Blog

Q: Dr. Eppley, Fourteen years ago, I underwent a procedure in which calcium phosphate bone granules (β-tricalcium phosphate) were placed in a subperiosteal pocket over the zygomatic region of my right cheek. A fixation screw was also used. Since then, I have experienced persistent facial asymmetry, a visible and palpable bulge, chronic tension in the […]

Q: Dr. Eppley, Hi! I wanted to know if I could get some advice on what the best route would be for getting my chin fold removed. I have a pretty deep fold and paired with my thin lips it doesn’t look attractive at all. It’s my biggest insecurity. I was just wondering if fat […]

Q: Dr. Eppley, considering the two options, I feel that testicle implant displacement is what I’ve been considering most. Where I am less sure is what size I would be happy with. A:Aesthetic happiness is a personal objective. Effectiveness of the technique is the only definitive measured outcome I can comment on. As a general […]

Q: Dr. Eppley, Male with prominent iliac crest . I am a 51-year old cis male interested in the iliac crest reduction procedure. Assuming no medical conditions or concerns revealed in a physical examination or in x-rays, would I be eligible for this procedure, given my age? A:From my perspective age really has nothing to […]

Q: Dr. Eppley, Can the dip across the top of my head be treated by bone cement? A:Thank you for your inquiry and sending your well illustrated pictures of a classic coronal dip skull indentation. This is best treated by a custom designed implant rather than bone cement. A custom skull implant can be placed […]

Q: Dr. Eppley, I am writing regarding aesthetic hypotelorism and orbital/midface asymmetry. My measurements are approximately: * IPD: 57.5 mm * ICD: 27.5 mm * Eye width: 28 mm * Bizygomatic width: around 133 mm My main concerns are: * slightly close-set eyes relative to my facial proportions and midface length * left-sided orbital/zygomatic recession […]

Q: Dr. Eppley, Is iliac crest reduction surgery safe? Is there any long term risks like arthritis? A:Without seeing pictures of your hips I cannot address whether the iliac crest reduction procedure would be effective for you. However I can answer the questions about safety and long-term complications. This is a very safe procedure that […]

Q: Dr. Eppley, I am a 48 year old female & will need to have surgery to repair an Inguinal hernia. I was wondering if it’s possible to get it repaired & do stomach liposuction at the same time A: The combination of inguinal hernia repair and abdominal liposuction done concurrently is possible. However the […]

Q: Dr. Eppley, My long term goal, for whenever I decide to move forward with the MARPE, is to widen my mouth to allow my palette to expand as far as needed, without having my actual mouth size hindering the results that can be achieved. Right now, though I have a small mouth, I think […]

Q: Dr. Eppley, I’d like to have liposuction of my saddlebags and flanks before my iliac crest reduction. A:Whether you would do like liposuction before, during or after or after iliac crest reduction depends on several variables: 1) You would do it before iliac crest reduction if the goal was to see if liposuction alone […]

Q: Dr. Eppley, I was curious about your opinion on the possibility of reducing or tightening the malar fat pad (I believe that’s the deep medial cheek fat) in the male face to create a more skeletal contour from the three-quarter view, potentially through some type of facelift or midface suspension procedure. In the attached […]

Q: Dr. Eppley, Hi I was wanting to see if I’d be a good candidate for brow bone implant. I’m Asian (female/22 years old) so I have a flatter forehead and want to improve my orbital depth compared to my eyes. A:Brow bone augmentation in females is very uncommon compared to that of males. And […]

Q: Dr. Eppley, I would like to hear your advice on the path toward improving the width of my mandible and my zygos. A previous doctor advised that I was not the best candidate for bimaxillary surgery but instead implants suited me best. My goal is of course facial improvement/male model look. Thank you, I […]

Q: Dr. Eppley, Hi, I’m desperate to get some advice from Dr Eppley. I underwent an upper lip V-Y mucosal advancement in 2024 in the UK. I have been left with significant functional and aesthetic issues as a result. Unfortunately, the surgery was a disaster from day one. The doctor did not suture the mucosa […]

Q: Dr. Eppley, Hello, I would like to inquire about the pricing of your custom midface mask/saddled orbital implants. I presume they are a better option than a double jaw surgery, since I get the feeling a djs would not fix my insufficient undereye area or even the weak maxilla. I would also like to […]

