Blog

Q: Dr. Eppley,In the pelvis, I’d like to have a pelvic scraping to improve the waist-hip transition. Another question: do you file down the iliac spines? Because mine are very prominent and pronounced. A: for iliac crest reduction this is done from the anterior superior iliac spine back to the mid-portion of the crest where it […]

Q: Dr. Eppley,I’ve been looking at your posts and I’ve noticed that you can modify the ribs up to the 7th or 6th, if I remember correctly. So I’d like to have a rib removal from the 12th to the 9th or 8th, and for the other two ribs or the rib above, an osteotomy […]

Q: Dr. Eppley, I want to have a mouth narrowing procedure. A While mouth narrowing surgery is possible I would be cautious about it due to the scar line that will result in the wake of moving the mouth corners more inward. Dr. Barry Eppley World-Renowned Plastic Surgeon

Q: Dr. Eppley, I desire all the procedures of a complete facial feminization, I want to use a more bony and deeper approach to the bone structure. That is, common facial feminization addresses the bone, but mostly by filing it down. In contrast, I have observed that the male face, in its physiognomy, is not only […]

Q: Dr. Eppley, Regarding the head: – I would like to have a facial and cranial reduction and feminization procedure. This means shortening, narrowing, and filing down the bony prominences of the skull to make it more rounded and smaller, that is, more feminine. Among the things I want most is to reduce the lower […]

Q: Dr. Eppley, My face is wide and short. How can I fix it? A: In the wide and short face the typical approach would be to lengthen it vertically at the chin area and do soft tissue reductions in the cheek and lower facial area. However your pictures shows a very prominent chin that […]

Q: Dr. Eppley, I’m looking into the temporal reduction for the width of my forehead.(temporal muscle reduction) Looks to be the most solid option from what I’ve researched. Seems like my width/corners of forehead are just wide and pop out too much throwing my face off if i dont have hair covering my forehead or […]

Q: Dr. Eppley, I understand that the most common approach to treating VOD involves an orbital floor implant. I also note that he mentioned that performing a floor implant would likely require repositioning of both the upper and lower eyelids. A:An orbital floor implant is the easiest and most predictable part of VOD surgery. However,  […]

Q: Dr. Eppley, how can I attempt to improve my asymmetrical eyes? You will note that the medial canthii are different to each other. A: I assume that you realize that the differences between the two medial canthi positions is relfective of the more global issue of vertical orbital dystopia (VOD). The right eye and […]

Q: Dr. Eppley, I would like to know, in my case if an occpital bun reduction would be possible. I would also like to know if Dr Eppley use video consultation for clients from others country. Thank You A: You have provided the definitive answer to the question of whether occipital skull reduction would be […]

Q: Dr. Eppley, I do have a couple of follow-up questions as I think through which approach would be the best fit for my goals: For Rib Xcar, since the permanence is listed as dependent on corset wear, is there any updated information on how stable the results tend to be long term once patients […]

Q: Dr. Eppley, Hi I wanted to ask does this top of skull surgery make the face look visually longer once it’s shaved down I can’t see the patients full face but I have a feeling the face could look longer after this surgery? Im trying to work out if it’s suitable for me or […]

Q: Dr. Eppley, here are picture of my cheeks. Two are obviously when I went for a consultation for implants, these are the highest profile ‘off the shelf’ implants & I would go with them if a custom option wasn’t available. Third pic is of natural cheek, you can see the flatness on the point, this is […]

Q: Dr. Eppley, I am interested in a consultation for back of the skull reshaping to make it more round. What the procedure options? Is there any hair loss involved? A:Thank you for your inquiry and sending your pictures. Flat back of the heads are the most common skull augmentation procedures performed using custom skull […]

Q: Dr. Eppley, I’m reaching out to request your professional opinion regarding my chin projection and whether a conservative sliding genioplasty would improve overall facial harmony. I do not have functional issues with my bite or jaw, and this is strictly an aesthetic evaluation. I have been told previously that my chin may be slightly […]

