Your Questions
Your Questions
Q: Dr. Eppley, For a long time i have been very insecure about a few aspects of my jaw. For one i have quite a short vertical jaw (or lower third of the face ) length which looks bad compared to my forehead which is much longer. At first i had considered forehead reduction but I already have a very small face compared to my body and don’t wanna make it worse.)
So I really want a vertical lengthening of my jaw. BUT i do not want any implants. So I’ve browsed the internet for months now looking for a solution that uses just bone to fix my problem and I think I might have found a couple. But I don’t know if these are possible and if any surgeon will help me with them.
So I read alot online about it being possible the create a gap between two bones,and that bone would regenerate between the gap eventually filling in the gap, is this true? I’ve also read that in some instances a bone graft material can be used to fill in the gap which will eventually become normal bone, is that also true?
My ideas of what could possibly be done :
idea number 1 :
a cut alongside the entire jawline is made, below the important nerves, much like the cut in a full chinwing osteotomy, of which ive provided a picture, the cut off bone is then moved 5 to 10 mm vertically ( downwards ) and put together with screws and plates to hold it in that place, from here, either the bone would regenerate ( as seen in the second picture ive provided ), filling the gap, or perhaps bone graft material could be used. this should eventually leave me with a vertically longer jaw that is completely natural bone material.
idea number 2 :
starts off the same, a cut alongside the entire jawline, but instead of a clean horizontal cut, the cut is like the one done in standard jaw surgery, where they slide the jaw forwards if you have a receding lower jaw, in this cut, they cut the bone in a way that they can slide it outwards without there being an open space between the cut. could this cut also be performed vertically along the jawline? so that it can be slid downwards without it creating an opening between bone.
idea number 3 :
if none of the above is possible, could a distraction osteogenesis of any kind perhaps be performed? ( picture provided ) i assume this has never been done for vertical length gains before, as i cant seem to find any evidence of that, but would it be possible ?
even thought you can find alot on the internet, its very hard to know what is real and what not, and if real, how well known and used the techniques are. so i really wanted to ask a professional .
I really hope you can help me, because to be honest, i seem to get more and more anxious by the day about this topic. i know that in the end none of this means the end of the world. but it is affecting my life quite a bit. and has been for a couple of years now.
thank you very much for your time! i hope to hear from you.
A: The only two viable options you have are a chin wing osteotomy, which is only going to get 5 to 6mms vertical lengthening or a vertical lengthening chin osteotomy which can easily get 10mms. Ideas # 2 and #3 (distraction osteogenesis) are not viable aesthetic options for a variety of reasons.
Dr. Barry Eppley
World-Renowned Plastic Surgeon
Q: Dr. Eppley, I’m looking to get my genioplasty plates removed from a procedure two years ago. However this would be my 4th procedure on my chin. For a timeline , 2 years ago I had a genioplasty with a chin implant placed at the same time. After my procedure I had hardware failure so after a month the surgeon went back in and plated everything properly, however after two months the chin implant got infected and had to be removed. Making in total 3 operations on my chin. I’m hoping to get plate removal in the hope to resolve some tightness and what I feel to be inflammation from the plates. I also have a concern as one of my plates goes beyond the lower mandible border. One of my major concerns however is the mentalis muscle, I am worried as I’ve had three operations already that my mentalis must be traumatized , would having to cut through a 4th time pose a risk. However I really would like to have these plates removed. My surgeon has refused saying there is no need, and I hear you are one of the best.
A: By your own description you appear set on having your chin hardware removed so I am not sure in that intent what difference it will make in terms of the mentalis muscle sustaining more surgical trauma.
What I can say that is useful is that I have seen many patients that come to me after a genioplasty done elsewhere who have had tightness and their surgeon removed their hardware to relieve it…and not a single one has developed an improvement in their chin tightness symptoms. This does not surprise me since hardware would not cause tightness…it is merely an easily identified potential cause because it is an implant. The reality is it is a soft tissue deficiency problem that is often not diagnosed whose cause, in your case, is multiple surgeries. You simply can’t cut through the attachment of the mentalis muscle numerous times and expect their to be no soft tissue ramifications from it. Incisions are not zippers, there is no opening and closing them repeatedly without consequences.
