Blog

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 […]

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 […]

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 […]

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 […]

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 […]

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 […]

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 […]

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 […]

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 […]

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 […]

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, 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 […]

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. […]

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, 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 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 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, 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 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, 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 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 […]

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 […]

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 […]