Plastic Surgery
Dr. Barry Eppley

Explore the worlds of cosmetic
and plastic surgery with Indianapolis
Double Board-Certified Plastic
Surgeon Dr. Barry Eppley

Plastic surgery is one of the marvels of modern medicine, with a wide range of options for face and body improvements. And today’s media outlets make it easier than ever before to gather information on the latest plastic surgery procedures. But how does this information apply to you and your concerns?

Every person is unique and has his or her own desires. What procedure or combination of treatments is right for you? And what can you really expect? EXPLORE PLASTIC SURGERY with Dr. Barry Eppley, Indianapolis plastic surgeon, who can provide you with a wealth of practical and up-to-date insights into the world of plastic surgery through his regular blog posts. In his writings, Dr. Eppley covers diverse topics on facial and body contouring procedures. You will be sure to find useful information that will help broaden and enrich your plastic surgery education.

October 10th, 2015

Case Study – Vertical Jawline Augmentation


Background: Lower jaw deficiencies are most commonly perceived as being of the horizontal variety. A short chin invokes the need for horizontal chin augmentation and this certainly is the most common jaw augmentation procedure. It is also the simplest and most easily performed. But jaw deficiences can occur in other dimensions as well and their diagnosis and treatment require a greater understanding and surgical expertise to treat.

Vertical jaw deficiences usually present with a visible shortening of the lower third of the face. Other clinical findings include a very flat mandibular plane angle, some percentage of dental overbite at the incisors and downturning of the corners of the mouth. Patients usually know how to make their lower jaw look better by opening their mouth a bit vertically to create a longer jaw.

The hardest dimension to change in the lower jaw is the vertical one.  This is why vertical jawline augmentation is rarely written about or discussed. While the chin can be vertically changed by using one’s own bone through an opening wedge bony genioplasty, the ramus and body of the mandible must be vertically elongated by implants. Since there are no preformed vertical lengthenng jaw implants other than that of the chin, custom implants must be made for vertical change in the back of the jaw.

Case Study: This 23 year old male had a vertical jaw deficiency that he camouflaged by opening his mouth slightly. He felt that this made his face look better along his entire jawline as well as around his mouth. Measuring the vertical change at his incisors between when he occluded completely and when he felt he looked the best was 7mms.

Chin Implant Overlay on Sliding Genioplasty intraop Dr Barry Eppley IndianapolisUnder general anesthesia he had combined chin and jaw angle procedures for a vertical jawline augmentation effect. For the chin he had a sliding genioplasty that opened 7mms and brought the chin forward 8mms. A silicone chin implant was overlaid on front of the sliding genioplasty for greater horizontal projection. Vertical lengthening jaw angle implants were used for the back part of the jaw that dropped it down 10mms and widened it by 5mms.

Jawline Surgery result front view Dr Barry Eppley IndianapolisJawline Surgery result side view Dr Barry Eppley IndianapolisHis very early after surgery results showed a significant improvement in the lower third of his face. It was not only vertically longer but the chin and jaw angles had more definition.

Vertical lengthening of the entire lower third of the face can be done by either the three piece combined autologous/alloplastic approach as in this patient or it can be done by a complete custom implant. Each has their own advantages and disadvantages with the custom approach being more unified but also being more costly.


1) Lower jaw deficiencies can occur in the vertical dimension as well as in horizontal under development.

2) Vertical jaw deficiencies must be treated differently using vertical lengthening sliding genioplasties, vertical lengthening jaw angle implants or vertical lengthening custom total jawline implants.

3) Management of the chin determines the total overall approach to the type of vertical jawline augmentation done.

Dr. Barry Eppley

Indianapolis, Indiana

October 9th, 2015

Case Study – The Small Skull Implant


Background: Skull defects come in a wide variety of shape, sizes and thicknesses. Correcting them can also be done using a variety of cranioplasty materials. The choice of cranioplasty material depends on a variety of factors including size of the defect, whether it is partial or full-thickness, and the desired location and length of the incision. The smaller the skull defect the more restrictive the cranioplasty options become.

The skull is prone to small contour defects caused by in utero and postnatal positioning, early trauma, and aberrant development. While many people have a perfectly smooth skull surface throughout there are just as many that do not. Many small skull defects are obscured by hair and are aesthetically irrelevant. But in an era where many men now shave their heads or have very short haircuts, the small skull contour defect may become revealed. Or at the least the person may perceive that it is visible.