While you can have your hardware removed, expecting improvement in your chin tightness symptoms in only going with a concomitant soft tissue management strategy. (dermal-fat grafting)
Dr. Barry Eppley
World-Renowned Plastic Surgeon
Q: Dr Eppley, I have a question, I’m male and have very wide hips and I’m very insecure about it. On some anatomy pictures I saw that the widest width of your hips is caused by the outwards sticking bone part on the top of the leg bone where the leg bones connect to the pelvis. Can this bone perhaps be shaved down a bit on both sides making the hips just a little less wide? I’ll take any cm I can get it reduced. I couldn’t seem to find any purpose for this part of bone so i guess I can miss part of it.
I’d like to hear what you think.
A: If you are referring to the greater trochanter protrusion of the femur, then no as this extension of the femur can not reduced due to the large number of muscle and ligaments attachments which are important for leg movement. The part of the hip width that can be reduced is the most outer aspect of the iliac crest.
Dr. Barry Eppley
World-Renowned Plastic Surgeon
Q: Dr. Eppley, I’m interested in clavicle lengthening surgery. I have a couple of questions:
1) I’ll be traveling from Europe and so will need to fit this around my work schedule. How long would I need to stay in America for the surgery and follow up care?
2) Is it possible to add deltoid implants at the same time as the clavicle lengthening to gain the maximum possible width?
3) If so, what would be the approximate cost of that procedure (clavicle lengthening + deltoid implants)?
4) Would the surgery be able to be done in late February or March of this year?
A: In answer to your clavicle lengthening questions:
1) How long you should stay here after the surgery depends ion whether you are coming by yourself or with someone. But as a general guideline one week should be enough.
2) Deltoid implants can be done at the same time as clavicle lengthening.
3) Getting on the operative schedule with such ‘short notice’ would not be possible in the next 1 to 2 months.
Dr. Barry Eppley
World-Renowned Plastic Surgeon
Q: Dr. Eppley, I am writing to you because I am very sad as I had surgery on my chin but the result was not what I expected and now it is very hard. Due to a retruded chin and chin asymmetry, I entrusted myself to a maxillofacial surgeon and decided to insert a customized peek implant.
The implant (as you can see from the attachments) was designed with 14mm forward projection and only 1mm in height, although the height of the implant is almost insignificant my chin now appears much higher than before, perhaps it was my chin bone which was already very high before but being retuso it was not noticeable in height, now with the same height but with more forward projection an exaggeratedly long and heavy chin appears for my face.
Only 10 days have passed since the operation but the height is really too much to think that it will change a lot in the next few days, I have some questions:
1) The problem is due, as I suspect, to the length of my chin which is retracted but also very long, so bringing it forward with a prosthesis will it seem taller than before?
2) In case the problem is the length of my chin bone if I made a customized prosthesis that as it comes forward it rises and shortens in height would it be a feasible solution to make the chin less high or in this way my chin would look strange?
3) What would be the best solution to overhaul the chin so that it is shorter in height?
4) Being already sure that I will have to do a revision of the chin, how long is it best to wait before doing a new operation on the chin?
It’s hard to trust other surgeons now I only trust you, for this I really appreciate your opinion
A: In answer to your chin implant revision questions:
1) The first thing to realize is that you are early in the recovery process and have a lot of swelling. You are not even 50% of the way into the recovery process. So I would expect at just 10 days after surgery to have a lot of swelling and tissue distortions…which are not representative of what the outcome may be. You also have to realize that this is a very large chin implant, way beyond what most patients get, so the swelling and tissue firmness/distortions will be extreme. I never judge the outcome of any chin surgery until at least 6 weeks after surgery. This is the minimum time to make even a preliminary judgement.
2) It is likely the soft tissue chin pad is riding high, besides the swelling, is because a 14mm implant creates a large implant mound to try and get the soft tissue chin pad to be able to be pulled over it during closure. Quite frankly I would never try toput in a chin implant over 10mms unless the patient had an indwelling chin implant to help stretch out the soft tissue chin pad first. Given your initial significant chin deficiency I don’t think a chin implant of this size was a wise choice. When you want this much horizontal chin movement this is the role of the sliding genioplasty where these soft tissue chin problems do not occur.
Dr. Barry Eppley
World-Renowned Plastic Surgeon
Q: Dr. Eppley, I’m not familiar with much of plastic surgery vocabulary but what I’d like is for my face to look years younger.
From what I can see, there is volume loss, and loose skin (including double chin, there is barely any fat under the chin but still looks like double chin).
