Your Questions

Q: Dr. Eppley, I am inquiring about two issues that I currently have. One is my lip shape/size. I was interested in possibly getting either a fat graft to my lips or a vermilion advancement of both my upper and lower lips, but I had a v-y advancement last September, and am unsure if I would be a candidate for either of these procedures due to the scarring on the inside of my lips. I also have a downturned corners of my mouth and was hoping to a lift in conjunction with one of those procedures. Secondly is the dent in my glabella region. I am 24 years old, and have been diligent with skincare for many years so it’s troubling that I have such a prominent wrinkle (or deep groove in my case). I notice it in every photo and was hoping for insight. I have tried botox twice, which has been unsuccessful at getting rid of it, and don’t know if it’s a lack of volume issue or strong corrugator muscle issue. I know fat grafting, is an option, as well as (potential) implants, but I was wondering if corrugator muscle surgery would be beneficial as well?

A: Thank you for your inquiry and sending your pictures to which I can say the following:

1) The inner scarring from the previous V-Y plasty does not have any effect on any external excisional lip procedures.

2) For the upper lip you need to consider a subnasal lip lift combined with lateral vermilion advancements with corner lifts. You don’t want to run a scar line across your well defined cupids bow in your case.

3) for the lower lip I would be cautious about any vermilion advancement is it already has a decent size. I don’t know if you had a V-Y on the lower lip but, if not, that would be an option to consider.

4) For the glabellar dent this does  appear to be a volume issue and I’m not surprised that Botox would have no positive affect on it. Since this is an area where injections are to be avoided a solid fat graft placement underneath it is an option. I would be very cautious about corrugator muscle release as in my experience it solves one problem and then causes other ones to the side of the release.

Dr. Barry Eppley

Plastic Surgeon

Q: Dr. Eppley, I had facial feminization surgery that went a lot farther than I ever wanted or anticipated. My jaw got over reduced and ended up getting custom jaw angle implants as part of a set of larger revisions. I am overall happy the the implants they help me feel more like myself again. I do have a muscle defect where it bulges above the angle. I cant tell if the muscle is retracted or if it is an implant design issue. Most people dont notice so i have tried to live with it for the past 3 years, but it is noticeable enough to me, I think i want to look into something to treat. I saw dr eppley has a lot of experience treating this and wanted to discuss possible options. Thanks!

A: It would be fair to say, even without looking at pictures, that this would be a muscle defect retraction. Anytime you have jawline will reduction, particularly in the vertical direction, the muscle is going to retract and shorten to the reduced bone. Then when you go back and put in an angle implant the muscle is not going to follow it back down as it is forever shortened. Thus your  diagnosis is likely masseter muscle dehiscence which is a soft tissue contour deformity now over the implants. There are a variety of treatment options for it from fat grafting to soft tissue jaw angle implants. In my extensive experience I do not find fat grafting has much persistence in the defect area. The one treatment that seems to be most effective as soft tissue jaw angle implant which will have persistent volume. They are placed in the soft tissue defect area and not down on the bone like your existing Joel angle implants are. They have placed over small skin incision at the back end of the jaw angles.

Dr. Barry Eppley

Plastic Surgeon

Q: Dr. Eppley, I am interested in shoulder reduction surgery and I am looking for 3cm reduction on each side of the shoulder. I am wondering if such reduction is feasible.

A:In clavicle reduction osteotomy is the typical length of bone removed his 2.5 cm per side. In some rare cases it may bone possible do as much as 2.75 or 3 cm but that would require a very long clavicle bone which usually only occurs in a tall patient over 6 feet. The limitations of bone removal in clavicle reduction surgery is the ability to apply the plates on the remaining straight segment of bone which has now been shortened and the inner and outer curved sections of the bone are now closer together. As a result you don’t know until actually during the procedure whether you can exceed the usual 2.5 cm of bone removal per side.

Dr. Barry Eppley

Plastic Surgeon

Q:  Dr. Eppley, I am interested in forehead horn reduction and hairline lowering. I’ve had these growths for the majority of my life but a bit to the head in my youth may have also caused a keratinous growth on the left side.

A: A frontal hairline advancement provides the convenient opportunity time to treat the forehead horns. Also the new frontal hairline position often comes close to the forehead horn area which also helps reduce their appearance.