Q: Dr. Eppley, I have cheek fat i would like to get rid of. I work out often and am around 15% body fat, but my face fat will not leave. I am tired of having chipmunk cheeks. A:The first thing to recognize is the anatomy of your facial concerns. You have a long face […]

Q: Dr. Eppley, For some initial context, I currently have 800cc silicone sub-muscular implants that I have had for about 10 years. I have been interested in going larger for a while, but I wanted to stick with silicone. From what I understood, the sizes above 800cc for silicone that became available a few years […]

Q: Dr. Eppley, I have vertical orbital dystopia. Am interested in improving symmetry via implant – please give me an email/ call to discuss procedure possibilities and a quote. A:Vertical orbital dystopia is usually a lot more complex to treat than an implant alone. The implant has a role to play and is a foundational […]

Q: Dr. Eppley, I am very interested in your rib removal surgery. I just had RibXscar done in December. Had 4 ribs on each side fractured. Corseted for 6 months total when I was initially told 3. Began my recovery first with a size 18 and downsized to a size 16 corset. With being fully […]

Q: Dr. Eppley, I would need your advice and help. I have way too large brow bones… it has been my biggest insecurity throughout my life and something that has affected me enormously in life. Unfortunately, I cannot afford to undergo cosmetic surgery so my question is… how big is the chance that I can […]

Q: Dr. Eppley, These inner areas of the thigh are too straight due to over liposuction and doesn’t have the curvature.  I want to have a curve like this like what I had previously. A:Because the origin of the problem is fat removal the most anatomic reconstruction is going to be the placement of a […]

Q: Dr. Eppley, On the smile and tooth show point, that’s helpful to know up front. A few follow-up questions on the direct upper lip excision along the smile line: – How much additional tooth show is typically achieved with this approach? – What does the scar look like at maturity, and how visible is […]

Q: Dr. Eppley, my upper lip covers my upper teeth when I smile, especially towards the middle two teeth. The lips form kind of a v shape where the corners of my mouths are raised while the middle of it droops. Not to be confused, the sides of my lips also cover my upper teeth, […]

Q: Dr. Eppley,I read your statement: “One approach is medial wall infracture with lateral orbital wall implant to push the eye inward a few millimeters.” I was wondering whether moving only the eyeballs inward could also reduce the distance between the medial canthi by a small amount. My concern is that my pupils are already […]

Q: Dr. Eppley, I had a chin implant with chin/neck lipo and later had the implant removed. Since then, I’ve been dealing with movement-related changes in my chin and lower lip, excess tissue under my chin, and lower-face contour changes with some volume loss A:Thank you for sending your pictures. These are the not uncommon […]

Q: Dr. Eppley, I am looking to have my temporalis muscle reduced. I have always been bothered by a much bigger temporalis muscle on the right side of my head than on its left. It makes it really asymmetrical. Being bald for a few years it makes it even more noticeable. I’ve been doing Botox […]

Q: Dr. Eppley, I am interested in flat back-of-head reshaping / occipital augmentation. I would like to ask a few questions: 1. What is the estimated total cost for this procedure, including surgeon fee, implant/material, facility fee, anesthesia, CT scan/design, follow-up, and any other related fees? 2. If I travel from Canada to the U.S. […]

Q: Dr. Eppley, I have mild hypertelorism, which creates the appearance of pseudoesotropia. Is it possible for an adult patient to undergo surgery for aesthetic reasons to address this issue? I would be satisfied if only the medial canthi could be moved closer together, without repositioning the entire orbits. Unfortunately, I do not have epicanthal […]

Q: Dr. Eppley, Saw an article of one of your clavicle widening cases. Are you still realizing this type of surgery? I’m interested in this surgery and would like every detail. My clavicle length currently is 16-17cm each side, I’d like to get up to 2cm each A:Thank you for your inquiry and sending your […]

Q: Dr. Eppley, Hello! I would like to inquire about a structural facial bone surgery. My goal is true forward structural projection (not width). I am looking for: 1. Forehead/Glabella segment osteotomy and forward advancement 2. Midface bone advancement A:Thank you for your inquiry and sending your pictures to which I can say the following: […]