Blog

Q: Dr. Eppley, Interested in forehead augmentation with PMMA bone cement for slight dents/ flat forehead. A:In forehead augmentations today there are two materials to use, hydroxyapatite bone cement and custom forehead implants. The use of PMMA bone cement is, by comparison. is an historic and inferior material to use for this or any form […]

Q: Dr. Eppley, I am planning a total facial reconstruction to transform my oblong face into a square-shaped aesthetic using custom implants. Since this is a massive financial investment for me, I am concerned about the risk of infection. ​Is it possible, with current or upcoming technology, to treat a severe infection by cleaning and […]

Q: Dr. Eppley, I have long been concerned with the shape of my head, specifically feeling that it is too narrow in certain areas. My goal is to achieve a more rounded, symmetrical appearance. Before scheduling an appointment, I would appreciate knowing: Do you perform customized skull implants (using PEEK or PMMA) or bone contouring […]

Q: Dr. Eppley, I have been researching facial implant procedures and came across your work. I am interested in learning more about facial implant surgery and facial contouring in general. My main question is about your consultation process. During a private consultation, do you also evaluate the face and recommend which implants or procedures might […]

Q: Dr. Eppley, I have right side cheek bone fracture that is like a dent that makes under my eye appear flat. the injury occurred almost 2 years ago and I am wondering if it can still be repaired or put back together so that it looks normal again I also notice my right starting […]

Q: Dr. Eppley,About the bump that is seen and the length of the clavicle, well I was thinking about doing both. (Clavicle reduction and shaving that bump) I am not sure if both are done from the exact incision spot or 2 different incisions would be made for each. A:The bump on the end of […]

Q: Dr. Eppley, Revision of sliding chin genioplasty. What can be done to fix an asymmetrical osteotomy? A: A 3D CT scan is needed to understand the exact nature of the bony asymmetry. But as a general statement the options are either recut the bone reposition it orally or come externally through a submental incision […]

Q: Dr. Eppley, I had one quick question before booking a consultation. I’m planning to undergo a cheekbone reduction procedure in a couple of months, and I wanted to ask how long I would need to wait after that before proceeding with jaw implants. Would you be able to provide some general guidance on the […]

Q: Dr. Eppley, how long after a hair transplant is it safe to do a forehead implant? A: Three months after a hair transplant a custom forehead  implant can be surgically placed. Dr. Barry Eppley Plastic Surgeon

Q: Dr. Eppley, I just have a quick question about penoscrotal webbing surgery. Is general anesthesia mandatory for this procedure, or could it be done under local anesthesia? as I’m very anxious about general with some personal health issues, so I would prefer to avoid it if possible. A: While I respect your concerns about […]

Q: Dr. Eppley, Can you ask Dr Eppley about brow bone implant (would he recommend custom or regular)  Where would it be inserted from? Is it possible to combine with under + upper eye lift? A: In answer to his brow bone implant questions: 1) There are no standard brow bone implants. They all have to […]

Q: Dr. Eppley, If I just wanted to bring my hairline down where it peaks upwards. Does Dr. Eppley think a hair transplant or forehead reduction would be better? A: While hair transplantation is one technique for creating a lower frontal hairline the frequent problem that I see from that technique is the lack of […]

Q: Dr. Eppley, I have an unaligned chin and I would like to correct it. I’ve seen a general dentist who said my previous orthodontic work looks great so it’s a cosmetic concern. As a child, my chin seemed to be aligned for the most part but after I had braces, my chin moved significantly […]

Q: Dr. Eppley, I recently got a consultation regarding a deviated septum. I had a CT scans done and a confirmation letter from the doctor confirming the deviation. I am looking at going with you regarding this considering your specialties that I could add on to the surgery. I am wanting to get multiple surgeries […]

Q: Dr. Eppley, I had a kidney transplant and now have severe temporal hollowing. How can I fix it?  A:I will need to see a picture of your temples to evaluate the extent of your temporal hollowing which would determine how it would be best treated. Given that the origin of it is undoubtably extensive […]