Dr. Barry Eppley

Plastic Surgeon

Q: Dr. Eppley, Hello I had jaw implants titanium 6 weeks ago. I definitely have masseter dehiscience, not so visible right now because there is swelling and botox still working. The implant is 10mm vertical and only 1mm wide. My surgeon is lost and does not offer any solution apart of “remove the implant” I know this is well too early to do anything but I prefer to anticipate. What you would you recommandé to correct a masseter dehiscience? Visually I think the masseter is 1.5cm above the lower part of the imp’ants, and the horizontal size of the “sharp triangle” is 3cm For information it’s almost not perceptible so far, even when contracting. I guess at 6 weeks I still have a lot of swelling that cover the problem, + the botox that decreased the size of the masseter (2 weeks before the operation) Here is my question: Do you think it can drastically be more visible in the future than today? Do you think the muscle can continue to retract upward : actually, do you te command me to not chew and not masticate for some time to prevent further retractation? If I would consider the silicon implant, what would be the price? I may come from France, it seams you are the only one in the world to do so? I understand it will highly mask the default while resting, but what about the bulge when biting, it will still be very high compared to the angle? Isn’t it awkward? And what about trying to reattach the masseter? Thank you for your first answers… I’m just anticipating something to do with you at the end of the year..

A:In the treatment of masseteric muscle dehiscence the vast majority of patients are seen far removed from their initial surgery where the retraction is fixed, scarred and the muscle permanently shortened. As a result camouflage approaches such as a soft tissue jaw angle implant is the most effective soft tissue contouring procedure.

Your situation is different in that you are only six weeks postop. While the relocation of the masseter muscle is difficult and not assured you are so early after surgery that it is reasonable to consider an attempt at muscle reattachment. This is done through a small external incision right over the back end of the jaw angle area which may be combined with an intra oral one to properly identify and secure sutures to the muscle. It is made more difficult by the added length that the muscle needs to be relocated by the jaw angle implant. Whileit is unpredictable as to how effective the procedure could be it certainly seems reasonable to try at this very early postoperative period.

Dr. Barry Eppley

Plastic Surgeon

Q: Dr. Eppley, I’d like to know whether you can do a lower jaw augmentation to widen frontal frame of face, while also doing a lower jaw repositioning for less projection from the side profile. And if it’s possible to do cheek implants/bone recontouring. This would be an all face procedure.

A:What you have described is a combined lower jaw setback with the simultaneous placement of jaw widening implants…. which is not done together for a variety of reasons. Osteotomies and bone repositioning in the lower jaw is always done first followed by the addition of any implants secondarily. That being said we should go back to the beginning and look at what you’re actually trying to achieve to see if that really is the exact procedures you need. The same issue applies to your cheeks.

In that regard I would just need to see some face pictures as well as a description of the face changes you are seeking and then I  can evaluate in particular the ‘jaw setback’.

Dr. Barry Eppley

Plastic Surgeon

Q: Dr. Eppley, I am looking to reduce the width of my head, from birth i have had quite a large head on the sides. There are these bumps on both sides, making it look a bit alien-like. I saw somewhere that these can be reduced via skull burring, which removes part of the layer of the skull if there is “excess” bone. I have a few pictures, the black and white was taken a long time ago, but with shorter hair showing that. Then I have a more recent picture. I have also sent a picture with a yellow line where these bumps are, I understand there should be small bump but mine are rather excessive. Hopefully, these are informative.

A:Thank you for your inquiry and sending your pictures. In head widening reductions this is purely a muscle removal in the vast majority of cases. Most patients think that it is bone related, and while the temporal bone on the side of the head above the ear does have a convex shape ,the thickness of the muscle is usually greater than that of the bone. To understand the contribution of the muscle versus the bone in your areas of concern a 2-D CT scan would provide clarity on that issue. However in just looking at your frontal picture in the area of needed reduction this appears to me to be adequately reduced by muscle removal alone.

Dr. Barry Eppley

Plastic Surgeon

Q: Dr. Eppley, I’m very interested in this procedure and I’m wondering about the forward rounding of the shoulders? How does it look from the back after the procedure and is there anything that you do to prevent the shoulders from hunching forward?

A:In my extensive experience with clavicle reduction surgery there really is no forward rounding of the shoulders that occurs long-term. There is an initial rounding of the shoulders effect due to the comfort in having your elbows closer to your side and pulled inward during the early recovery period. But once the discomfort is resolved and one has a more upright posture there is no rounding of the shoulder seen. I have looked at numerous Long term club local reduction patients who have come later for other procedures to evaluate that exact effect and it simply is not seen.