Small skull defects can be treated by a semi-injection approach (small incision with introduction by an open barreled small syringe) using either different bone cement and substitute materials. (e.g., hydrocyapatite or HTR granules) While they can be effective they are prone to irregularities and are difficult to recontour secondarily.

Case Study: This 30 year old male had a skull indentation at the left temporo-parietal region that measured 5 x 3 cm. It had an indentation depth of 6 to 7mms in the center that feathered upward into the surrounding skull bone. It was very palpable and it had been present as long as the patient could remember.

Small Skull Implant Dr Barry Eppley IndianapolisSmall Skull Implant Indianapolis Dr Barry EppleyUnder general anesthesia a 3 cm vertical scalp incision was made at the back end of the skull defect. Subperiosteal undermining in a circumferential manner around the defect edges extending it 1 cm beyond its borders. A silicone implant was hand carved with a scalpel from a preformed posterior temporal implant design. The thickest part was in the middle and the entire perimeter of the implant was trimmed to a feather edge. Perfusion holes of 3mms diameter were placed and the implant inserted and secured with a single 1.5mm screw at its posterior edge. The scalp was closed with dissolveable sutures and n dressing was used.

Skull implants to augment smaller contour defects can be done using silicone implant materials. Such material compositions are easy to shape and insert through a very discrete incision.


1) Small defects of the skull can be corrected by small silicone implants.

2) In very small skull defects, hand carved silicone skull implant can be made during surgery.

3) The incision used to place a small skull implant is usually no more than an inch or so.

Dr. Barry Eppley

Indianapolis, Indiana

October 7th, 2015

Early Otoplasty in Children


Otoplasty or pinning back of the ears is the most frequently done ear reshaping procedure. It can be done throughout life in a wide range of ages. It is most commonly done in children and teenagers where protruding ears can be a very sensitive issue in their early psychosocial. While once done in children because they were being teased or for fear of being teased, the contemporary reason is that because they are being bullied.

Being made fun of or being bullied because of prominent ears is not all that rare. While the ears may sit on the side of the head and to the side of the face, they only become conspicuous when they are abnormal. While there are measurements and angles for when the ear is most aesthetically pleasing, all that matters is when the person thinks they stick out too far. Almost always when the child or teenager thinks their ears stick out too far, the parents do also.

The age at which an otoplasty can and should be performed can be somewhat controversial. The first consideration in children is whether it will affect subsequent ear growth. Since the ear has had considerable growth by age 6 this has led to the historic recommendation that otoplasty should be done no earlier than this age. While it seems to be biologically sound that performing surgery on an ear that is largely grown is the most safe, studies have shown that it can be done much earlier without adverse effects on ear development. Otoplasty can be performed as early as age 2 without affecting ear growth. It would be prudent when doing it at this early age to resect no skin or cartilage and only use sutures for cartilage shaping.

The trickier question is a psychological one. When is it appropriate to do surgery because of an external behavior like bullying? Does the child really understand the surgery and can they cope with the process and the recovery? While these are good questions, the reality is that is one between the parents and the child. I have yet to see a child who was brought in because the parents wanted it done and the child was opposed to it. While they may not understand the actual surgery or what the recovery may be, they do understand that their ears stick out and they want it fixed.

While some may argue that having otoplasty surgery almost promotes bullying behavior, I think we all know that it is far more productive to change the physical source of the bullying than to try and change the bully. Fortunately otoplasty surgery is very safe and has few complications such as infection or ear deformity. Having performed over 100 otoplasties I have yet to see either.

Dr. Barry Eppley

Indianapolis, Indiana

October 7th, 2015

Product Review – Lip Augmentation with Juvederm Ultra XC


Lip Augmentation Dr Barry Eppley IndianpolisLip augmentation is one of the most common and historic procedures for hyaluronic acid-based injectable fillers. It would surprise many then to find out that despite its popularity and common usage, few of these injectable fillers are actually FDA-approved for use in the lips. There are a variety of reasons for this lack of approval but safety and effectiveness are not among them.

