the […]

Q: Dr. Eppley, I read your comparison on medpor and silicone jaw and chin implants, you say that there is some bone erosion that happens after placing implant.  My question is will chewing gum (flexing jaw muscles) and moving chin muscles result in more bone erosion than it would be if one never chew any […]

Q: Dr. Eppley, I am interested in hip pelvic implants but not the kind that are simply stuffed into a pocket, I’ve been to numerous doctors and the only type of procedure they do are standard hip implants stuffed in a pocket. I have contacted a hospital in Seoul that is known for pelvic plasty […]

Q: Dr. Eppley, As you can see from the photos I suspect a webbed neck deformity (pterygium colli). I have already done the Noonan syndrome’s genetic test and it’s result was negative. I would like to know if i could be operated to correct this deformity and what should i do. I wait for your […]

Q: Dr. Eppley, With vertical orbital dystopia, is it possible to lower the eye that is situated higher if one prefers the appearance of the lower eye/mid face or is such an approach impossible? The infraorbital bone would have to be shaved down I assume but placing an implant superiorly above the globe would probably […]

Q: Dr. Eppley, I was interested in receiving more information on the Occipital knob reduction. In addition how safe is having this procedure completed? I am apprehensive due to concerns of safety and anxiety considering I have never had any other surgery.  A: Occipital knob skull reduction is a perfectly safe and effective surgery. The […]

Q: Dr. Eppley, I just recently found out through your blog that as a child I had positional plagiocephaly. I have a flat spot on the right side of the back of my head. I have always thought there was something wrong with my eyes and was in the process of finding a surgeon for […]

Q: Dr. Eppley, My lower face is much wider than my forehead. Getting older has accentuated this effect. I have just retired this month and would like to go into my later years looking a bit less cartoonlike. Would prefer to under-correct than overcorrect, however. A: Thank you for your inquiry and sending your picture. […]

Q: Dr. Eppley, Hello! My frontal bumps are very pronounced and I want to get rid of them, but my hair is not thick and I’m balding, so I can’t do surgery with a coronal or hairline incisions, a big scar is not acceptable for me.Can I reduce the frontal eminences endoscopically? One doctor said that […]

Q: Dr. Eppley, Is 3cms of lengthening on each clavicle possible? Im 6’3″ tall and very narrow and hope for the best possible result.  A: Thank you for sending your picture. It is also a balance between how much clavicle lengthening can be achieved vs ensuring that the bone will heal properly. The longer the […]

Q: Dr. Eppley, What do you think about using long term resorbable meshes for augmentation of flat back head? I have such a condition and I saw a plastic surgeon conducting augmentation using non-absorbable meshes. I would not like to have foreign material in my body for ever but I am really curious about resorbable […]

Q: Dr. Eppley, Hi about a year ago I had jaw angle implant surgery and around 3 months ago removed them due to not liking the look of them. It seems like the corner of my jaw is missing on 1 side now and when i bite my jaw angle appears higher now, i was […]

Q: Dr. Eppley, How can I correct my asymmetrical mouth and nose? I am not sure what is causing it. Do you think it’s my jaw?  A: The mouth corner, nose and lower jaw asymmetry are reflective of the overall congenital facial asymmetry. It could be called a left facial hypoplasia or a right facial […]

Q: Dr. Eppley, I have had a genioplasty 4 weeks ago but something does not feel right. My chin feels more to my left.  I feel there is more tension to my left, slight pain, there’s still numbing and awkward popping sounds come from my left. Not the popping noise I sometimes get from tmj […]

Q: Dr. Eppley, I am interested in lip implants with a subnasal lip lift. A: Thank you for sending your pictures and lip augmentation goals. You are not a good candidate for an isolated subnasal lip lift due to having very thin sides of the lips down into the mouth corners. A subnasal lip lift […]

Q: Dr. Eppley, Do you have any CT scans of before and after a genioplasty. Or is it possible for me to get one? Also is it possible to eventually take the titanium plate and screws out? A: In answer to your questions: 1) I do not routinuely get before and after CT scans of  […]

Q: Dr. Eppley, Interested in custom facial implants to balance out facial assymetry caused following orthognathic surgery. This means I have titanium plates (screws?) In my face. Can you still perform facial implants for me? Thank you so much! I have some xrays from a few years back when they took them right after surgery […]

Q: Dr. Eppley, I’m a relatively young male and over the last 2 years my scalp has been gradually depleted of soft tissue due to a connective tissue disease that I have. I now have several indentations all over my head that were never visible until recently. You answered my RealSelf question about this, stating […]

Q: Dr. Eppley, I had two questions regarding clavicle lengthening. 1. How much is achievable for bideltoid width for each shoulder? I’m looking for 1.5-2cm on each shoulder. 2. How many times have you performed this surgery and what was the average amount of actual shoulder width gained per shoulder? Thanks. A: Thank you for […]

Q: Dr. Eppley, When i was younger my head wasn’t that wide but with time and some jaw problems my temporal muscles got bigger and bigger because of the jaws. Now i feel like my head is a little bit ”too wide” in the temporalis place. When i press the muscles in with my hands […]

Q: Dr. Eppley, I’m looking to make my eyes a bit more symmetrical but I don’t know what sort of surgery that requires or how it might be possible. Looking for more information and potentially surgery! I’ve attached a photo of my face, front camera, and a photo of my face in selfies ! Would […]

Q: Dr. Eppley,To give you a bit of historyI had hairline reshaping surgery several years ago. (I am a cis gendered female, I just wanted to make a few tweaks to my hairline) The outcome unfortunately was not what I wanted.  My hairline was significantly lower than what was discussed, and the shape given was a prominent […]