I am scared of fillers because they need to be refreshed every few months and overtime give you a puffy look. I’m also scared of RF Microneedling or Ultrasounds because they have melted face-fat for many people based on pictures I’ve seen.
A mini facelift (for MEN) before/after picture seems like it can reverse aging significantly and does not require repeat visits every few months.
But please analyze my pictures and let me know what you think is the safest and best procedure and cost.
I’ve attached a picture from low-angle too.
A: If the goal is to improve the double chin and lax skin along the jawline, and that is what you feel will make you look year younger, then you are correct in that only a lower facelift will most effectively create that change. This is not what fillers are used for anyway and any non-surgical treatments (like RF) pale in comparison to their results of that of a surgical lower facelift.
Dr. Barry Eppley
World-Renowned Plastic Surgeon
Q: Dr. Eppley, Hello id like to get my chin and jaw /cheek / midface implants. i want to know the cost range please let me know.
A: Just based on a description alone it is impossible to say what type of facial implants you would benefit by having. (what areas, standard vs custom) Thus trying to provide accurate costs is not possible. The way to make that determination is to first get some pictures for my assessment and imaging and a description of your concerns and goals. Once that is determined then accurate costs can be provided.
Dr. Barry Eppley
World-Renowned Plastic Surgeon
Q: Dr. Eppley, I may have asked this question in my consultation, but is osteotomy not possible for the infraobital area? I think you had stated not,even with the orthognathic surgeries I brought up, which is why I am choosing implants.
I had a few reasonable questions about the long term survival outcome of the implants however – Do they become absorbed by the facial bone over time? What is their material? Most importantly, how do they react to the aging process, (e.g. osteoclast cells/ bone reabsorption) into old age? Just want to know if they will last all the way to grave (given what we know from the long span of time they’ve performed these). Thanks for answering.
A: In answer to your infraorbital-malar augmentation questions:
1) There are no infraorbital osteotomy techniques for augmentation, there are only implants.
2) Implants are structurally stable, they can not change form or degrade over time. They only change physical form at 375 degrees F. Your tissues may change around them as you age, which would be expected, but the implants themselves do not.
Dr. Barry Eppley
World-Renowned Plastic Surgeon
Q: Dr. Eppley, Hi I’m a 28 year old Asian male. I have a concave midface, and I’m interested in what you’ve described as a midface mask implant. Not sure if that changes the nose, would rhinoplasty be needed? Also what is the recovery like?
A: In answer to your midface mask implant questions:
1) Unless there is a reason to be having a rhinoplasty independent of the midface mask iimplant, there is no reason to undergo one because of it.
2) Recovery is largely about swelling and some numbness which is probably close to the same or perhaps less than a LeFort I osteotomy.
Dr. Barry Eppley
World-Renowned Plastic Surgeon
Q: Dr. Eppley, can a secondary “jowl tuck” lift (for incipient jows and neck skin laxity) and secondary upper bleph (for slight recurring skin laxity) be done under sedation by intramuscular (not IV) midazolam? Might IM sedation be comparable, or preferable, to IV sedation in efficacy and/or safety? Original procedures, 16 years prior, under IV sedation, were: SMAS lift (w/retrotragal incision), platysmaplasty (submental incision), upper and lower (subconj) blepharoplaties.
Thank you for feedback.
A: I am sure someone may try to tackle that type of secondary upper blepharoplasties and jowl tuckup under this ‘modified’ sedation approach…it just wouldn’t be the way I would feel comfortable doing it.
Dr. Barry Eppley
World-Renowned Plastic Surgeon
Q: Dr. Eppley, For hip augmentation surgery for hip dips for fuller looking hips would you be able to use a standard buttock implant small one so I could have curvier hips? Please do let me know thanks
A: The question is not whether you can take a small buttock implant and place it in the hip dips….as you can. The real question whether it would have a smooth look and blend in to not look like there is an implant bump there. That has been my experience in doing so. It seems like the implant has a good shape until the swelling goes down and the soft tissue shrink down around it and then instead of a dip there is now a bump.