Given that the clavicle is an angulated bone and you remove enough of it it is possible to pull the shoulders forward and in. But at 2.5 cm of bone removal per side that simply is not enough bone shortening to create that effect.

Dr. Barry Eppley

Plastic Surgeon

Q: Dr. Eppley, Hello can you provide Jaw Contour Surgery, I have had previous Jaw Bone FFS Surgery, which is very uneven, bumpy and asymmetrical, 2 different side

A:Thank you for your inquiry and sending your pictures. The key piece of information before attempting any secondary jaw contouring surgery is to get a 3-D CT scan which will clearly show the bony anatomy of your lower jaw.  This will determine what can and cannot be done and a well visualized strategy then be taken to provide improved jaw contour and symmetry.

Dr. Barry Eppley

Plastic Surgeon

Q: Dr. Eppley, I would like to round out and shave about maybe 3/8 of an inch off the back of my head.

A:Thank you for your inquiry and sending your pictures. As a general rule for the occipital bone and your ethnicity, it is likely that you can have about 70 mm of occipital bone reduction which roughly translated to the 3/8 of an jnch that you have described.

Dr. Barry Eppley

Plastic Surgeon

Q: Dr. Eppley, Prior to ortho treatment, that I didn’t need it was scared into doing. My face was shorter, rounder and skin was lifted. After only 3 months of treatment, I was left with jowls, flat non lifted face and sides that cave in like a buccal fat removal casing massive folds. 

I’ve contacted a new ortho given bite is off and was sent to an oral surgeon who say that the aggressive treatment caused  trauma and bone loss and it was a skeletal thing all along and I would have been fine and not needed if I had done more consults etc.  I’m scheduled for bone grafting treatment for almost all top and bottom arch/ridge. He wanted to do oral surgery but my ortho and him agreed less better and if I can just do min to get bite might be best. So that’s the situation I’m currently in. I know I’ll need cosmetic treatment after to get to baseline they both said and that moving the teeth to get bite better may impact the face more.

 They believe my teeth were retracted back and fake widened to tip out of bone, this caused my lower jaw to move down and back not upwards like it was. They believe my teeth in previous positions and old arch curve were pushing out my soft tissue. The problem is without surgery you can get that forward movement. I want to proceed with the plan and after get my face back closer to baseline. 

I was aging well. Attached is before and I’ll send another email on now/after. I’m scared a facelift will only cause more hollowing in that area as it pulls skin a way. I  don’t want to look different or more hollow just get back to old me. If that makes sense. 

My goal is to get the tightening/more lifted and wider sides of face and Midface back. Because if I push my finger on face it bounces back to how it used to look. I’ll send pictures of that was well.

A:Thank you for your inquiry, sending your pictures and detailing your concerns and objectives. When I distill all of this down it seems to come to the potential need for cheek augmentation to address for hollowing. That certainly seems reasonable to do with certain styles of standard cheek implants. I would agree that a facelift should not be performed as that will make your concerns worse.

Dr. Barry Eppley

Plastic Surgeon

Q: Dr. Eppley, I had a question regarding close set eyes. I am a 24 year old female with close set eyes. I have tried many different methods to try and camouflage this. When I was younger I started with makeup, using eyeliner to lengthen the outer corners of my eyes and plucking my inner eyebrows to spread them further apart. I then had a rhinoplasty which helped slim the bridge of my nose on the frontal profile, this helped minimally. I also had some filler placed into the corners of the upper eyelids, hoping this would give the illusion of further set eyes, this also helped minimally. I looked into canthoplasty to potentially lengthen the outer corner of my eyes, but two surgeons said they did not believe any improvments could be made to the outer corners of my eyes. I included two pictures below, one of my current self and one that’s edited with my ideal eye distance. Would orbital box surgery be the only way to achieve the difference demonstrated in the pictures? And do you believe it’s worth the risks? Thank you.

A:As you have correctly surmised the only way to make a further increasing the distance between your eyes would be some form of an orbital box osteotomy.

That being said given your natural starting point (magnitude of the problem) this should be something that you would never do or even consider. The aesthetic risks far outweigh what the benefits would be meaning you’re going to create a whole new set of problems that you may dislike greater then the problem that you see now.

