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Q: Dr. Eppley, I have extremely hollow cheek and huge hollows under the eyes. In the past, I got filler but that is very temporary. I want to go Cheek/under eye implant. I am also a runner so would these implant be ok if I keep running. Also I have big bumpy nose and can’t […]

Q: Dr. Eppley, Hallo , my question or my problem is that I have really a very thin wrists (14 inches) each one of them and I am in my twenties. I wear all the time long arm T-shirts that my wrists are not showing. I am really insecure about them. So is there maybe […]

Q: Dr. Eppley, I’ve seen a lot of videos and posts about jaw implant revision surgeries you have done. If I were to downsize my implants (assuming same style), how would you compare the swelling with getting brand new implants. Would it be just as bad or less since the body’s had implants there for […]

Q: Dr. Eppley, I have a flat head at the back (occiput), all the way down. I have attached a picture of a woman with a similar head shape to mine (but my head is also flat at the top). I was wondering if it’s possible to put implants at the lower part of the […]

Q: Dr. Eppley, Is it possible to have a brow ridge or glabella implant placed without using a scalp incision, maybe an upper eyelid incision? Additionally, could hydroxyapatite be an alternative to implants in this area? A:Custom brow bone implants are usually placed with endoscopic visualization through a very small scalp incision (1.5cms) which may […]

Q: Dr. Eppley, I have had two previous reconstructive surgeries on my forehead. Originally a feminisation surgery was performed which went poorly, using an unusual technique of essentially recreating the conditions of a frontal sinus fracture and suturing it all back together. Following that surgery I had a revision with another surgeon to try to […]

Q: Dr. Eppley, I had a L shaped malar osteotomy to widen the cheekbones and a chin wing osteotomy for my jawline 4 years ago.Both of these ostectomies have left me with visible bone gaps(depressions) on the bone as per pictures attached. What would be the best way to correct this issue? Would HA paste as […]

Q: Dr. Eppley,  I previously had Zygomatic Sandwich Osteotomies which left my cheeks very irregular. I would like to ask if its possible to use an off the shelf implant and place it over the cheek defects to cover it to act like a cover basically.   Or this has to be custom implant? The depth of […]

Q: Dr. Eppley, I have Mild plagiochephaly. I’m looking to see what my options are about contouring my orbital rims possible reducing one side and planting and contouring the other , also maybe options about the asymmetry in the forehead to address the protruding side and the flat side. A: The effects of plagiocephaly in […]

Q: Dr. Eppley, I have been looking into options for decreasing the width of my head. I really don’t want to do surgery now so was looking into non-surgical options. My head is exactly like the pictures attached. The picture attached is a patient of yours that had, “Bilateral head width reduction through excision of […]

Q: Dr. Eppley, Is it possible to reduce the appearance of maxillary alveolar protrusion with custom implants? Say like paranasal combined with custom cheek implants if someone was trying to avoid jaw surgery to reposition jaws? A: Theoretically midface augmentation should make the maxillary alveolar protrusion look less so. Computer imaging in profile will provide […]

Q: Dr. Eppley, Hello, I am looking for information on chin ptosis surgery.I have had a number of chin and jaw surgeries and currently have a sliding genioplasty plus an implant on top. I now have bad lower lip incompetence and chin ptosis. From my understanding, the muscle needs to be resuspended and fixated to […]

Q: Dr. Eppley, I am interested in shoulder and waistline narrowing? Would it make sense the come back after shoulders are healed to have the hardware removed and the ribs done at the same time? A: That would make perfect sense and is a very practical way to stage it with hardware removal in mind. […]

Q: Dr. Eppley, So do implants made of metal guarantee no infection???? A: No material is better than another at implant infection. The surface characteristics are probably more important than the material as smooth surfaces are less prone to infection than textured/porous/irregular surfaces. (bacteria love to adhere to microscopically rough surfaces) Dr. Barry Eppley World-Renowned […]

Q: Dr. Eppley, Can the top of my head bene made less tall? A: How much skull height that can be reduced is controlled by the thickness of the skull bone. But as a usual estimate the maximum bone that can be moved is in the range of 7mms. How that number transfers to your […]

