Blog

Q: Dr. Eppley, Interested to see what procedures are worth it for me, insecure about my side profile, especially lower jaw and chin. DJS, LJS, or sliding genioplasty? A:Thank you for your inquiry and sending your x-rays. However, X-rays are not the means by which you determine the appropriate strategy for any facial reshaping surgery. […]

Q: Dr. Eppley, I am a woman interested in a minimal forehead augmentation, and I would like your advice. I have attached reference photos to show my desired result, and I would like to know if this outcome is realistic and achievable. I would also like to schedule a virtual consultation with you. In preparation, […]

Q: Dr. Eppley, Hi, I have a pronounced sagittal crest which then transitions into a flat angled shape at the back of my skull. I was hoping to understand whether a mix of surgery and implants could correct the shape without making the skull overly-large looking? Happy to schedule a consultation if you believe this […]

Q: Dr. Eppley, Hello, I’m seeking professional guidance regarding a recessed chin and a weak jawline, particularly in relation to the gonial angle. I also have noticeable facial asymmetry—specifically, the right side of my face shows a more recessed cheekbone and a weaker jaw angle compared to the left. I’d appreciate help understanding the underlying […]

Q: Dr. Eppley, Hi i would like to do a forehead and back reduction.I would like a flatter back and forehead. A:Thank you for your inquiry and sending your pictures. You have a combination of an occipital protrusion and frontal or for head bossing. Both can be reduced as per the attached imaging. The bone […]

Q: Dr. Eppley, Hi, my goal is to reduce my neck and trap muscles to achieve a more feminine look. I don’t think I can afford the standard Trap botox treatments of ~6k over 2 years.  I thought electrocautery may be more affordable and effective. A:I believe what you are fundamentally trying to accomplish is […]

Q: Dr. Eppley, Hi! I am reaching out regarding your procedure for waist narrowing by rib removal. I understand there is two ways of doing It, one is fully removing the ribs, the other is remodeling them by breaking them in. Which do you do? Also what is the probability of the intercostal nerve damage during […]

Q: Dr. Eppley,  My right shoulder is much wider than my left shoulder, and my left shoulder is somewhat rounded and sloped.  Looks very asymmetrical and somewhat impinged.  In my teenage years, I’m pretty sure I had broken my collarbone or clavicle, and I never did anything about it.  I’m not 100% sure this is […]

Q: Dr. Eppley, had a buccal fat removal which I truly regret. It has thrown off my face proportions and now my face looks very long and narrow. The surgeon assured me that it was a myth that it could age the face and he assured me it would not happen. Are there ways to […]

Q: Dr. Eppley, I am a young male with hypogonadism. I am currently on the maximum dose of testosterone gel and I am interested in learning more about the side-by-side procedure for testicular enlargement. I have a few questions: How are the implants secured in place to prevent the appearance of four testes? Are my […]

Q: Dr. Eppley, I would like to do  also an hairline advancement. So advance the hairline about 2 cm and make it straight. A:Certainly one can have a frontal hairline advancement at the same time as frontal bossing reduction as the two procedures are synergistic both in terms of technical execution as well as their […]

Q: Dr. Eppley, I’m considering custom infraorbital-malar implants to reshape my cheek and eye region. As part of that, I want to raise the level of the lower, outermost corner of my orbital rim by around 1mm; my goal is to slightly raise the outer portion of my eyelid. However, I’ve heard that raising the […]

Q: Dr. Eppley, How long the recovery will take from webbed neck surgery? A:It depends on how one chooses to define recovery. What most patients define it by when can they resume most normal activities which should really be within 1 to 2 weeks. From an appearance standpoint one looks good from the beginning and […]

Q: Dr. Eppley, I had a chin implant placed over ten years ago. nI recall the surgeon used a McGann anatomical chin implant. Immediately once the compression bandage was removed and some initial swelling had resolved I could feel the left wing had been positioned or settled lower than the right. It’s not significant (perhaps […]

Q: Dr. Eppley, I am writing to ask whether you might consider providing some guidance. I have had two rhinoplasty and one septoplasty over the last 1o years. They have not been successful in correcting the columella position to centre of face. I have read your case study External Repositioning of the Deviated Columella and […]