On October 1, 2015 the US FDA has approved Juvederm Ultra XC for injection into the lips and perioral (mouth) area for aesthetic augmentation in adults. Juvederm Ultra XC and Juvederm Ultra Plus XC injectable fillers are already FDA-approved for injection for moderate to severe facial wrinkles and folds around the nose and mouth. (nasolabial folds) Juvederm Ultra XC is a well known modified form of hyaluronic acid with prolonged duration (up to a year) that has lidocaine in it to improve the comfort of the treatment.

juvderm ultra xc injectable filler, dr barry eppley indianapolisIn FDA trials of Juvederm Ultra XC for lip augmentation, almost 80% of patients had visible improvement in lip fullness three months after injection. A near similar percent, (78%) stated that they had persistent improvement in lip size one year after injection. The most common adverse effects for Juvederm Ultra XC injectable filler are the same as other hyaluronic acid gels such as temporary swelling, redness and lumps and bumps.

What is unique about Juvederm Ultra XC injectable filler is that it offers long-term retention of lip augmentation results. Many hyaluronic acid-based injectable fillers are used for lip augmentation but their results often last six months or less.

Dr. Barry Eppley

Indianapolis, Indiana

October 6th, 2015

Case Study – The Extended Chin Implant

Background: Chin augmentation is the commonly performed facial bone augmentation site. Chin implants have been around for almost fifty years in a preformed fashion. A large number of different chin implant styles and sizes now exist that seemingly can treat just about every type of aesthetic chin deformity.

Chin Implant with lateral wings compared to a central button chin implant Dr Barry Eppley IndianapolisThe single greatest change/advance in chin implants over the past decade has been the concept of adding wings or lateral extensions. This makes sense for most chin augmentations to avoid a ‘bump-like’ appearance on the front edge of the chin and to have the implant flow more smoothly around the bony curvature of the chin. These wings can extend back onto the parasymphyseal area and front portion of the body of the mandible. The purpose of chin implant wings is not to add volume but to create a smooth transition between the implant and the jawline.

But not all aesthetic chin deformities truly stop at the front edge of the mandible. While the jaw behind the chin may not be especially short, the lower edge of the jawline is often not well defined. Adding volume or definition alone the jawline with a chin augmentation can be of benefit to some patients.

Case Study: This 50 year old female had numerous surgeries in the past to treat a medical problem that left her with multiple problems of the lip, chin and jawline. As part of her treatment strategy, an extended chin implant was planned to build up her chin as well as back along the jawline. The goal was to create a volumetric effect along the entire jawline.

Extended Chin Implant design and placement Dr Barry Eppley IndianapolisUnder general anesthesia she had multiple procedures done (e.g., fat grafting, lip resuspension) as well as an extended chin implant through an existing submental incision.

Custom Extended Chin Implant result oblique view Dr Barry Eppley IndianapolisCustom Extended Chin Implant result front view Dr Barry Eppley IndianapolisAt six months after surgery, it can be seen that the effect of the extended chin implant was beyond that of just horizontal chin augmentation. The entire jawline behind the chin just short of the jaw angles had augmentation to make it slightly wider and more defined.

The extended chin implant concept is a much longer extension than that of the traditional winged chin implant. It can provide true increased jawline definition behind the chin since it is designed to do so. Such an extended chin implant can have numerous applications to other patients who need/want jawline definition but not necessarily stronger jaw angles.


1) Augmentation of the jawline can be done beyond that of the chin using a specially designed preformed implant.

2) Creating a more defined jawline extending backwards from the chin can be done with an extended chin implant.

3) The wings of all preformed chin implant do not extend much beyond the sides of the chin.

Dr. Barry Eppley

Indianapolis, Indiana

October 4th, 2015

Injectable Facial Rejuvenation with Platelet-Rich Plasma (PRP)


PRP (platelet-rich plasma) has earned a role in a variety of facial rejuvenation procedures. One of its most well recognized uses due to social media and marketing is in the Vampire Facelift procedure. Its name is an obvious spinoff of the use of PRP which requires a blood draw to create the platelet concentrate. It is not a pure PRP procedure as it requires the use of injectable fillers to create the facial volume needed. In theory the PRP acts as a stimulant for soft tissue rejuvenation with its own growth factors and other stimulants…although that is far from proven science.

PRP injectable facial rejuvenation is an all natural treatment. There is no chance of allergic reactions or fear of foreign body interactions in response to these plasma concentrate injections. But what it is not is a facelift by any definition of this procedure. It does not reshape, tighten or otherwise involve removal of loose or sagging tissues as a traditional facelift does. Conversely it is a plumping procedure by adding volume through the use of the combination of PRP and hyaluronic acid-based fillers. The plumping helps stretch out some wrinkles and creates a bit of a tissue lift in some facial areas.