Q: Dr. Eppley, I would like to schedule a consultation. I had a few questions,What is the implant material? Can Titanium be used? I had an orbital fracture when I was young and titanium screws are still in my orbital bone. Is this a problem? A: For custom facial implants a variety of biomaterials can be […]

Q: Dr. Eppley,  I had a sliding genioplasty 8 weeks ago and I have a significant step off on my right side and a smaller step off on my left. I also had endolift laser which gave me submental fibrosis. I would greatly appreciate help with this issue.  Both the endolift and sliding genioplasty were […]

Q: Dr. Eppley, I have a misshapen skull due to a cyst that is in between my brain and skull. I am desperate for help to correct my skull. I live in Australia and I would love some help. A: As is shown in your scan the upper temporal protrusion does have a bony component […]

Q: Dr. Eppley, Is the muscle divided for a buccal lipectomy reversal fat graft? A: The buccinator muscle is divided to enter the buccal space…just like is required for the original buccal lipectomy procedure. Rather than taking out fat a fat graft is out back in. Dr. Barry Eppley World-Renowned Plastic Surgeon

Q: Dr. Eppley, I have a question about the Iliac Crest Reduction surgery want to do this surgery but what about the side effects? Wont this surgery affect our flexibility? Body rotation? What about running and squatting? That would be very painful I think. But I dont know so im asking you. Will I still […]

Q: Dr. Eppley, I saw your good work on scalp reshaping on instagram, and was wondering if you do surgery like that in other country. I live in Sweden and it’s my dream to be able to change my head shape but unfortunately the distance It’s to far away and very expensive. If you only […]

Q: Dr. Eppley, When would be the ideal time to apply the allogenic bone chips for sliding genioplasty defects? (stepoffs) Would this be after the bone has healed, or while it is still healing? Are they place intraorally? If yes, how much does that disturb the muscle and nerve? A: The time to apply bone […]

Q: Dr. Eppley,  I am also looking in to premolar extractions on top and bottom and retracting the front teeth. If I were to also have custom mid face implants done, when in the process of the braces would you recommend having the implants done? Towards the end? Or after the braces are complete? And […]

Q: Dr. Eppley,  I’m looking for information about wrap around testicular implants, procedure, time frames for healing.  A: Despite the appeal of the wraparound testicle implant concept, it is not without its problems. Postoperative detachment of the implant from the testicle is not rare and is a postoperative problem to which there is no assured […]

Q: Dr. Eppley, Two years ago I got Medpor chin and mandibular angle implants, but there’s a serious degree of asymmetry which I would like to correct. But before eventual revision I need to do post-op CBCT scan and 3D visualisation of the inserted implants in order to properly recognize the problem. My surgeon ordered me […]

Q: Dr. Eppley, And is there typically much visible bruising or pooling of blood afterwards from temporal artery ligations? A: Significant bruising is not typically associated with temporal artery ligations. Each ligation site will be a little raised for a while afterwards and then settles down and smooths out over the ensuing month after the […]

Q: Dr. Eppley, I got in a car accident and my leg got caught under the seat cutting my bottom as it was healing the my buttock fold unfolded making it uneven. A:That is a most unusual mechanism to develop buttock ptosis but the entire inframammary fold and lower buttock tissues have lowered. This can […]

Q: Dr. Eppley, I am seeking vertical jaw angle implants to get a result like the attached pictures. A:Thank you for sending your pictures. Before deciding on what type of implant to use the first step is to determine what type of jaw shape change the patient is seeking and what amount of such change […]

Q: Dr. Eppley I had a consultation with you a few weeks ago and I’m in the process of booking the surgery but forgot to ask you what the recovery for a sliding genioplasty and custom angle implants is like. How long does the swelling last and is it significant? Also is there any bruising? […]

Q: Dr. Eppley, I am contacting you because after having studied I am sure that Dr. Eppley is the only one capable – especially since Dr. Botti (who created the Dynamic Canthopexy with drill hole) has retired – to perform the technique of Dynamic cantopexy with drill hole presented in the medical literature article that […]