Q: Dr. Eppley, Hey I was planning to do boxing in the future and get some implants. I heard something saying that it’s not a good idea to get implants if you’re boxing. I was wondering if there’s anyway you can possibly make them smaller or make in a certain way so that they don’t have a chance of falling off. A: Skull and facial implants quickly become encapsulated which firmly locks them into their location on the bone, making it extremely difficult for them to ever be displaced by any external force. I would have no concerns with boxing after getting facial implants once they are well ..read more

Q: Dr. Eppley, Is it possible to make my skull more egg shaped… narrower and taller and more 3D shaped at least from the back? Should this surgery be done before or after a 3 piece lefort1? Thanks A: Skull reshaping procedures such as increasing height with implants and narrowing the sides by temporal muscle reduction are common independently done procedures. But when combined can create an overall skull shape effect like more of an egg-shape. How effective that would be for your head shape requires pictures so i can some imaging to see what degree of these changes are possible. Skull reshapin ..read more

Q: Dr. Eppley, I would like to know if skull reduction is a possibility cause I will like to reduce mine from circumference 63cm to 58cm. Will that be possible?  A:Such a circumferential measured head reduction change is not surgically achievable. Dr. Barry Eppley World-Renowned Plastic Surgeon The post Can I Decrease My Head Circumference By 5cms? appeared first on Plastic Surgeon | Dr. Barry L. Eppley, MD ..read more

Q: Dr. Eppley, I recently got jaw angle implants size 8 mm and it has been 4.5 weeks. My left side however seems a bit larger and the jaw angle goes slightly further than the cheekbone while the right side is in line. My first question is: do you think the asymmetry could be due to swelling or that’s just how it is going to be moving forward? Since the implant also added slight vertical length, I feel that when I smile my face looks slightly bulkier than before in the lower half due to my cheeks extending. My second question is do you think that could change with swelling decreasing or that’s ..read more

Q: Dr. Eppley, I want to get some implants in the lower part of my face to improve it without changing the features, just enlarging the size. Also, implants in the forehead and brow bones to make the eyelids less visible. I want to inquire about the extent of the change in my appearance and whether people will notice a big difference. I am 18 years old. When will the face bones stops growing ، and are implants affected if the face grows? A: In answer to your facial augmentation questions: 1) The extent of change in facial appearance from custom facial implants is a direct reflection of their d ..read more

Q: Dr. Eppley, My nose on the right sight is tilted and sits further into my right cheek than my left cheek. I thought it was my nose itself that was crooked but I noticed it’s not the nose itself, it’s my cheek bone and premaxillary bone. It is more recessed on on the right right which pulls the right side of my nose over and also pulls the right side of my lips up. I was wondering if a paranasal/ midface implant could help this? A: I think some form of a midface implant on the right be helpful for sure and will do about as much correction as possible. A 3D CT scan will provide the definitive ..read more

Q: Dr. Eppley, I am interested in the following procedure: Harline lowering/ Facial feminization surgery – but has the following question: I’ve had a previous (coronal) incision from a different surgery and am now unsure if i’m able to be possible to go ahead with this procedure with Dr Eppley. Do you know if this is a possibility? A: Unless the location of the coronal incision is at the frontal hairline then a frontal hairline advancement can not be safely done. It can technically be done but there is increased risk of hair loss between the two incisions. Dr. Barry Eppley World-Reno ..read more

Q: Dr. Eppley, “I just want to confirm that the “forehead-brow bone reduction/reshaping” includes the hairline advancement component? From what I understand it is always performed with a type III brow reduction because without it the skin would be loose since there is less bone volume.”  A: That is not an accurate statement. Forehead/brow bone reduction does not cause loose skin. Thus many forehead-brow bone reductions are done using a variety of incisions in which no hairline advancement is done. That being said forehead browbone reductions can be done in conjunction with a hairline ..read more

Q: Dr. Eppley, I read all the plagiocephaly page but my answer was not there, I am really concerned about the facial assymetery and protuding / the bulging face, I really love my left side, but my right side concerns me and is making me feel low and low all the time, can the custom implants for the back of head to fix plagiocephaly fix the facial assymeteries and make the right side face look same as left side or do I have to get specific surgeries such as rhinoplasty/fillers to even them out like the left side? And is it possible to fix assymeteries first using fillers and afterwards do rhino ..read more

Q: Dr. Eppley, Looking to have jaw implants done. I’ve had TMJ replacement, so my ramus on one side is titanium as my joint is a prosthetic. I would think I can still have jaw implants, but I would like clarification. This will explain if your unsure what this is. A: I am very familiar with the Total TMJ Joint Replacement system since I served as one of the clinical investigator sites in the late 1990s for its FDA approval. An implant can be placed over the the titanium ramus component but should be done through the external incisions to lower the higher risk of infection that exists from an i ..read more