Dr. Barry Eppley

Plastic Surgeon

Q: Dr. Eppley, I had an ineffective horizontal projection chin reduction surgery about 5 years ago that only seems to get worse with time. The surgeon did it intraorally, and burred the bone down, but the fat pad was not properly taken care of and it now projects the same and scrunches oddly at the front and bottom when smiling. I can feel the -bone- properly reduced now when I examine my jaw, but the chin pad is thick and can be grabbed. I’ve been wanting a revision for chin pad reduction and have been considering surgeon and timing, and I saw that Dr. Eppley has success in these exact cases like mine. 

A:When an intraoral bony chin reduction is done some degree of an excessive chin pad problem will ensue. Any surgeon that thinks the chin pad is going to contract back down to the reduced bone is a surgeon that clearly lacks much experience with the procedure. That is a flawed concept.

The only way to manage the fleshy chin pad now is a submental reduction/tuck.

Dr. Barry Eppley

Plastic Surgeon

Q:Dr. Eppley, Can the area between the ears and outer lateral canthus be slimmed down at all? I would assume this would be surgery on the zygomatic arch bone. One side of my face has similar projection to the image attached even with a normal ipd. The wide face makes my eyes small despite being in the normal range. 

A: As you have correctly surmised reduction of the width of the side of the midface is a zygomatic arch osteotomy with inward repositioning. This is done by making an anterior osteotomy through the cheekbone from an intraoral approach and the thinner posterior arch is infractured from a very small side burn incision.

Dr. Barry Eppley

Plastic Surgeon

Q: Dr. Eppley, Is it possible to add a very modest jaw and chin lengthening implant in women without giving any horizontal attention widening effect?

A: Yes but no. While an implant can be designed to provide vertical lengthening only it has to have some flanges to engage the sides for stability so some slight width increase may occur.

Dr. Barry Eppley

Plastic Surgeon

Q: Dr. Eppley, These questions are regarding Clavicle Reductions:

What are the complications associated with surgery? And your success rate?

A: Success rate = 99% as defined by a bony union after surgery, one long term non-union.

Complications = only seen 2 fixation failures out of 170 clavicles treated, replated and went on to heal. These failures occurred in the first two years of doing the procedures before I went to double plating.

Dr. Eppley

Q: Dr. Eppley, I feel my eyes are quite high on my face, and lend to an overly long midface, and compressed brow-eye region. I’m not interested in brow lift because it will lengthen the face even more, which is the opposite of my visual goal. After a lot of research I’ve found some information on orbital bone repositioning (orbital box osteomies) and I’m curious as to if it would be effective in moving the eyes lower on the face, around 2-4mm. As well I’m aware this is ann extremely invasive procedure, I am currently just gathering as much information as possible.

A: Orbital box osteotomies can move the eyes from side to side and even raise up an asymmetrical lower eye. But it is not an effective technique  for lowering the eyes.

Dr. Barry Eppley

Q: Dr. Eppley, I was botched over 3 yrs ago when I had lipo. This past November I had revision lipo with fat transfer to oversuctioned hips. The fat did not stay so now considering implants.

A: Hip implants are unlikely to be an effective technique for improving the irregularities from liposuction irregularities. Sunce they are placed deeper than the subcutaneous fat layer they are only going to push out the shape and irregularities that are already there.

Dr. Barry Eppley

Plastic Surgeon

Q: Dr. Eppley, I have quite a low eye space ratio of 0.425 with normal IPD. My eyes look close set as a result of a wide face / skull. Orbital box osteotomy is unrealistic and no surgeon does such. Per chance would shaving of the temporal bone on the side of the skull, muscles removal, zygomatic arch reduction be realistic, making the face more slim, masculine and increase ESR?

A: Based on the circled areas on the picture you have shown only zygomatic arch osteotomies would be beneficial in reducing the existing lateral midface projection.

Dr. Barry Eppley

Q: Dr. Eppley, I am writing to seek your expert opinion regarding my situation and potential corrective options. I had cheek implants placed via an intraoral approach and wore them for two months before having them removed. I am now three months post-removal and have noticed a significant change in my midface — specifically a loss of cheek definition, with the tissue appearing heavier and fuller than it was prior to the implants.

My primary questions are: 

– Do you suspect I will see improvement in the coming months or will it be minimal? 

– What procedure would you recommend to help restore my pre-implant appearance? 

I have come across one of your previous responses in which you mentioned that an endoscopic cheek lift would be the most appropriate intervention in a scenario like this. Would you still consider that the best option in my case, or would a mini SMAS/midface lift be more suitable?

I have attached two photos of before the implants and two photos from now, 3 months after removal.

