Blog

Q:Dr. Eppley, I have a pulsating bulge on my upper lip that I this is a vein. It is gradually getting bigger. How can I get rid of it? A: Every symptom you describe as well as the picture suggests that this is an aneurysm of the upper labial artery, patrticularly its pulsatile nature. Surgical […]

Q: Dr. Eppley, I saw a surgery you did to shrink a person’s head, is it possible on me? A: Skull reductions are best thought of as area reductions…not shrinking the whole head down. Thus the key question is what skull areas are the most promienent to you. In looking at your pictures I would […]

Dr. Eppley, My goal is to get rid of the sagging skin above my knee. A: Crescentic shaped excisional knee lifts can remove suprapatellar skin rolls with the tradeoff of a crescentic scar line. Dr. Barry Eppley World-Renowned Plastic Surgeon

Q: Dr. Eppley, I like the chin augmentation imaging but I wish the jawline was sharper. Would this be possible with weight loss? Also, I think the chin looks a bit pointy. A: 1) A sharper jawline s never going to come from a sliding genioplasty or any form of soft tissue reduction. Better jawlines […]

Q: DR. Eppley, Overall, my stomach looks good standing, but when I sit down I notice skin folding that feels more like mild skin laxity rather than excess fat. I’m looking for an honest opinion on whether this is better addressed with observation, a conservative approach, or if any surgical option would even be worthwhile […]

Q: Dr. Eppley, Hey there, I am interested in testicular implant surgery for cosmetic enlargement (not medically required – I have both testicles though they have atrophied a lot from being on TRT). How much is the total cost of procedure? And if custom implants were needed, how much more would that be?  A:The first […]

Q: Dr. Eppley,  I want to go from 700cc to 2000 cc breast implants. A:Trying to go from 775 CC breast implants to 2000 cc breast implants is neither possible, and even if it was, it is certainly not advised. That is a complication waiting to happen. On a more practical basis going from 775 […]

Q: Dr. Eppley, Here are some pics of my damage occipital bone. I was involved in a roll over accident I hit my head so I have a bump on the rear right of my head, a hole fractured inwards as you can see in the image a circled. I’m trying to see if I […]

Q: Dr. Eppley, I had a sliding genioplasty 7 months ago. Unfortunately, ever since then I have been facing lip imcompetence, open lips at rest and feel like I have to pull a muscle everytime I force my lips to close. Additionally from my observation the surgery has left me with a longer chin, longer […]

Q: Dr. Eppley, Hello. I have read that the most amount of lengthening that could be done was about 1-2 inches. Based on this image below, how much width do you think could be added? Would it be possible to achieve a v taper? A:I would doubt that clavicle lengthening alone due to the soft […]

Q: Dr. Eppley, I’m looking into supraorbital rim implant. Because I want to get asian blephraplasty which is asian double eyelid surgery which will give me a double eyelid and remove the monolid eye look I beielve, then I think canthoplasty is something I may need for the right eye size and width and cantal […]

Q: Dr. Eppley, do you do saddled infraorbital implants with PEEK? If so, what kind of incision do you use to insert them? A:In the United States PEEK is not a material that is allowed to be used for custom facial implants for aesthetic purposes. It is not approved by the FDA for any craniofacial […]

Q: Dr. Eppley, How long after Bimax jaw surgery can I get infraorbital-malar implants?  A:Since the infraorbital – malar area is at a superior level to that of the LeFort I osteotomy you only need to wait long enough so all of the tissues settle down and you have a clear understanding of weather augmentation […]

Q: Dr. Eppley, Can I get custom cheekbone implants combined with a canine fossa extension to fill in my deep canine fossa and create my dream hollow cheek look. A:With custom implant designing you can make implant any way one wants to try and achieve a desired aesthetic effect. Dr. Barry Eppley World-Renowned Plastic Surgeon

Q: Dr. Eppley, I’d like you to remove the elongated crown so that my head becomes rounder. A:Thank you for your inquiry and sending your pictures. I can definitely see your skull concern quite clearly. Crown of the skull reduction is not an uncommon skull reshaping procedure. The key question is how much of it […]

