Blog

Q: Dr. Eppley Hello,Can remodeling or reconstructive surgery of the frontal bone reduce the width of the forehead? I would like to understand what is realistically possible on a normal frontal bone, without any bump or deformity. If it is possible, what are the realistic quantitative limits (in millimeters or centimeters), and which specific areas […]

Q: Dr. Eppley I had a well done lip lift very happy with the result. Several months later, another surgeon recommended custom cheek and jaw implants to address facial bone asymmetries. Over the following year, the implants were placed, revised, and ultimately removed. Each surgery involved incisions through my upper gumline. Since those procedures, my […]

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 […]

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 […]

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 […]

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 […]

Q: Dr. Eppley, These questions are regarding Clavicle Reductions: What are the complications associated with surgery? And your success rate? A: Success rate = 100% as defined by a bony union after surgery Complications = only seen 2 fixation failures out of 170 clavicles treated, replated and went on to heal. These failures occurred in […]

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 […]

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 […]

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 […]

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. […]

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, […]

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 […]

Q: Dr. Eppley, I had a genioplasty in late 2025. 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 […]

Q: Dr. Eppley, Would you do shoulder reduction rib removal and back lift in one surgeryI’m interested in a upper lip vy 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 […]

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 […]

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 […]

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 […]

Q: Dr. Eppley, Removal of titanium plates and screws in upper and lower jaw. The titanium plates and screws are causing health problems and I would like to have them removed. A: The removal of maxillary hardware is generally 100% doable. The key is what the mandibular SSRO hardware looks like as that is always […]

Q: Dr. Eppley, I was born with a genetic disorder called Treacher Collins Syndrome, which led to underdeveloped upper and lower jaw bones. When I was 19 I had jaw surgery to correct this and have multiple titanium and stainless steel plates and screws in both my upper and lower jaw. I am now 49 […]

Q: Dr. Eppley, Hello I had pmma cement done on 2023 since then I got many revision due to abnormal results lumps, last revision was in 025. I would like to know if it’s possible to do a total removal and replace with custom peek implant. I really want to keep the volume but I […]

Q: Dr. Eppley, Hello, I would like to schedule a consultation for male chest enhancement. My goal is to achieve a clearly defined, masculine and athletic result, with: – significant pectoral volume (not subtle) – good upper chest fullness (clavicular area) – a natural but strong, bodybuilder-type appearance I am also interested in combining this […]

Q: Dr. Eppley, A surgeon attempted to remove my twenty-year-old Medpor cheekbone implants and was unable to do so because the implant osseointegrated with the cheekbone and remained fixed. Does “osseointegration” definitely indicate that the implant must remain to avoid facial deformities? Also, if the implant could somehow be removed, would replacing it with another […]

Q: Dr. Eppley, I’m considering infraorbital and malar implants. I’m from Germany . What are the next steps? virtual meeting or would you like photographs? I’ve had a couple of consults, my questions and their responses below: Are custom implants necessary? both doctors said no Do you provide imaging to design the implants? both doctors […]

Q: De. Eppley, my name is María, and I am writing to you from Spain because I recently read an article of yours about perioral mounds. I have an upcoming appointment to reduce them with Endolift. Are you familiar with this procedure? Do you think it can be effective? I would greatly appreciate your opinion, […]

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 […]

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. […]

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 […]

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 […]