Blog

Q: Dr. Eppley, Quick question before I book the CT. I had some hyaluronic acid filler in the infraorbital area about a year ago, and there may still be minor residual present. A couple of questions: 1. Is the 3D cranio-maxillofacial CT sufficient for planning, or would you recommend additional imaging (e.g. high-frequency ultrasound) to […]

Q: Dr. Eppley, Could you give me a potential price range for fat grating or implant for moderate glabella lines? Thank you! A:Any injection therapy into the glabellar area, whether it is filler or fat, has a risk of vascular occlusion with potential vision loss. As a result this would not be an advisable treatment […]

Q: Dr. Eppley, I’m very curious about this kind of fat graft for moderate lines of the glabella but without the release component. Had a hypersensitivity reaction after many year of using it to filler and to botox. Not interested in fat injection due to embolism risk so your procedure looks promising. Can you provide […]

Q: Dr. Eppley, Wondering if the chin augmentation and rhinoplasty procedures could be completed in same session. A:It is very common to perform nose and chin surgery together. it would be the norm and not the exception. Dr. Barry Eppley Plastic Surgeon

Q: Dr. Eppley, I’m looking to get revision bimax surgery and some implants to make it look more harmonious A:Secondary Bimax surgery and custom facial implants should be done separately for the best results. Any facial bone repositioning should be done first followed secondarily by custom facial implants for optimal aesthetic enhancement. Bimax surgery are […]

Q: Dr. Eppley,I am interested in a consultation on quad implants. I am specifically interested to hear about placement outside inner the muscle fascia. My quad muscle bellies are very short and I would like to hear if its possible to place an implant below the vastus lateralis muscle belly. The goal is not to […]

Q: Dr. Eppley, I’m reaching out after reading your material on orbital box osteotomies and orbital translocation for interorbital distance correction. I’m specifically interested in understanding whether a procedure to reduce intercanthal/orbital distance (bringing the eyes closer together) is ever performed for aesthetic cases rather than congenital hypertelorism. I had a few questions: • Do […]

Q: Dr. Eppley, I am writing to inquire about a standalone paranasal/premaxillary implant procedure. My situation: I have a recessed premaxilla with no support at the nasal base, a flat philtrum, and an acute nasolabial angle. This creates the appearance of a dorsal hump and a downward-rotated nasal tip, which I believe are largely optical […]

Q: Dr. Eppley, Seeking midface implant. I am 3 months post revision jaw surgery, my mandible a has been advanced twice and mid face now feels like it’s been left behind and looks very flat. A:It is very common after bimaxillary advancements to develop a midface deficiency. The lower midface of the LeFort I dentoalveolar […]

Q: Dr. Eppley, I am seeking treatment for self harm scars using the autograft method that Dr. Eppley discusses in “Treatment of Self-Harm Forearm Scars with a Rotated Ultrathin Autograft.” I was hoping to find out if I would be a candidate and approximately how much the procedure would cost. Attached are photos of scars […]

Q: Dr. Eppley, what can be done for my facial asymmetry? A:In facial asymmetry the initial step is to go to 3-D CT facial scan on which treatment planning can then be done. It is clear that your right facial side is short from top to bottom as evidenced by the lower eye and the […]

Q: Dr. Eppley, I want to reduce the jaws and chin and expose the face with Malar Shell filling to make the face square. A:The procedure that you have described, specifically chin and jaw reduction, is not going to help make your face more square. You can never do a reduction procedure to get that […]

Q: Dr. Eppley, i have a bit of lower eyelid retraction on my right side and was considering getting custom zygoma/cheek implants anyways (placed intraorally). If i extended the implant onto the infraorbital rim, increasing its vertical height by 1-2mm, could this eliminate or improve the retraction and sclera show without any canthoplasty, ect? Thanks […]

Q: Dr. Eppley, i have a bit of lower eyelid retraction on my right side and was considering getting custom zygoma/cheek implants anyways (placed intraorally). If i extended the implant onto the infraorbital rim, increasing its vertical height by 1-2mm, could this eliminate or improve the retraction and sclera show without any canthoplasty, etc? Thanks […]

Q: Dr. Eppley, I am interested in an estimate for a back lift. I would also like to know if a vertical back lift would work for me A:Based on just this one static back picture I suspect that you would be a good candidate for a vertical back lift. The real indication is the […]

