Blog

Q: Dr. Eppley, That’s an example of the procedure I’m talking about. Upon searching, I believe it’s called smile line implants.  A: Those are paranasal/labiomental fold implants…which has nothing to do with face shortening or surgery to try and accomplish that effect. Paranasal implants augment the nasal base area and may indirectly reduce the depth […]

Q: Dr. Eppley, I want to remove a big chin implant but I don’t want extra skin. I’m looking for a surgeon. When I smile its not really fitting to my face. People have suggested just taking it out but I rather fix the extra skin too. A: I believe you are referring to the […]

Q: Dr. Eppley, I’m interested in a forehead contouring procedure that goes beyond the standard “brow bossing reduction.” My main concern is the lateral width and curvature of my forehead. I would like to achieve a narrower and more compact forehead, with a softer transition from the upper lateral forehead (above the tail of the […]

Q: Dr. Eppley, I have a lot of neck sagging and lack of jaw prominence and s short chin. I would like a total jaw augmentation as well as a necklift. What do you think?  A: Thank you for your inquiry and sending your pictures. Your case poses a bit of a conundrum as the […]

Q: Dr. Eppley, Will my labiomental fold eventually soften? I had a 5 mm sliding genioplasty 5 weeks ago, and around weeks 3.5 to 4 I noticed a really deep crease in that area. It’s worrying me that it might stay like this. My surgeon says I’m still swollen based on my photos, but my […]

Q: Dr. Eppley, My concern is that my lower face appears vertically short, which makes my neck seem longer and my head proportionally smaller. When I relax my jaw slightly (keeping my lips closed), my face looks noticeably more balanced, which makes me think I might have lower facial vertical deficiency.I’m interested in understanding whether […]

Q: Dr. Eppley, Hi, I’m interested in a temporal skull implant, but i wanted to ask, how many centimeters can i add to my skull circumference with this implant? I want to make the temporal area more full A:Thank you for your inquiry and sending your pictures to which I can make the following comments: […]

Q: Dr. Eppley, Could a Custom Jawline be done in PEEK/Titanium? A:Yes, it is done all the time. It costs more but it can be done. Also be aware that the dimensions of the implant will be smaller when composed of these rigid materials as they pose placement limitations. Dr. Barry Eppley World-Renowned Plastic Surgeon

Q: Dr. Eppley, I underwent a custom implant treatment on the occipital area (right side) at your clinic earlier this year. I’m very satisfied with the results, but I’m missing a little volume just above my ear (lower right occipital area), so I’d like to have additional surgery.(I don’t think it needs to protrude much.) […]

Q: Dr. Eppley, Interested to see what procedures are worth it for me, insecure about my side profile, especially lower jaw and chin. DJS, LJS, or sliding genioplasty? A:Thank you for your inquiry and sending your x-rays. However, X-rays are not the means by which you determine the appropriate strategy for any facial reshaping surgery. […]

Q: Dr. Eppley, I am a woman interested in a minimal forehead augmentation, and I would like your advice. I have attached reference photos to show my desired result, and I would like to know if this outcome is realistic and achievable. I would also like to schedule a virtual consultation with you. In preparation, […]

Q: Dr. Eppley, Hi, I have a pronounced sagittal crest which then transitions into a flat angled shape at the back of my skull. I was hoping to understand whether a mix of surgery and implants could correct the shape without making the skull overly-large looking? Happy to schedule a consultation if you believe this […]

Q: Dr. Eppley, Hello, I’m seeking professional guidance regarding a recessed chin and a weak jawline, particularly in relation to the gonial angle. I also have noticeable facial asymmetry—specifically, the right side of my face shows a more recessed cheekbone and a weaker jaw angle compared to the left. I’d appreciate help understanding the underlying […]

Q: Dr. Eppley, Hi i would like to do a forehead and back reduction.I would like a flatter back and forehead. A:Thank you for your inquiry and sending your pictures. You have a combination of an occipital protrusion and frontal or for head bossing. Both can be reduced as per the attached imaging. The bone […]

Q: Dr. Eppley, Hi, my goal is to reduce my neck and trap muscles to achieve a more feminine look. I don’t think I can afford the standard Trap botox treatments of ~6k over 2 years.  I thought electrocautery may be more affordable and effective. A:I believe what you are fundamentally trying to accomplish is […]