Q: Dr. Eppley, I’ve been a client of yours who is considering adding implants on my Sagittal skull look of cone shape and to ask to of muscles that move on side of head when chewing for mid year next year if possible, when you get a chance to respond, Thank You!…. A:Good to hear […]

Q: Dr. Eppley, I started noticing changes in my skull two years ago. First thing I noticed was the skate ramp that developed at the back, then a couple symmetrical lumps on the lower back, and eventually my head started looking wider, giving me a baby or alien-like appearance, which I really dislike. As bad […]

Q: Dr. Eppley, I had one previous surgery along the sagittal suture about one and a half years ago by a german surgeon, but the result was not satisfactory. I am interested in additional bone burring along the sagittal line but more laterally this time. Also The scar in that area has become significantly indented and […]

Q: Dr. Eppley, I was wondering how much of an impact that a supraorbital implant can have on the “hooding” of the upper eyelid, and if it can be done sparingly. I was also curious if this can be done in conjunction with a fat graft? A:I believe your fundamental question is whether a brow […]

Q: Dr. Eppley, I have a right recessed cheekbone and slightly recessed jawline. i would like to do an augmentation for both. A:In facial skeletal asymmetries custom implants made from the patient’s 3D CT scan is the ideal method for correction. That is a scan you get where you live (we provide you with the […]

Q: Dr. Eppley, I am interested in a scalp roll excision procedure on the back of my head. Can I see what the scar would look like in someone. A:The scar question is a good one and is the most appropriate metric as to whether the surgery is worth it or not to a patient […]

Q: Dr. Eppley ,I’m getting asian eye surgery so I can maximize the look but I will try to keep a lot of the eye shape features the same from mine and the male models like a down turned medial canthas, and a narrow eye shape not too round like most asian patients get without […]

Q: Dr. Dr. Eppley,I am reaching out to inquire about doing a hairline raising procedure. I had facial feminization surgery about a year ago that included a hairline lowering procedure. This improved my temple recession. However, the surgeon also lowered the center of my hairline to avoid creating an extreme arch to my eyebrows. Overall, […]

Q:Dr. Eppley, Hello, I’m interested in clavicle lengthening. I haver a 45cm bideltoid measurement. I’m tall even I’m proportional for my height, it’s a small bideltoid size. I would like to lengthen 2 cm per clavicle. A:The most important question in clavicle lengthening is whether the procedure is worth it based on what can be achieved. […]

Q: Dr. Eppley,Hi doc  I wanted to ask how much narrowing can be done typically for shoulders ? I know it varies but just curious about the possibility  – and also do you suggest getting breast implants before this procedure or after ? A:The typical amount of clavicle shortening per side is 2.5 cm. The best way […]

Q: Dr. Eppley, Could you please in addition let me know the following: – how long in advance do I need to be in the clinic (time needed for preparation of the skull implant); – how long after the surgery do I need to stay in the USA for the post-treatment? – what is the […]

Q: Dr. Eppley, I am strongly considering a subtle chin and paranasal augmentation procedure. I’ve been genetically gifted with a small jaw and huge cheeks, now that I’m in my mid-30s and the fat pads have decreased, all my sagging soft tissue is hanging out below my jawline. I’ve consulted several doctors, and they advised […]

Q: Dr. Eppley, The right side of the back of my head is flat with no projection. I believe it was because i slept on my right side too much as a baby. So I want an implant there. My left and middle back head is fine. Also the right side of my head on […]

Q: Dr. Eppley, Fat transfer to the face is highly unpredictable and have a high cell mortality rate. To avoid hematomas, calcifications, lumpiness and infection that is often attributed to fat transfer to the face and because the face is so visible to the public world, most plastic surgeon do NOT recommend fat transfer to […]

Q: Dr. Eppley, I have read that many plastic surgeon believe the deep plane facelifts are extremely dangerous due to the plane being manipulated is the location of so many delicate facial nerves. Those who perform deep plane facelifts speak highly of it and criticize limitations of the traditional SMAS-adjacent facelifts. This can be a conflict […]