World’s most extreme plastic surgeon saws chunks off insecure men’s skulls to ‘improve’ their looks


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A plastic surgeon has been branded the world’s most extreme for hacking chunks out of men’s skulls to replace them with more ‘masculine-looking’ implants, and breaking bones to perform shoulder widening surgeries. Dr Barry Eppley has been named the ‘Einstein of aesthetics’ for his controversial and groundbreaking procedures. They are hugely popular among incels – (involuntary celibate) – young men who consider themselves irredeemably ugly, and who are happy to go to extreme, expensive and painful efforts to reconstruct their looks. Dr Eppley, who operates out of a clinic in Carmel, Indiana, admits his procedures are ‘bizarre,’ and that they ‘mystify every other plastic surgeon on the planet.’ His skull reshaping seeks to give patients a more masculine forehead, while wince-inducing shoulder ops see clavicle bones deliberately broken and reconstructed.

The 64 year-old surgeon also offers waist-reduction procedures, as well as implants to enlarge the size of male patients’ testicles.


He told ‘From the outside people may look at my work and think it’s bizarre, and I do recognize that what I do is uncommon and unique. ‘Most of what I do is not done anywhere else in the world. The world of facial reshaping is unrecognised in plastic surgery and I mainly deal with young people, especially males. ‘By and large young people do not like the shape of their face and want to change the way they look. I take people to a place they have never been, not to turn them into someone else, but to refresh the way they look.

‘We live in a world that unintentionally promotes young people to want to look better and the phycological impacts of that are enormous. Young people have to live with the results for the rest of their lives. ‘When people come to me they often give me the same reason, they’re here because they want to look better. ‘Some people love my work and some people hate it. Some people think I should have my licence revoked and think I am the most grotesque thing on the planet. ‘However I don’t care what other people think, I focus on what the patient is thinking and what they want. ‘But I would not do things to other people that I would not do to myself. It’s my life’s work and it mystifies every other surgeon on the planet.

Dr Eppley performed his first custom facial implant in 1997 while practicing plastic surgery at a hospital at Indiana University. Since then, he has gone on to develop the widest range of plastic surgery procedures performed by any doctor on Earth. He uses computer-aided design (CAD), the software used by architects and engineers, to 3D print facial implants to change the underlying structure of a patient’s face and head far more dramatically than conventional cosmetic operations, such as nose jobs or facelifts. Dr Eppley says inventing new techniques is ‘in his DNA,’ and performs around 450 of the operations a year – between eight to 10 a week. His most popular procedures are facial and skull reshaping.


That allows patients to get rid of an unsightly bobble on the back of their skull, alter their brow bone, the length of their forehead or the shape of their jawline. His procedures often involve shaving bone from a person’s skull or face with a saw to make room for custom implants that provide patients with an artificial new look they deem more aesthetically pleasing. Dr Eppley is one of a handful of doctors worldwide explicitly targeting young men with surgical methods to transform the face and body, and patients fly from all over the world to see him. Dr Eppley said: ‘We become the world we surround ourselves with. I’m a very innovative person, it’s in my DNA.

‘Other plastic surgeons are rather risk averse and my practice is not something that was not around in 1990. What I do now is a lifetime of effort. Dr Eppley insists he wants to help patients ‘feel better about themselves’ and says repeat patients are not ‘addicted’ to his extreme ops, but just keen to repeatedly enjoy the ‘good experience’ he says his invasive surgeries provide. The surgeon is aware that he is a god-like figure among incels, who blame what they perceive as their lack of attractiveness for their ability to form romantic relationships. On one internet forum, many incels describe a visit to Dr Eppley’s operating theater as a life goal, with others fearful that they will never be able to change their appearances if he dies. He thinks the explosion in popularity of social media has also fueled a boom in people insecure about their looks.

It’s clear that people fantasize about what Dr Eppley could do to their faces, how he could make them feel better and more attractive to the opposite sex, with idealized social media images helping fuel the demand for his work. He says he has ‘always’ been busy, helped by the fact that cosmetic surgery among men rose 325 percent between 1997 and 2015 in the US according to the American Society for Aesthetic Plastic Surgery. ‘The world of facial reshaping and aesthetic skull reshaping is uncommon and fairly new, I’m the only person who will and can do it’, said Dr. Eppley. ‘I created that entire field of work, but I will only do things that exist in nature. The outside world may frown upon me reshaping someone’s skull but it’s desirable, so I perfected how to do it.’


Dr Eppley went on to recall some of the strangest requests from patients – requests that do not exist in nature. He said: ‘People have asked me if I can give them a third breast or a forked tongue, like a snake. I say no because that’s not possible in nature, for me that crosses a line. ‘I have no doubt that social media makes people more insecure about the way they look. I have always been busy but social media has created a lot of work for me. ‘Patients come to me with psychological problems because of the way they interpret social media, so there’s no doubt that social media has a role to play. ‘My goal is to help every patient be the best person they can be.’

He’s changed the way thousands of patients look with an overwhelming positive response yet Dr Eppley said he is yet to tinker with his own appearance. But that does not mean he’s ruled it out all together and admits he has been thinking about going under the knife himself ‘for years’. Dr. Eppley said: ‘I have an unlimited access to it (plastic surgery) and I have thought long and had about it. ‘I would like my eyes done but I just can’t find the time to do it. I’ve not had anything yet because I don’t think it’s important enough in my life. ‘There are things I would like to do.’