Blog

Q: Dr. Eppley, I am very interested in your rib removal surgery. I just had RibXscar done in December. Had 4 ribs on each side fractured. Corseted for 6 months total when I was initially told 3. Began my recovery first with a size 18 and downsized to a size 16 corset. With being fully […]

Q: Dr. Eppley, I would need your advice and help. I have way too large brow bones… it has been my biggest insecurity throughout my life and something that has affected me enormously in life. Unfortunately, I cannot afford to undergo cosmetic surgery so my question is… how big is the chance that I can […]

Q: Dr. Eppley, These inner areas of the thigh are too straight due to over liposuction and doesn’t have the curvature.  I want to have a curve like this like what I had previously. A:Because the origin of the problem is fat removal the most anatomic reconstruction is going to be the placement of a […]

Q: Dr. Eppley, On the smile and tooth show point, that’s helpful to know up front. A few follow-up questions on the direct upper lip excision along the smile line: – How much additional tooth show is typically achieved with this approach? – What does the scar look like at maturity, and how visible is […]

Q: Dr. Eppley, my upper lip covers my upper teeth when I smile, especially towards the middle two teeth. The lips form kind of a v shape where the corners of my mouths are raised while the middle of it droops. Not to be confused, the sides of my lips also cover my upper teeth, […]

Q: Dr. Eppley,I read your statement: “One approach is medial wall infracture with lateral orbital wall implant to push the eye inward a few millimeters.” I was wondering whether moving only the eyeballs inward could also reduce the distance between the medial canthi by a small amount. My concern is that my pupils are already […]

Q: Dr. Eppley, I had a chin implant with chin/neck lipo and later had the implant removed. Since then, I’ve been dealing with movement-related changes in my chin and lower lip, excess tissue under my chin, and lower-face contour changes with some volume loss A:Thank you for sending your pictures. These are the not uncommon […]

Q: Dr. Eppley, I am looking to have my temporalis muscle reduced. I have always been bothered by a much bigger temporalis muscle on the right side of my head than on its left. It makes it really asymmetrical. Being bald for a few years it makes it even more noticeable. I’ve been doing Botox […]

Q: Dr. Eppley, I am interested in flat back-of-head reshaping / occipital augmentation. I would like to ask a few questions: 1. What is the estimated total cost for this procedure, including surgeon fee, implant/material, facility fee, anesthesia, CT scan/design, follow-up, and any other related fees? 2. If I travel from Canada to the U.S. […]

Q: Dr. Eppley, I have mild hypertelorism, which creates the appearance of pseudoesotropia. Is it possible for an adult patient to undergo surgery for aesthetic reasons to address this issue? I would be satisfied if only the medial canthi could be moved closer together, without repositioning the entire orbits. Unfortunately, I do not have epicanthal […]

Q: Dr. Eppley, Saw an article of one of your clavicle widening cases. Are you still realizing this type of surgery? I’m interested in this surgery and would like every detail. My clavicle length currently is 16-17cm each side, I’d like to get up to 2cm each A:Thank you for your inquiry and sending your […]

Q: Dr. Eppley, Hello! I would like to inquire about a structural facial bone surgery. My goal is true forward structural projection (not width). I am looking for: 1. Forehead/Glabella segment osteotomy and forward advancement 2. Midface bone advancement A:Thank you for your inquiry and sending your pictures to which I can say the following: […]

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 […]