A: Your situation is classic and is exactly what one can expect when cheek implants are removed…cheek sagging due to loss of osteocutaneous ligament attachments. That situation is now fully established and there will be no further resolution of it. 

You are not going to restore your preoperative appearance exactly. Some form of a cheek lift will help but one never go fully back home so to speak. Such a cheeklift can be done numerous ways and there is not exactly ideal approach to it.

Dr Barry Eppley

Plastic Surgeon

Q: Dr. Eppley, Can a custom chin implant fix a step deformity from a previous 10 mm genioplasty and add some extra projection as well (~5-6 mm)? I’m a patient that was born with extreme microgenia but with proper jaw alignment and teeth position, it’s just that the size of the chin is extremely small. So I went to a maxillofacial surgeon and got a 10 mm genioplasty that was properly done, the only thing I did not like was that they did not use cadaveric bone chips to cover the step off and now the chin looks more like a stair instead of being convex. The problem is that the horizontal projection is still not enough even after the 10 mm genioplasty and that the chin lost its convexity. That’s why I asked the same maxillofacial surgeon if it was possible to fix everything with a custom implant and he told me that it was too risky because it could get infected, since it would be too close to the tooth roots and the mouth. Do you agree with this? I can’t leave it like this, I need to find a solution.

A: In larger sliding genioplasty movements the greater the likelihood of inferior border irregularities and  a disconnected look of the chin can result if the angle of the bone cut is too oblique. For some additional horizontal advancement and coverage of the inferior border defects a custom chin implant would do so effectively.

The statement ‘ it was too risky because it could get infected, since it would be too close to the tooth roots and the mouth’  has no biologic basis. A custom chin implant is placed through a submental incision. It is a common secondary genioplasty procedure and I have done it many times.

Dr Barry Eppley

Plastic Surgeon

Q:Dr. Eppley, I came across your work and wanted to inquire about the possibility of clavicle augmentation for aesthetic purposes. Specifically, I’m interested in achieving a more defined and prominent collarbone appearance. Could you kindly advise: • Whether you offer any procedures (e.g. implants, contouring, or other techniques) to enhance clavicle prominence • What approach you would typically recommend for someone with my concerns • The associated risks, recovery process, and expected outcomes I would also appreciate knowing if you offer consultations (in-person or virtual) to assess suitability. Thank you, and I look forward to your advice.

A: Clavicle augmentation can be done by a wrap around silicone implant that encircles the bone from just lateral to the sternoclavicular out to medial to the acromio-clavicular joint. It is placed through a small incision in the supraclavicular. This is an aesthetic augmentation procedure that evolved from my experience in clavicle reduction osteotomies for shoulder narrowing.

Dr Barry Eppley

Plastic Surgeo

Q: Dr, Eppley, I am writing to inquire about surgical options for modifying the mandibular angle (gonial region), specifically to increase its lateral/outward projection.

Currently, my gonial angles appear to flare slightly inward, which reduces their visibility in profile and contributes to a weaker overall jawline. I am interested in achieving a more laterally prominent, everted gonial morphology, which I associate with a stronger and more defined male jawline.

 I recall having seen a procedure conceptually similar to a chin wing osteotomy, in which a segment of the inferior mandibular border is osteotomized and repositioned to alter lower facial structure. The standard chin wing osteotomy appears to primarily influence the anterior mandible and chin region, with relatively limited direct modification of gonial projection. I would like to know whether any segmental repositioning techniques exist that more directly target the gonial region or the posterior mandibular body/ramus transition.
 Mandibular angle reduction or narrowing procedures (e.g., V-line reduction) typically involve the region I am interested in modifying. My question is whether it would be possible to allow for augmentation or lateral repositioning of the existing gonial angle complex, ideally through bone-preserving osteotomies rather than implant-based augmentation.
 For context, I have attached three illustrative references: 1. The first image shows different mandibular flare patterns. In this diagram, A and B represent female mandibles, characterized by more inward or straighter gonial angulation, while C represents a male mandible with a more outward/everted gonial flare. The latter (C) corresponds more closely with my aesthetic goal. 2. The second image illustrates a chin wing osteotomy. While this demonstrates the principle of segmental osteotomy and repositioning of the inferior mandibular border, it appears to primarily influence the chin and anterior jawline, with limited direct alteration of gonial projection. 3. The third image is based on mandibular angle reduction (V-line), which highlights the specific bony segment typically removed in such procedures. My interest is whether this segment, particularly the portion extending toward the gonial angle and ramus transition, could instead be mobilized and repositioned laterally to increase gonial prominence rather than excised. I am not interested in implant-based approaches. I also understand that non-vascularized onlay grafting in this region may be unpredictable and prone to resorption. I would appreciate your perspective on whether any reliable skeletal techniques exist to achieve this type of modification, or whether implants remain the only predictable option.
 Thank you for your time and consideration.