Dr. Barry Eppley
World-Renowned Plastic Surgeon
Q: Dr. Eppley, Can you do the intramedullary instead of plates and screws for fixation of clavicle reduction osteotomies? (shoulder reduction)
A:In regards to the intramedullary nail my research indicates that, while it works for fractures that have an established length, if one is trying to shorten or lengthen the clavicles it may not be very stable at length retention. Knowing how hard it is physically to drive the shoulders in to get the outer half of the clavicle to meet the inner half when a bone segment is removed, it would be suspect that it could maintain keeping the two segments together. It would work if the two bone ends freely laid together without much tension (as in a normal fracture) but the shoulder girdle is both heavy and powerful. As a result, a single intramedullary may look good on the operative stable but its true effectiveness is what happens between the two bone ends after surgery when continuous tension is applied to it.
Dr. Barry Eppley
World-Renowned Plastic Surgeon
Q: Dr. Eppley, I want to get botox in the forehead and eye area. Is there a risk that my custom infraorbital malar implants you inserted last summer can get infected if the injections happens around the area where the implant is?
A:Those injections are above the level of the IOM implants so no they should not get infected. I would just have them be cautious by the side of the eye where the implant is close to the injection site…although the orbicularis muscle (target of the Botox injections) is much more superficial than the implant.
Dr. Barry Eppley
World-Renowned Plastic Surgeon
Q: Dr. Eppley, i had a chin shield type of genioplasty done approximately 8 months ago. This specialized cut made my face a bit more on a feminine side (34 year old male) , the cut still left both side of my chin deficient in horizontal forward and it did not achieve my desired goals which are broader chin and forward projection past my lower lips. I also noticed that my lower lip was also rolled in a tiny bit post procedure. Would it be possible for you to perform a revision genioplasty with this type of cut to accomplish a more masculine chin with more masculine chin with more forward projection? Based on the photos and x-rays, how many mm would you recommend for both horizontal and vertical ?
A: That type of chin osteotomy is designed to make the chin more narrow not wider. So your chin narrowing result is no surprise. Once this type of chin osteotomy is done the ability to secondarily redo it with a more horizontal osteotomy pattern, which would help make it wider, is lost. All that can be done now is to design a custom chin implant that would fit over and around the bone to create your desired chin shape change.
Dr. Barry Eppley
World-Renowned Plastic Surgeon
Q: Dr. Eppley, One leg is bigger than the other in width, can i get them equal??
A: You can get closer but never equally equal with a calf implant and fat grafting. That appears to be a classic clubfoot calf which means the muscle is both smaller and the soft tissues very tight. The best result is going to come from a two stage approach, first stage fat injection grafting to stretch and soften the tight soft tissues and a second stage calf implant to augment the deficient muscle.
Dr. Barry Eppley
World-Renowned Plastic Surgeon
Q: Dr. Eppley, I’m interested in making my side profile more forwardly grown overall, specifically in my middle and lower third region (maxilla and mandible) because they look flat. Does the midface mask implant push out the upper maxilla and the lower maxilla? Last but not least, I was wondering if the midface mask implant had a similar effect the infraorbital rim implants do to the eye area.
A: As you likely know your two options for moving your lower 2/3s of your face forward are either bimax double jaw surgery or overlay camouflage implants. Each has their advantages and disadvantages. But to answer your specific midface questions:
1) A midface implant pushed out the entire midface with the exception of the dentoalveilar area. (in other words the front teeth and upper lip vermilion would not change.
2) The midface mask covers all area of the midface and it can be designed to do whatever one wants to do including an IOM (infraorbital-malar) augmentation effect.
Dr. Barry Eppley
World-Renowned Plastic Surgeon
Q: Dr. Eppley, I want to achieve a stronger angler looking face and my stretch my face around the mouth area of my jowls which I feel are weak. I have considered a facelift, fat grafting and replacing my malar implants with a combined malar/ sub malar implant. What do you feel would be best to create better proportion.
A: If the goal is to get rid of the jowling with the same jawline then only a lower facelift approach will be effective. If a stronger jawline is desired then a custom jawline implant is needed which would probably negate the need for a facelift.
If you want to add volume to the gaunt submalar cheek region, a different type of cheek implant will be more effective with a sustained volume addition than fat grafting.
Dr. Barry Eppley
World-Renowned Plastic Surgeon
Q: Dr. Eppley, We are interested in clavicle shortening surgery for my daughter. What is the youngest age you can perform this surgery?
A: The youngest age in which I have performed shoulder narrowing surgery, with parental permission, is age 16.