Platelet Rich Plasma injections Indianapolis Dr Barry EppleyWhile PRP is known for its healing properties, its success in causing cell stimulation and rejuvenation in normal people to help ‘reverse’ or treat aging tissues is more speculative. Stimulating tissue repair in injured tissues is one thing, making the body create new cells to treat otherwise normal tissues, albeit aging ones, is more of a biologic stretch. But this is the contention of the Vampire Facelift approach. Inject PRP under the skin and the body takes it from there presumably generating new collagen from stimulated fibroblasts.

There is no question that these injection treatments are safe as they involve PRP and other well known injectable fillers. There is very little possibility of any untoward reactions and complications. It is just a question of how much skin benefit is obtained from injecting the plasma and platelets and whether it provides any longevity benefit to the hyaluronic acid fillers that are also simultaneously placed.

The injection procedure does create some mild bruising and swelling for a few days that, at its worst, completely resolves within a week after the procedure. With the use of blunt injection cannulas, the creation of bruising is virtually eliminated. The effects of volume addition are seen immediately, any tissue stimulation occurs much later. (weeks to months) Whatever tissue stimulation and growth that may occur from the injections is not known how well or long it will persist. There is no question that repeated treatments produce better results. Stacking two to four treatments several months apart will create the optimal facial rejuvenative effect.

Dr. Barry Eppley

Indianapolis, Indiana

October 3rd, 2015

Product Reviews – Sientra Style 107 Breast Implant


Breast implants have evolved considerably over the past five decades since they were introduced. Between improvements in the silicone filler materials and in the enveloping containment shell (bag), breast implants are both safer and have more options for women than ever before. Sientra, the newest provider of breast implants in the U.S., has continued to provide new innovations in their products in the few short years of their existence.

Sientra HSC+ gel breast implants Dr Barry Eppley IndianapollsThe new Sientra style 107 breast implant incorporates a high-strength cohesive gel (known as HSC +) which has been previously used on in their shaped breast implants in a smooth round implant. This combination provides a unique solution to certain problems in breast implant surgery, particularly revisional implant surgeries. With the 107 introduction, Sientra becomes the first manufacturer in the United States to incorporate HSC+ silicone gel into a 5th generation round breast implant.

The advantages of the Sientra style 107 breast implant are numerous. The 107 provides enhanced round implant shape retention with more residual volume in the upper pole of the implant when it is positioned vertically. The high strength silicone gel also has increased fracture resistance and is designed to minimize wrinkling and rippling. Such features were only seen previously in silicone shaped breast implants.

Sientra Style 107 Breast Implants Dr Barry Eppley IndianapolisThe most obvious physical change to the naked eye is that there is no ‘ash tray’ effect to the implant. Most previous silicone breast implants would have a concavity at the top of the implant when seen sitting horizontal. This was a function of the cohesiveness of the gel and the volume fill of the implant. Such an ‘ashtray effect’ means that even silicone implants could have some wrinkling and folds in them. With the HSC + gel in a round implant, this decreases wrinkling and is evident by a rounded top to the implant when laid flat on a table.

The Sientra style 107 breast implant is a good improvement and offers numerous advantages to both primary breast augmentation and revisional breast implant surgeries as well.

Dr. Barry Eppley

Indianapolis, Indiana

October 3rd, 2015

Case Study – Double Hole Lateral Canthoplasty for Ectropion Repair


Background: The position of the lower eyelid against the eyeball (globe) is of critical importance. To maintain good lubrication of the globe and to prevent the eye from drying out, the lower eyelid must be tight up against it. Like a clothesline spanning between two poles, the lower eyelid must have no slack in it and be relatively taut. Unlike the upper eyelid which opens and closes, the lower eyelid is fairly still.

The position of the lower eyelid is well known to be adversely affected by surgery due to the creation of scar and loss of lateral support. This can create a downward pulling of the lower eyelid known as ectropion. Lower eyelid ectropion deformities cause a downward and outward roll of the eyelid making it lose contact with the eyeball. When this happens the eye develops dryness ad irrigation due to exposure. Also the natural gutter effect of the eyelid position is ‘reversed’ and tears may run out the side of the eye as opposed to being directed towards the inner lacrimal drain. (punctum)

lateral canthoplastyCorrection of lower eyelid ectropion can be challenging and a variety of techniques exist to do it. All are based on using the lateral canthal tendon, or some remnant of it, to create outer support to the eyelid by attaching/resuspending it to the lateral orbital bony rim. Techniques differ based on whether it is attached to the inner or outer aspect of the lateral orbital rim. Accompanying techniques with the lateral canthoplasty are also often used including cheek lifts and in more extreme cases even skin and mucosal grafting.