Q: Dr. Eppley, Hi! I am reaching out regarding your procedure for waist narrowing by rib removal. I understand there is two ways of doing It, one is fully removing the ribs, the other is remodeling them by breaking them in. Which do you do? Also what is the probability of the intercostal nerve damage during […]

Q: Dr. Eppley,  My right shoulder is much wider than my left shoulder, and my left shoulder is somewhat rounded and sloped.  Looks very asymmetrical and somewhat impinged.  In my teenage years, I’m pretty sure I had broken my collarbone or clavicle, and I never did anything about it.  I’m not 100% sure this is […]

Q: Dr. Eppley, had a buccal fat removal which I truly regret. It has thrown off my face proportions and now my face looks very long and narrow. The surgeon assured me that it was a myth that it could age the face and he assured me it would not happen. Are there ways to […]

Q: Dr. Eppley, I am a young male with hypogonadism. I am currently on the maximum dose of testosterone gel and I am interested in learning more about the side-by-side procedure for testicular enlargement. I have a few questions: How are the implants secured in place to prevent the appearance of four testes? Are my […]

Q: Dr. Eppley, I would like to do  also an hairline advancement. So advance the hairline about 2 cm and make it straight. A:Certainly one can have a frontal hairline advancement at the same time as frontal bossing reduction as the two procedures are synergistic both in terms of technical execution as well as their […]

Q: Dr. Eppley, I’m considering custom infraorbital-malar implants to reshape my cheek and eye region. As part of that, I want to raise the level of the lower, outermost corner of my orbital rim by around 1mm; my goal is to slightly raise the outer portion of my eyelid. However, I’ve heard that raising the […]

Q: Dr. Eppley, How long the recovery will take from webbed neck surgery? A:It depends on how one chooses to define recovery. What most patients define it by when can they resume most normal activities which should really be within 1 to 2 weeks. From an appearance standpoint one looks good from the beginning and […]

Q: Dr. Eppley, I had a chin implant placed over ten years ago. nI recall the surgeon used a McGann anatomical chin implant. Immediately once the compression bandage was removed and some initial swelling had resolved I could feel the left wing had been positioned or settled lower than the right. It’s not significant (perhaps […]

Q: Dr. Eppley, I am writing to ask whether you might consider providing some guidance. I have had two rhinoplasty and one septoplasty over the last 1o years. They have not been successful in correcting the columella position to centre of face. I have read your case study External Repositioning of the Deviated Columella and […]

Q: Dr. Eppley, Is there greater risk for bone recession with a chin implant of the size were using? Around 10mm? A:You are actually referring to bone imprinting rather than recession or erosion from a chin implant. Since imprinting is a self limiting pressure relief phenomenon in theory larger implants should show more of that  than […]

Q: Dr. Eppley, I was also thinking about canthoplasty, is that service available? A:I am assuming by your pictures that you are trying to achieve either a neutral for elevated outer eye corner position. If one is trying to achieve a neutral I corner position that I’d lateral canthoplasty alone would be sufficient. However if […]

Q: Dr. Eppley, What happens to the space created between old, unchanged facial implants and aging facial bones? Do the human face “fill in” this space to establish continued stability? Atrophy of muscles, bone, etc. is characteristics of aging. A gap is created. A: The concept of aging facial bones, often spoken about, is actually […]

Q: Dr. Eppley, in clavicle shortening surgery  you can reduce the overall width of shoulder but the drawback is that the hardware (if left on for life) will show and be palpable. If removed, the holes produced by the removed bone screws will render that altered clavicle bone much weaker than pre-surgery. Depending on the […]

Q: Dr. Eppley, I hope this message finds you well.  I’ve been following your work for some time and I’m very impressed by your expertise in craniofacial and skull reshaping procedures. I’m interested in learning more about a custom skull implant for one side of the head (unilateral augmentation), primarily for aesthetic purposes. Could you […]

Q: Dr. Eppley, I had a lower blepharoplasty a few months ago and one of my eyes now looks really hollow.It started out looking great. But it was like overnight it lost all the volume. So I was wondering if a tear trough implant would be an appropriate way to treat it. A:Right after surgery […]