Dr. Barry Eppley
World-Renowned Plastic Surgeon
Q: Dr. Eppley, In the summer of 2019, I had chin augmentation surgery (implant), hoping to alleviate the aesthetics of lip incompetence (including a ‘gummy smile’). Unfortunately, i wasn’t aware that sliding genioplasty may be a more appropriate surgery. The implant has, to my eye (which may be seeing it altogether wrongly) added length rather than projection and seems to sit at an odd angle; I can feel the tail on one side extending to the jaw but not on the other side. I saw a local oral surgeon here and he took the attached X-rays. I would be appreciative of your opinion on the position of the implant and whether the sliding genioplasty might be more successful.
A: While plain x-rays are not the best method to visualize an implant on the facial bones, the lateral cephalometric x-ray does show a shadow of the implant on the lower edge of the bone. So your supposition of the implant position appears to be correct. With the implant position on this area of the chin bone it is certainly not providing any horizontal chin projection and never had a chance to improve your lower lip incompetence. It would be very fair to say a sliding genioplasty could do much better.
Dr. Barry Eppley
World-Renowned Plastic Surgeon
Q: Dr. Eppley, i think i have a plagiocephaly but i am 30 yo… my forehead is asymmetrical, one side is very round and the other one flat… is it possible to make it more regular?
A: Like all plagiocephalies there is often involvement of the forehead with asymmetry. In most such cases the patient (especially males) desire to have the flatter side of the forehead-temporal area augmented for improved forehead symmetry. This is best done with a custom implant design.
Dr. Barry Eppley
World-Renowned Plastic Surgeon
Q: Dr. Eppley, Hi, I am enquiring about temporal reduction and if your clinic can help me to get rid or reduce the convex shape from the front angle and reduce its size. The muscles above the ear, once I open my mouth wide it noticeably changes shape and size from the front.
I’d like to know the following details as I’ll be travelling from the UK and want to plan for this ahead of time.
1) how long would I need to spend over there.?
2) would an in person consultation be needed to establish if I’m a good candidate or a CT scan needed?
A: In answer to your temporal reduction questions:
1) 2 days after surgery at most.
2) Pictures are the only assessment that is needed. CT scans are not helpful. Opening your mouth wide and seeing what shape change occurs in the target area is the definitive test.
Dr. Barry Eppley
World-Renowned Plastic Surgeon
Q: Dr. Eppley, I seem to have very distinct frontal eminences and very pronounced verticle ridges around where my temporal lines are. I was wondering what these are and if it could be fixed – both the eminences and ridges. Thanks!
A; What you have is a combination of prominent frontal eminences (horns) and large temporal muscle insertions along the side of the forehead. If I look at it carefully in the well illustrated frontal view picture it almost seems like the prominences seen (horns and vertical ridges) exist because the level of the forehead (frontal bone) is sunken in a bit….revealing the muscle insertions along the side of the forehead and exposing the congenital frontal eminences. (horns) This would indicate to me that the best approach to solve all of them at once in the most assured way is a thin custom forehead implant that covers the whole forehead. The implant is just thick enough (2 to 3mms) to fill in the ‘depressed’ bone and cover one the horns and vertical ridges. This is better than the alternative of burring down the frontal horns and trying to add strips of material too smooth over the vertical ridges. (lies desired option #2)
Dr. Barry Eppley
World-Renowned Plastic Surgeon
Q: Dr. Eppley, I had jaw implants about 5 years back and one of them ended up popping off when I yawned. I then got a hematoma shortly after in the middle of the night prior to the removal of it. So I’ve been very hesitant and afraid to have it redone as you can see. I do know that they were not custom made and the r one she picked which were the smallest size he had were still a little big on me so maybe that’s the cause? Either way, I have always disliked my lack of jaw definition and would like to have it redone but want to know if you’ve ever had one pop off on someone or end up with a hematoma after it popping off?
A: I have never had or heard of such a complication occurring from jaw angle implant surgery. But that is undoubtably because I secure all my jaw angle implants with screws which would avoid such a postoperative problem.
Dr. Barry Eppley
World-Renowned Plastic Surgeon
Q: Dr. Eppley, The result of jaw/chin implants are convincing. I have a query – Can the Jaw implants be made there and shipped to my place ( outside of US ) . And can a local cosmetic surgeon implant it here ? Or is there an alternative for patient outside of US. And what would be the cost of doing so. Expecting a reply soon.