A: It is very common that the ramus (jaw angle) flares inward rather than outward. There is no osteotomy that can make the jaw angle have an outward flare or prominence. Jaw angle augmentation can only be done by implants.

Dr Barry Eppley

Plastic Surgeon

Q: Dr. Eppley, can orbital and midface implants be done on a patient who previously had implants placed behind the eyes to treat enophthalmos?

A: Yes it can. I assume the enopthalmos implants are orbital floor implants.

Dr. Barry Eppley

Plastic Surgeon

Q: Dr. Eppley, Hello. I would like to discuss the possibility of getting a custom sized testicular implant. I currently have a prosthesis. The prosthesis is about 12 months old. It replaced another prothesis that I had. This one is the largest size Coloplast. But it is still significantly smaller than my other testicle. I’m not happy with it. I’m looking for a custom solution.

A: Given that the largest saline testicle implant size is 4.5 cc you are correct in that a custom implant design is needed as you probably need an implant at least 5.25 to 5.5 cc to match your opposite side. Whether it needs to be even bigger is yet to be determined.

Dr. Barry Eppley

Plastic Surgeon

Q: Dr. Eppley, I had a genioplasty last year. My chin position looks good, but when I smile I notice some fullness or hanging under the chin area. I am about 7 months post-op and would like to know if a minor soft tissue procedure might be appropriate to remove it so the chin is not hanging when I smile. 

A: Your genioplasty appears to have driven your chin downward creating this abnormal fold of chin pad when you smile. I don’t believe that is correctable by soft tissue excision as it is caused by the bone position.

Dr. Barry Eppley

Plastic Surgeon

Q: Dr. Eppley, Would you do shoulder reduction, rib removal and back lift in one surgery? I’malso interested in a upper lip V-Y plasty laterally to make the sides and corners have more volume and be more flipped.

A: Thank you for your inquiry and sending your pictures. The combination of shoulder narrowing, back lift through which the river removal would be done and upper lip Y lengthening can be done in a single surgery in the properly selected. Patient proper selection refers to the patient’s prior surgical experience, their overall health, and what is their support system going to be like right after surgery in the early recovery process. As you can see, this is a multi factorial answer to which each patient must be assessed on an individual basis.

I would say, on average, that is a lot of body surgery for one patient to undergo but in properly selected patients I had done so successfully.

As for the V-Y plasties I think you are over estimating what they can do particularly when you speak of being ‘more flipped.’

Dr. Barry Eppley

Plastic Surgeon

Q: Dr. Eppley, I had an ineffective horizontal projection chin reduction surgery about 5 years ago that only seems to get worse with time. The surgeon did it orally, and burred the bone down, but the fat pad was not properly taken care of and it now projects the same and scrunches oddly at the front and bottom when smiling. I can feel the -bone- properly reduced now when I examine my jaw, but the chin pad is thick and can be grabbed. I’ve been wanting a revision for chin pad reduction and have been considering surgeon and timing, and I saw that Dr. Eppley has success in these exact cases like mine.

A: Intraoral bony chin reduction for a horizontal excess is a flawed technique as it fails to address the soft tissue excess. Such chin pad excess must now be addressed by an external submental excision technique.

Dr. Barry Eppley

Plastic Surgeon

Q: Dr. Eppley, I have very very dark circles I tried everything to get rid of it but does not work so was thinking of orbital rim implant.

A: Dark circles are often a combination of shading from undereye hollows and hyperpigmentation particularly in certain skin types.If you have significant undereye hollowing orbital rim implants may be helpful but rarely will completely eliminate the dark circle appearance.

Dr. Barry Eppley

Plastic Surgeon

Q: Dr. Eppley, For skull reshaping, what does the recovery process and timeline look like?

A: Skull reshaping is a general term that refers to over 30 different procedures who have various surgery and recovery times. Without knowing what exact skull reshaping procedure to which you refer I can only provide a general statement based on a lot of clinical experience… it is usually much faster than one would think.

Dr. Barry Eppley

Plastic Surgeon