Case Study: This 50 year old female developed ectropion of the right eye from prior lower blepharoplasty and other procedures. She has persistent dryness and itchiness of the eye and chronic tearing. She had failed two prior lower eyelid resuspension/elevation procedures.

Under general anesthesia she had a double hole lateral canthoplasty procedure. Above the desired point where the outer corner of the eye was desired to be, two transosseous burr holes were placed. A suture was passed from the outside in, attached to the lateral canthal tendon and then brought back out the other bone hole. The suture was then tied down pulling the outer corner of the eye upward and inside the lateral orbital rim.. Resuspension of the orbicularis muscle was done to complete her ectropion repair.

Lower Eyelid Ectropion Repair front view Dr Barry Eppley IndianapolisLower Ectropion Repair oblique view Dr Barry Eppley IndianapolisLower Eyelid Ectropion Repair side view Dr Barry Eppley IndianapolisAt six months after surgery, her ectropion remained repaired with complete resolution of all of her eye symptoms.

The double hole lateral canthoplasty procedure is as very effective procedure that solves the attachment problem. Besides a point of fixation one of its other best attributes is that it brings the attachment of the tendon inside the lateral orbital rim where it naturally is located. In moderate to severe ectropion this is my go to technique.


1) Lower eyelid retraction due to scar contracture is known as ectropion.

2) Manipulation of the lateral canthal tendon is a key element in lower eyelid ectropion repair.

3) Using bone holes place in the lateral orbital rim, a place of firm fixation for lateral canthal tendon repositioning is assured.

Dr. Barry Eppley

Indianapolis, Indiana

September 28th, 2015

Case Study – Direct Necklift for Large Neck Wattles in Men


Background: Large amounts of weight loss from bariatric surgery or rigid adherence to a diet and exercise program cause the creation of substantial loose skin throughout the body. While much of this loose skin does occur around the abdominal and waistline areas, it does affect other body areas as well. The face and neck is one such area and it appears as a large neck wattle and extreme jowling. The greater the weight loss the more severe the loose skin that appears hanging off of the neck.

The standard treatment for a neck wattle, regardless of its cause is a lower facelift. (necklift) The fundamental principle of a lower facelift (I will call it an indirect necklift for the sake of this article) is that the loose skin in the neck is ‘chased’ back to the ears where it can be removed in a location where the incisions can be fairly well hidden in and around the ears.

The concern in many men about a lower facelift is how well the scars can be hidden based on their beard skin and hair pattern. The bigger the lower facelift that is needed the higher the risk that the incisions will need to be extended beyond the shadowing of the ears where they will be more visible. There is also the issue for some men, particularly older ones, of how extensive the surgery will be and how much recovery will be involved.

Case Study: This 65 year old male had gastric bypass surgery eight years previously with a stable weight loss of 120lbs. As a result of his massive weight loss he developed a lot of loose skin. One of the areas that bothered him considerably was his very large neck wattle. He wanted it gone but was not prepared to go through an extensive lower facelift to do it.

Direct Necklift Excision and Closure intraop Dr Barry Eppley IndianapolisUnder general anesthesia he had a direct necklift performed. A large candelabra pattern of skin and fat was excised down the central axis of the neck. Subplatysmal fat was removed and the split platysma muscle was sewn together from the chin down to the thyroid cartilage. The lateral neck skin flaps were then brought together in a modified H-pattern skin closure.

Direct Necklift after Massive Weight Loss result side view Dr Barry Eppley IndianapolisDirect Necklift result obloque view Dr Barry Eppley IndianapolisHe had his sutures removed in one week and by three weeks after surgery had largely recovered. His large neck wattle had been removed. He did not get a completely sharp cervicomental angle but that may have never been possible with his neck anatomy.

Direct Necklift after Massive Weight Loss result front view Dr Barry Eppley IndianapolisA direct necklift is an alternative to a full lower facelift in men with large neck wattles. It offers a far simpler recovery with fewer risks of complications and at a lower cost. For the older man who can accept midline neck scars, the direct necklift may be acceptable. The neck scars in older men and their beard skin can heal remarkably well in many cases.