A: I only design custom implants in which I implant them. There is a strong correlation between understanding the nuances of the design and getting good intraoperative positioning of them with a low risk of complications. I don’t do it simply because I would not be doing you any favors. I would just be setting you and your surgeon up for complications that are best avoided.
Dr. Barry Eppley
World-Renowned Plastic Surgeon
Q: Dr. Eppley, Is it possible to insert a large size implant (7.5cm in length) into the scrotum even if I have a normal size testicle (4cm in length)?
A: Maybe but probably iunlikely. It depends on how much loose scrotal skin one has. But it would take a lot to accommodate the 7.5cm testicle implant size. It is dependent more on scrotal skin laxity rather than whatever size testicle that exists inside it.
Dr. Barry Eppley
World-Renowned Plastic Surgeon
Q: Dr. Eppley, I’m 31 years old, I come from Poland, my problem is plagiocephaly. I have been looking for a solution to this problem for many years until I finally found your website. I’d have a few questions;
– on what basis do you create implants, is it a 3D computed tomography of the skull?
– is it possible to make such an implant to order so that I can perform the implantation procedure in Europe?
A: In answer to your skull implant for plagiocephaly questions:
1) You have correctly surmised that such skull implants are created by a 3D design process.
2) I only design and make implants in which I surgically place them.
Dr. Barry Eppley
World-Renowned Plastic Surgeon
Q: Dr. Eppley, 3 months ago I had ear reduction surgery, but I’m not entirely satisfied. My ears are still large, especially in proportion to my face. Could a second surgery improve the appearance of my ears?
A: I would agree that your ears are still a bit big because it is the concha that is the remaining largest part of the ear. While I do not know what exact ear reduction techniques were used the standard approach uses a high and low method which leaves the concha (central part of the ear) unchanged. Such an ear redeuction approach is very effective in many large ears, but in the large concha ear, it often leaves it still looking large and often disproportionate.
That being said you can not repeat the exact same ear reduction approach as the first time as the limits of that method have been reached. Changing to a central conchal reduction ear reduction technique is now what is needed if any further reduction in ear size is to be achieved.
Dr. Barry Eppley
World-Renowned Plastic Surgeon
Q: Dr. Eppley, I went to South Korea for a genioplasty because I wanted a more narrow face as I felt my face was very circular and doing so achieved a nice front look but made me lose my side profile and cause extra loose skin kinda around giving me a bulge and double chin effect.
Really would like to get my side profile that is more western back if possible. Tried a facelift but it just didn’t work that well on tightening the skin.
A: The origin of the loose tissues around your chin is because the bone structure has been reduced and now there is too much soft tissue chin pad for the amount of bone that is there. This is not a real soft tissue excess, but an iatrogenic one, so it is no sjurprise that any form of a lower facelift could not improve the problem. (a very ill-conceived concept from the surgeon, that may help the jaw angle area but never the chin) The key to improvement is that some chin support has to be built back to pick up the loose tissues. Whether that its best done by adding some form of an implant or moving the chin bone requires that I see your postop x-rays so I can see what the modified chin bone looks like.
Dr. Barry Eppley
World-Renowned Plastic Surgeon
Q: Dr. Eppley, . I have been following your work for years now since I am very unhappy with my lower jaw line. I had two surgeries, which in my opinion went very poorly. I have a strong chin asymmetry now, and a slight asymmetry of the jaw angles.I f inally found a new surgeon and a company to get PEEK wrap-around jaw implants in Germany. I wish I could get them at your institute, but considering the additional flight costs, hotel cost,… I probably won’t have enough money.
My question now is, if you would offer to help in designing the jaw implant? I would be very happy to get your insights about lateral and vertical projection of the jaw angles, what to pay attention in the chin area, etc.
I saw multiple before/after fotos of patients who got wrap-around implants by that surgeeon and I feel the results are lacking,
A: I only design implants in which I implant since there is a correlation between the implant design and the success in properly installing it.
Dr. Barry Eppley
World-Renowned Plastic Surgeon
Q: Dr. Eppley, I am French and I write to you because I would like to know if you perform surgeries for plagiocephaly in adults or if you could know a doctor who could do it.
A: Plagiocephaly corrections in adults are procedures that I commonly performed, typically custom implants fo rthe flat back of the head or on the forehead. Although there are other plagiocephaly procedures that can be performed as well besides these two most common ones.
Dr. Barry Eppley
World-Renowned Plastic Surgeon