Q: Dr. Eppley, At 3 months post infraorbital malar implant surgery is it safe to get under eye/cheek filler? I never had a lot of fat in that area so I need the soft tissue augmentation. Also is getting botox, microneedling (at home or in clinic) etc pose any infection risk to the implants? A:With […]

Q: Dr. Eppley, I had a chin reduction (0verdone) and now have chin ptosis when I smile. Will a chin implant help correct it? A:You have correctly surmised that augmentation of the chin, in essence a reversal of the chin reduction, will treat the dynamic chin ptosis through the addition of structural support. How it […]

Q: Dr. Eppley, The procedures I’m considering are: Zygomatic Reduction Osteotomy, Supraorbital Implants, Custom Jaw Angle Implants, Infraorbital Rim Implants, Bilateral Lateral Canthoplasty, Rhinoplasty, and a Bullhorn Lip Lift. I am also planning a trimax (bimax + genioplasty) separately. Some of these are major, others more subtle. What matters most to me is figuring out […]

Q: Dr. Eppley, But was curious about the 180* orbital box osteotomy for orbital widening/interpupilar distance increase. A:For the patient who has decreased interpupillary distance 360° orbital box osteotomies will make a significant difference (8 to 10mms). The question is not whether that would be the correct operation but whether the patient’s level of motivation […]

Q: Dr. Eppley, I’m a transwoman, and due to some mix of genetics and terrible luck, I’ve had little to no fat redistribution or bone changes even though I started HRT at 15 and have been on it for 10+ years 🙁 My figure has broad shoulders and extremely narrow hips, both of which have […]

Q: Dr. Eppley ,I’m interested in a consultation regarding structural jawline enhancement using custom implants. I have mandibular retrusion with an overbite and I’m looking for a patient-specific solution rather than a standard chin implant. Specifically, I’m interested in a custom wraparound mandibular implant (chin + mandibular body) to improve projection and jawline definition in […]

Q: Dr. Eppley, My biggest insecurity is my bulging and asymmetrical eyes and excessively round face shape, and right now I am looking for professional opinions from different experts to decide what procedures will be the most optimal for me. A:Thank you for sending your pictures. You have a negative orbital vector which is why […]

Q: Dr. Eppley, Hello, I’m interested in a custom 3D-printed implant focused specifically on enhancing my chin projection and mandibular angles only, rather than a full wraparound jaw implant. I’m looking for a natural, balanced result with improved definition in the chin and jaw angles without adding bulk along the entire jawline. Do you offer […]

Q: Dr. Eppley, Here are the X-rays . You should be able to view my front, side and 3/4 view from my earlier email but lmk if not. Overall I find my face is quite long, flat and a bit droopy. I believe my resting face looks a bit sad and I don’t have many “features” I’d […]

Q: Dr. Eppley, Of the custom facial implant material options, PEEK makes the most sense to me. Could you tell me the long-term advantages and risks of PEEK compared to Medpor? Is the implant custom-made using a 3D printer? A: All custom implants are made by 3-D design and printing. The main advantage of PEEK […]

Q: Dr. Eppley, I recently came across your work regarding frontal bossing reduction and found your approach very informative. I would like to inquire about the procedure, particularly in my case as a 27-year-old male considering this surgery. Could you please advise on the following points: 1. How safe is frontal bossing reduction surgery for […]

Q: Dr. Eppley, My face is marginal and atypical, and it harms my life because people think I am stupid because of my close eyes and very narrow face. I heard that you are the only expert capable of making cranioplasty (heavy surgery) an aesthetic goal. My question: is it possible to reshape my face […]

Q: Dr. Eppley, I had cheek implants placed years ago and believe their positioning is off — they create an unnatural, harsh look rather than enhancing my natural bone structure. My primary goal is removal or repositioning to restore a more natural, balanced midface. Clinically relevant: I can palpate the implants both intra-orally and externally […]

Q: Dr. Eppley,Do you use MMA skull reshaping method for plagiocephaly (one side back head flat correcting method ) ? if yes most of my skull is corrected but I have a dent small area on back left which is the edge part connects with the left side part the previous Dr left to fill […]

Q: Dr. Eppley, I have a bit of a flat face and the outer ends of my eyes hang lower than they should for sure. So I’m wanting to get them lifted a little as shown by my finger in the second picture. I think a lot of people go crazy over wanting cat eyes […]