1) Large amounts of weight loss often results in excessively sagging neck and facial skin, particularly in older men.

2) The standard treatment of a large neck wattle is a lower facelift with incisional patterns around the ears.

3) A direct necklift offers a ‘simpler’ approach to large neck wattles in older men than a standard lower facelift.

Dr. Barry Eppley

Indianapolis, Indiana

September 27th, 2015

Case Study – Jaw Asymmetry Correction


Background: Facial asymmetry is not uncommon and can occur from multiple causes. One of the most common is that from plagiocephaly where the entire craniofacial skeleton rotates or twists around a central axis resulting in a classic pattern of skull and facial bone asymmetries. But most facial asymmetries do not have such well identified causes and are usually idiopathic….it is just the way the face developed.

Jaw or mandibular asymmetries are one of the most common and identifiable anatomic causes of facial asymmetry. The size of the lower jaw and the importance of the chin and jaw angles on facial appearance can make even small jaw asymmetries very noticeable. Jaw asymmetries come in a wide variety of types but most commonly it presents when one side of the jaw has either overgrown or one side has under developed. This results in a twisting of mandible such that the chin is deviated either towards the smaller side or away from the overgrown side.

Many jaw asymmetries are associated with a malocclusion (bite that is off) which is best treated by a combined orthodontic and jaw surgery combination. But when the bite is acceptable or the patient does not want to undergo orthognathic surgery, aesthetic correction of the jaw asymmetry can still be done.

Jaw Asymmetry 3D CT scan front view Dr Barry Eppley Indianapolis Jaw Asymmetry 3D CT scan Dr Barry Eppley IndianapolisCase Study: This 22 year old male has lower facial asymmetry with a smaller right side, a chin deviation to the right and a more pronounced left jaw side/angle. A 3D CT scan shows that the right mandible was shorter and the left  mandible was longer. This created the chin deviation to the right of the facial midline.

Cin Osteotomy for jaw Asymmetry Dr Barry Eppley IndianapolisUnder general anesthesia he had a left jaw angle reduction, a right jaw angle implant placed (width only jaw angle implant) and a leveling chin osteotomy. All jaw procedures were done from an intraoral approach. Reduction of the left jaw angle accounted for a 5mm narrowing of the jaw angle flare. A 7mm wide lateral jaw angle implant was placed on the right. The intraoral chin osteotomy consisted of an asymmetric wedge  removal and shifting of the chin bone back towards the midline.

Jawline Asymmetry Correction result front view Dr Barry Eppley IndianapolisJawline Asymmetry Correction result oblique view Dr Barry Eppley IndianapolisHis jaw asymmetry correction surgery showed a good improvement. In an ideal world I wish just reducing the larger jaw on the left side of his face would straighten it but that almost never can happen by itself. The reason is that you can not reduce the larger bone enough to make a big difference. (there are teeth and nerves in the bone so that is a limiting factor as to how much bone can be reduced) For these reasons this is why most jaw asymmetry corrections must employ a ‘three point’ approach. This means all three points of the jaw (chin and two jaw angles) are treated. Reducing the left jawline, straightening the chin and augmenting the right jaw angle in this case provides the most comprehensive approach to jaw asymmetry correction. Even with this approach perfect lower facial symmetry is not usually possible. But it is usually the best approach to mask the lower facial disproportion which now exists.


1) Jaw and lower facial asymmetry is a developmental deformity that usually affects the entire jawbone from angle to angle.

2) It is rare that just treatment of one side of the jaw asymmetry will result in a very good correction.

3) Jaw asymmetry correction is best done by treating the three points along the jawline, the chin and both jaw angles.

Dr. Barry Eppley

Indianapolis, Indiana

Dr. Barry EppleyDr. Barry Eppley

Dr. Barry Eppley is an extensively trained plastic and cosmetic surgeon with more than 20 years of surgical experience. He is both a licensed physician and dentist as well as double board-certified in both Plastic and Reconstructive Surgery and Oral and Maxillofacial Surgery. This training allows him to perform the most complex surgical procedures from cosmetic changes to the face and body to craniofacial surgery. Dr. Eppley has made extensive contributions to plastic surgery starting with the development of several advanced surgical techniques. He is a revered author, lecturer and educator in the field of plastic and cosmetic surgery.

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