Blog

Q: Dr. Eppley, The shape of my skull at the back is oval. I would like to correct its shape so that it appears normal. Could you please tell me the price? A:It is not clear to me whether you need is a skull reduction or a skull augmentation to the back of your head […]

Q: Dr. Eppley, Can I continue my boxing profession with my jaw implant? A:Lots of patients ask about doing boxing and martial arts after jaw implant surgery and my usual response is yes since it is a really a hobby and I am not concerned about the limited trauma since training is very different than […]

Q: Dr. Eppley, I’d like to flatten the temporal convexity and width of the side of my head. I don’t know if Botox would be enough or if the muscle would need to be removed too? A:It would be fair to say that muscle removal is twice as effective as Botox at reducing the muscle […]

Q: Dr. Eppley, I have been planning and budgeting for an aesthetic surgical procedure to address a flat spot on the occipital region (back of the head) for some time and am now ready to proceed.I am based in Canada and prefer to have the procedure here. However, I am also considering clinics in the […]

Q: Dr. Eppley, I am interested in the cosmetic rib osteotomy procedure and comparing it to removal. I am a transgender female. A: I have written an entire blog on the differences between these two structural waistline reduction surgeries… https://exploreplasticsurgery.com/waistline-narrow…e-they-different/ Dr. Barry Eppley World-Renowned Plastic Surgeon

Q: Dr. Eppley, Hi, I’m wondering if you have any more before/after images of the skull reduction surgery? My head size has bothered me my whole life, and I’m very interested despite it being a huge cosmetic surgery. My main concern is where the scars usually are and how well they can be hidden afterwards […]

Q: Dr. Eppley, I’m just wondering if u guys do revision surgery on skull reshaping? A:The question is not whether secondary skull reshaping surgery can be done but what exactly do you need. I would need specifics as to when and what type of procedure was done as well as your current concerns with any […]

Q: Dr. Eppley, I have been discussing modified aesthetic OBO and I only believe I need about 3mm of IPD increase which is well within the capabilities of your method. I had narrow eyes before skeletal expansion (MARPE) and although it did actually increase my IPD slightly, it widened my cheekbones proportionately. I think a few […]

Q: Dr. Eppley, I believe I have plagiocephaly, I want to know how bad it is. All I know is I have a bulging forhead from one side. Also, my teeth are curved, chin, lips, nose etc. Also the side that they are curved to has the side of my head and ear is sticking […]

Q: Dr. Eppley, Is the intraoral cinch suture still effective if i get it 1-2 years post op? This gave me so much clarity on the issue and I feel like I can now move on and try to get the help I need to get it fixed.  A:The intraoral cinch suture is more effective when done […]

Q: Dr. Eppley, Do you guys do tracheal augmentation? A:Tracheal augmentation is done using a firm polyethylene material that has a notched V shape and is placed through a small overlying skin incision. It is placed right below the cervicomental angle over the underyling trachea. To enhance its appearance (show) submental liposuction above it is […]

Q: Dr. Eppley, I have heard that this procedure rolls your shoulders forward slightly. This causes me uncertainty since i don’t want my side profile to look weird obviously but most people who seem to raise this point are people who haven’t done the surgery and most people who have done the surgery say that […]

Q: Dr. Eppley, What are your thoughts on fat grafting? Specifically in the chin area? Someone mentioned that it dissolves and others say it doesn’t. I am thinking of a chin implant but have a deep mental crease and was wondering if fat grafting would help. A: If you are concerned about a deep labiomental […]

Q: Dr. Eppley, I want to know if you do a procedure to reverse a buccal fat removal  I want to recover the round of my face. Here I have before photos. I wanted to reduce other parts, but now I just want to recover the rounded face. A: There are two methods of buccal lipectomy reversal….fat […]

Q: Dr. Eppley, i have a bad facial asymmetry. what do you think i should do ? what procedures. my left side is asymmetry , i recently had a rhinoplasty but it didn’t go as expected.this is how I look. A: The two most important changes to make in your facial asymmetry is to correct […]