Q: Dr. Eppley, Is there greater risk for bone recession with a chin implant of the size were using? Around 10mm? A:You are actually referring to bone imprinting rather than recession or erosion from a chin implant. Since imprinting is a self limiting pressure relief phenomenon in theory larger implants should show more of that  than […]

Q: Dr. Eppley, I was also thinking about canthoplasty, is that service available? A:I am assuming by your pictures that you are trying to achieve either a neutral for elevated outer eye corner position. If one is trying to achieve a neutral I corner position that I’d lateral canthoplasty alone would be sufficient. However if […]

Q: Dr. Eppley, What happens to the space created between old, unchanged facial implants and aging facial bones? Do the human face “fill in” this space to establish continued stability? Atrophy of muscles, bone, etc. is characteristics of aging. A gap is created. A: The concept of aging facial bones, often spoken about, is actually […]

Q: Dr. Eppley, in clavicle shortening surgery  you can reduce the overall width of shoulder but the drawback is that the hardware (if left on for life) will show and be palpable. If removed, the holes produced by the removed bone screws will render that altered clavicle bone much weaker than pre-surgery. Depending on the […]

Q: Dr. Eppley, I hope this message finds you well.  I’ve been following your work for some time and I’m very impressed by your expertise in craniofacial and skull reshaping procedures. I’m interested in learning more about a custom skull implant for one side of the head (unilateral augmentation), primarily for aesthetic purposes. Could you […]

Q: Dr. Eppley, I had a lower blepharoplasty a few months ago and one of my eyes now looks really hollow.It started out looking great. But it was like overnight it lost all the volume. So I was wondering if a tear trough implant would be an appropriate way to treat it. A:Right after surgery […]

Q: Dr. Eppley, Is there a percentage risk of chin imprinting with the chin implant? Or a general idea of how many patients experience it?  A:As a general rule 100% of chin implants experience it. It is the normal body response to the pressure of an implant when placed over a solitary pony projection that […]

Q: Dr. Eppley, I’m a young woman who was recently diagnosed with Turner Syndrome. I have a noticeable webbed neck and would like to ask if surgical correction might still be possible at my age. Additionally, I underwent two scoliosis surgeries about 20 years ago, so I wanted to mention this in case it may […]

Q: Dr. Eppley I had head trauma four years ago which required a  temporal craniotomy. As a result I have temple hollowing on my left side due to losing the fat during the craniectomy, so now I am left with a dent on the side of my face that is very hard for me to […]

Q: Dr. Eppley, Can I Get a second clavicle shortening procedure? A:Thank you for your inquiry and sending your pictures. As best as I can tell from the pictures the aesthetic difference in the prominence of the two clavicles appears to be in the larger midshaft segment of the bone. After 10 years it would […]

Q: Dr. Eppley, I am interested in a sliding genioplasty for recessed chin/jaw and side profile. However, I really like my smile and front profile most of the time. I do not like the double chin I always seem to have, even when my weight is down. A:Thank you for your inquiry and sending your […]

Q: Dr. Eppley, Good afternoon,I wanted to inquire about the face shortening surgery. I’m not really sure about the name of the procedure, however, I believe it makes your face look rounder instead of longer, I guess the name is face shortening procedure, correct me if I’m wrong A:When you are referring to in face […]

Q: Dr. Eppley, I have attached some pictures below. I would like to inquire about lateral canthoplasty, fat transfer to the upper and lower eyelids, mild ptosis repair and spacer grafts all in one if possible. Does the doctor perform drill hole canthoplasty? I would prefer this technique combined with the spacer grafts to eliminate […]

Q: Dr. Eppley,I am a man but I had Facial Feminization Surgery at one point it my life where I believed I was trans, would it be possible to ‘reverse’ most of the forehead work(type 3 browbone reduction and orbital rims shaving)? I know I won’t look exactly like I did before, but I have […]

Q: Dr. Eppley,I’m interested in a forehead and upper skull contouring procedure to improve the overall proportions of my head. I’ve seen your case where you performed a full-head reduction by a few millimeters, and I’m curious whether it’s possible to apply a similar technique limited to the frontal area.My main goal is to reduce the […]