Q: Dr. Eppley, Here are some pictures of my face. Based on these would it be possible to say that the lefort 1 surgery affected my facial harmony? A: Every Lefort I osteotomy alters the natural shape of the face essentially leaving what lies above it behind. (infraorbital-malar region) Your current facial pictures certainly reflects that postop issue. Dr. Barry Eppley World-Renowned Plastic Surgeon The post Does A LeFort I Osteotomy Cause Facial Disharmony? appeared first on Plastic Surgeon | Dr. Barry L. Eppley, MD ..read more

Q: Dr. Eppley, Hi, I’m interested in both the cheekbone reduction and double eyelid surgery. Therefore, I was wondering which one should I do first? Lastly, how soon could I have the plates and screws removed and is shaving of the Zygoma cheaper than L-Osteotomy method? A: The order of  cheekbone reduction and double eyelid surgery is a personal one and the two, while anatomically close, are not related or affected by the other.  The one you do first is the one that is most important to you. Shaving of the zygoma is usually a poor choice for many cheekbone reduction patients as its e ..read more

Q: Dr. Eppley, I am a 42 year old male. I follow you on Instagram. I would like a consultation about my right clavicle. When I was 8 years old, my father had me fire a rifle that caused a greenstick fracture on my right clavicle. The callus makes a prominent bump as you can see in the pictures attached. I work out a lot, but there is asymmetry. I would like to know if it’s possible to fix the clavicle and add chest implants that would improve the appearance of the upper chest. ‘A: Clavicle Reshaping and pectoral implants can be done together. I suspect the bump is either a hyperostosis at the ..read more

Q: Dr. Eppley, For my plagiocephaly compared to the side of the skull I think reducing the bigger side is a better solution. The back of my head will have to be cohesive with the side reduction by increasing the flatness. I also have a few questions to ask you about the risk of this delicate operation since it touches the head. Are there any infectious risks or any other risks? The intervention keeps the desired outcome alive. I mean, aren’t implants changing over time? and Does this procedure present a risk on the nature of the hair or causes it in loss. Recovery after the operation is it ess ..read more

Q: Dr. Eppley, I have two inquiries, the first wanting to know which option testicle implants of side by side and wrap around allows for the largest sizes? I was also wondering if surgical steel or something could be included to make them weight more? A: Both testicle enhancement techniques allow for the same increases in size but the wrap around technique has a much higher complication rate with not infrequent implant separation. Metal can be incorporated into a central hollow chamber in the implant but it is important to recognize that this is an off-label implant technique. Dr. Barry Eppley ..read more

Q: Dr. Eppley, My question is relate to a 5mm genioplasty reduction i had done 25 years ago. As a result I’ve lost some contour as far as the muscle below the lip fold. I’ve read that tissue can be tied up to create the natural curve. In a second procedure A small chin implant was placed to restore the fold but I’m still a bit flat. The area looks great when I add filler to that muscle but I’d love to not have to continue to do that. Is it possible to ‘tie up the tissue’ so that I’m not quite so flat from front and side and as a result the chin would be a bit shorter? Thank you! A: I would not ..read more

Q: Dr. Eppley, Hey just wondering at what age would you perform skull reshaping surgery? Would it be 18 or fully grown or what age would you consider performing this surgery? Thank you A: Adults age 18 and older is the minimum age for skull reshaping surgery. Dr. Barry Eppley World-Renowned Plastic Surgeon The post What Is The Minimum Age for Skull Reshaping Surgery? appeared first on Plastic Surgeon | Dr. Barry L. Eppley, MD ..read more

Q: Dr. Eppley, I am writing to inquire about potential surgical options to address my lifelong condition which I believe to be Brachycephaly. Please find attached photos and a video for reference. The key concerns I have are as follows: 1) Bulb-like appearance due to protrusion above my ears on both sides of my head. 2) Asymmetry caused by one side protruding more than the other. 3) Different protrusion of my ears, causing an imbalance. 4) Brachycephaly causing a noticeably large head with a circumference of 59cm/23.22 inches, often inviting unwanted attention and comments. 5) Flat shape at th ..read more

Q: Dr. Eppley, . I was born with a left-side form of facial asymmetry due to underdevelopment of various facial structures. My left eye sets lower than the right and my left cheek bone is flatter than the right. I also have some chin asymmetry. I am not looking for my face to be perfect just hoping for more facial asymmetry. I look forward to hearing from you. A: Based on your comments your primary areas of facial asymmetry concern are: 1) left eye, 2) left cheek and 3) chin. The correctuve procedures would be: 1) Left cheek implant, 2) chin asymmetry osteotomy and 3) left orbital floor implan ..read more

Q: Dr. Eppley, I read your post regarding filling the step-off that occurs with sliding genioplasty. Wrapped Bone Grafting of the Step Deformity in Sliding Genioplasty To Prevent Labiomental Fold Deepening Does this bone fill eventually become solid bone that is fused to the chin structure? Or does it remain bone chips? I’m fascinated by this technique as I worry that the step off of a sliding genioplasty will be visible and noticeable, especially in the jawline. How does this technique address these concerns? A: I assume you are referring to the central stepoff of a sliding genioplasty as ..read more