Q: Dr. Eppley, I have recently gotten TMJ replacement surgery, is it possible to place jaw implants at my gonial angles that would lessen the jaw angle? On my one side my ramus doesn’t drop down very far so I have a very steep jaw angle. How far can implants help with this, it would […]

Q: Dr. Eppley, For a while now I have been trying to remove all of my tattoos with laser and it is definitely working! The thing is, although they are black, as with every tattoo,  full removal could never be guaranteed till the end.  That’s why I decided to ask an actual reconstructive surgeon to […]

Q: Dr. Eppley,  I went for a consultation a few months ago to see if I would be a candidate for either jaw surgery, midface implants, or both. I had figured that I probably would benefit the most from infraorbital/submalar implants to even out the projection of my mid face, and the Surgeon checked with […]

Q:Dr. Eppley, I had double jaw surgery for sleep apnea recently and my cheeks are now out of harmony with the rest of my face and my jaw is fairly narrow with a fairly short ramus so it looks a bit strange and I think it would make me a very good candidate. A: it […]

Q: Dr. Eppley, I am also concerned if silicone would result in aesthetic differences as they’re softer than PMMA or PEEK. Would the results not have as defined of a look around the jawline or the mandible borders? A: There is no difference in the feel or appearance once implanted on the bone between solid […]

Q: Dr. Eppley, Hello! I’m interested in shoulder reduction surgery but had a few questions. One, I’m a graphic designer. How soon after this surgery would I be about to go back to doing my work? Secondly, what are the long-term impacts on the shoulders? Should I have any concerns about that…? A: In answer […]

Q: Dr. Eppley, Can you 3D print Brad Pitt’s Head shape? Is it possible to take it as an example, file the excess bones and add the missing parts to get the closest image? A: Many patients use other people’s head and face shapes to try and emulate. Since we don’t have their 3D CT […]

Q: Dr. Eppley, The fundamental thing I would like to resolve is the asymmetry between the two sides of the face, in particular the eyes and the jaw. I would like to understand the causes of facial asymmetry and whether it is possible to correct it, and with what procedures (for me it is a […]

Q: Dr. Eppley, I was wondering what could be done for my pointed head shape? Could the area circled in red in one of the pictures be burred down to reduce the peaked look? A: While sagittal ridge skull  reduction can be done in your case its impact on improving the peaked head shape would […]

Q: Dr. Eppley, I am struggling with lower lip incompetence. I did bsso and a sliding genio 4 months ago. Half of my lower lip and chin are still numb. The numb side of my lip is also a bit crooked. Talking and eating is fine. I dont have much tightness except from my scar […]

Q: Dr. Eppley, I read in your blog that you mention for someone with high gonials, using a widening jaw angle can make the face look heavier/ bulkier. How does that compare with adding vertical lengthening, as I imagine that also seemingly would add heaviness to the face? A:That has to be determined on an […]

Q: Dr. Eppley, i’ve always struggled with my appearance simply because of my high hairline and my wide forehead. kids used to call me an alien in middle / high school. i really want to get a forehead reduction along with a bilateral posterior temporal muscle reduction. A:  Forehead reduction in you poses some unique […]

Q: Dr. Eppley, My buccal fat pads were removed when I had my LeFort surgery was done.  I wanted to get your opinion as to whether it’s possible to restore them using a fat graft from some other part of my body.  I don’t want to use synthetic injectables as I have a lot of […]

Q: Dr. Eppley, I want to get large deltoid implants. I have attached some pictures of some results that would be my goal. A:Those are subfascial deltoid implants, you just can’t see the scar by the AC joint. The key about implant thickness, besides the concept of what will fit, is that the pocket location […]

Q: Dr. Eppley, I am looking to get my temporal muscles reduced. (see pictures) A:You have distinct pattern of temporal muscle enlargement that involves both the anterior and posterior temporal zones. The relevance of that distinction is that each zone is treated differently as the thickness of the muscle and the shape of the bone […]