Q: Dr. Eppley, I’m interested in clavicle lengthening and would like your opinion on whether the amount of widening I need is surgically achievable. I’m a trans man and I’m trying to bring my shoulder width into a more masculine proportion relative to my hips. I’m 152 cm tall. My bicristal breadth is approximately 26.5 […]

Q: Dr. Eppley I am interested in vertical chin reduction and if I proceed with the surgery I don’t want any titanium or steel screws I want the dissolvable screws is that possible?? A:Vertical chin reduction can be done by intraoral osteotomy which requires some form of hardware fixation. Resorbable screws will not work for […]

Q: Dr. Eppley, I just had customized jaw angle implants done one week ago. I suspect the result will not be of my liking. I wanted a wider jaw from the front (along with more defined angular jawline from the sides), and to enhance a more “broad like” or harmonic jawline that has a smoother […]

Q: Dr. Eppley, I need to get forehead reshaping done. I have a narrow forehead. A:Thank you for sending your picture. When you have a narrow forehead widening of it requires frontotemporal augmentation. You cannot just augment the side of the forehead alone because the temporal area adjacent to the forehead is also narrow and […]

Q: Dr. Eppley,I am interested in a cosmetic occipital skull augmentation to correct a flat posterior skull shape. I have a symmetric but significantly flat occipital area, which affects my side and back profile.I would also like to ask if it would be possible to combine the occipital cranioplasty with a rhinoplasty during the same […]

Q: Dr. Eppley, I have been reading on the internet that the problem that I have around the corners of my mouth are called perioral mounds. I would like to get those removed (microlipo?), or whatever I need to do to fix that area. A:Like anywhere else on the body the success of liposuction is […]

Q: Dr. Eppley, I would like to know if you perform rib remodeling specifically in the area under the breasts, as I have ribs that are visible from the side and affect my lateral profile. I am not referring to the waist, but the floating ribs under the chest. A: I believe you are referring […]

Q: Dr. Eppley, I am writing to inquire about the possibility of aesthetic cranioplasty to correct my head shape. I have concerns regarding the dimensions of my skull. Specifically, I have significant protrusion on the sides (above the ears) and a noticeable flatness at the back of my head. My goal is to achieve a […]

Q: Dr. Eppley,Do you do CT scans to see facial bone structure/recession? A:All facial bone surgery, or considerations thereof, require a 3-D CT facial scan for both assessment and treatment planning. Dr. Barry Eppley World-Renowned Plastic Surgeon

Q: Dr. Eppley, I had cheekbone reduction surgery 3 months ago. However, there is misalignment where the cheekbones are cut and reattached, causing a visible dent especially on the right cheek. The left and right side are also slightly asymmetrical. I’m looking for infraorbital malar implants to cover up the dents and make the 2 […]

Q: Dr. Eppley, Here is a photograph of my shoulders for consideration for clavicle shiortening.. I was also wondering if he offered scapula reduction with the clavicle since they can both use the same incision. A:Thank you for sending your pictures and in preparation for your upcoming consultation I can provide the following comments: 1) I […]

Q: Dr. Eppley, I’m post-op DJS and looking for one more procedure to enlargen and fix lower third asymmetries to meet ideal facial ratios, in addition to providing additional undereye support to infraorbital rims and potentially zygos. How many months post-op would I need to be and how soon could this procedure take place? A:Pursuing […]

Q: Dr. Eppley, I had a right neck dissection with many lymph nodes removed. They thought I had cancer but it was benign. I have a large neck scar and would like it to be less noticeable and a lot of fluid has collected under my chin since the surgery. A:Thank you for your inquiry […]

Q: Dr. Eppley, Temporal reduction –  is it effective does it actually reduce majorly the side of the head or just a little bit? A:Temporal reduction surgery can be very effective at reducing the width and convert shape of the side of the head improperly selected patients. Its effectiveness is based on the anatomy and […]

Q: Dr. Eppley, Can you decrease the length of my head? A: The height can be decreased as much as the thickness of the bone will permit. That requires a 3D CT skull thickness analysis to see how much bone can be safely removed. Dr. Barry Eppley World-Renowned Plastic Surgeon