Q: Dr. Eppley, I came across your studies recently and saw that you did a full midface mask implant using peek and it just so happened that the patient also didn’t want any or minimum lateral expansion in the malar I find myself in the same position recessed maxilla recessed infraorbitals and bad cheekbones which […]

Q: Dr. Eppley, I am interested in gluteal implants with fat transfer. A:Thank you for your inquiry and sending your pictures. I can definitely see the benefits of buttock implants as you do not have a large amount of fat for harvest. When you mention both that is known as composite buttock augmentation where whatever […]

Q: Dr. Eppley, I am unfortunately experience massive post-surgery regret after undergoing vV line surgery in South Korea. While the surgery was performed well, I do not like the aesthetic result. I am now considering implants to restore the jawline. I fortunately have my pre-op CT scans available, and will be looking to have my […]

Q: Dr. Eppley, I had PMMA bone cement augmentation to the back of my head done in South Korea several years ago. Its effect was very limited and I now wish to replace it with a custom skull implant. I was told at the timeI was told at the time that my result was limited […]

Q: Dr. Eppley, I’ve attached two photos — one is my natural frontal resting photo, and the other is a conservative mock-up showing improved symmetry and structural balance. I’m trying to understand whether the changes shown in the edited version are surgically achievable and, if so, what procedures would be required. My primary concerns are: […]

Q: Dr. Eppley, I have 2 dents on the Left and Right side of my head from cranial surgery when I was a younger I would like to see if it is possible to reduce or remove the dents A:Thank you for your inquiry. Because you’ve had prior cranial surgery I am going to assume […]

Q: Dr. Eppley, Hello. I have a right forehead and upper brow symmetry that I want corrected. I will attach a few photos showing my asymmetry of my right forehead and upper problem. Thank you. A:Thank you for your inquiry and sending all of your pictures. In assessing your right forehead asymmetry the upper orbital […]

Q: Dr. Eppley,Removal of 15 yr old steel metal plates from upper and lower jaws ( under went jaw correction procedure 13 yrs ago) Wanted to check if its possible . Thanks A:I am sure it is possible to remove them. Do you have any postop x rays which shows the metal hardware? If not […]

Q: Dr. Eppley, I would like to discuss whether i can reduce my metopic ridge to achieve a smooth and normal forehead appearance. A:The success of any form of skull reduction, including a metopic ridge, is whether the bone is thick enough to allow for an adequate and safe bony reduction. That is determined precisely […]

Q: Dr. Eppley, I am considering holistic genioplasty. Due to my relatively strong facial features and overall body structure, my primary aesthetic goal is to achieve a chin that provides a pronounced vertical projection. I am personally drawn to a longer facial appearance and believe that increased vertical chin height would enhance overall facial harmony. […]

Q: Dr. Eppley, I’m concerned with an overall deflated look to my face, especially around the under eye area Im struggling to identify if the solution in bone related or soft tissue related. I am young and never had surgery but I’ve done 2 fractional c02 lasers in the past. My goal is to achieve […]

Q: Dr. Eppley, I have a bump on my sternum. It’s small, between my breasts, right where the 2 sides of my rib cage connect. The bump is hard like bone, does not move, has no feeling. It feels like bone, not like tissue. Can it be shaved down? A:This is a prominent sternal edge, which […]

Q: Dr. Eppley, I would like to ask if you perform cranial reduction surgery in adults, specifically procedures aimed at reducing the overall size of the skull. I understand that cranial reshaping procedures may have limitations, and I would appreciate any information you can provide about what is realistically possible in adult patients. If possible, […]

Q: Dr. Eppley,’ve been looking at your temporal muscle reduction cases and blogs for a while, and I just have a few questions. Whenever I have my bike helmet on, there’s pressure on both sides of my head. I tried different helmet sizes, but didn’t notice any difference. The pressure goes away when I open […]

Q: Dr. Eppley, Is there an estimate for when the torso narrowing surgery (more than just ribs 10-12) will be available? I’m pretty interested in the idea. A:I am not exactly sure what you mean by ‘when will this surgery be available’. Currently I perform 10 rib surgery which consists of shortening osteotomies of ribs […]