Blog

Q: Dr. Eppley, hello! Thank you for the opportunity to ask you a question. If the filler completely satisfied my aesthetic needs for smoothing the chin cleft, will fat grafting give a similar result as the filler, but for a longer term? In the foreseeable future, I am planning an orthognastic surgery with genioplasty and […]

Q: Dr. Eppley, I am interested in a genioplasty, jaw angle implants, undereye fat grafting, midface lift. A: Thank you for your inquiry and sending your pictures. Let us start with the premise of what is the ideal surgical procedure for your undereye/cheek and jawline augmentation needs. There is a little question that the best […]

Q: Dr. Eppley, My flat head is caused by sleeping position when I was infant. I would like to know which filling material will you prefer to use and why? Please email me for your answer and potentially I will fly to your clinic for such procedure. A: The most effective and successful method of […]

Q: Dr. Eppley, I want to reduce the width of my the temple region that is lateral to my eyebrow, right above the cheekbone prominence as I feel it is too wide relative to the rest of my face, ruining facial harmony and giving my face in front view a overly wide appearance. Is this […]

Q: Dr. Eppley, Hello. I’m looking into the possibility of having an even flow contour from my forehead into the top of my scalp i want a more rounded countour look at the peak where they both intersect. And if possible more rounded counter also at the crown of my head. A: Such a forehead-skull […]

Q: Dr. Eppley, A surgeon placed a medium anatomical implant, and while I appreciate the projection, I hate everything else about it. Not only did it make my face wider and longer, it made it masculine and worsened my jowls. I am eager to have it removed and possibly replaced with something different but I’m […]

Q: Dr. Eppley, Does insurance cover cosmetic surgery in any situation? A: That is the question that can only be answered on an individual case basis based on the procedure and the anatomic problem you are trying to improve through an insurance pre-determination process. But as a general statement insurance does not usually cover aesthetic […]

Q: Dr. Eppley, I am interested in a solid silicone infraorbital / tear trough / lower orbital rim implant. I previously had fat grafting in the infraorbital area and a canthopexy. Would previous fat grafting and canthopexy generally make this unsafe or impossible, or can silicone implants still be considered after examination/photos/CT? A: Many patients […]

Q: Dr. Eppley, I had an otoplasty six weeks since my operation. My results aren’t terrible so far, however I do believe I have a telephone ear deformity on both ears. My helix is not visible from the front at all on the left ear especially. I suspect that I will need a reverse otoplasty […]

Q: Dr. Eppley, I am interested in a consultation regarding a custom wrap-around jawline implant (mandibular angles, body, and chin as a single piece). My goal is to strengthen my side profile which has always been pretty soft, add width to the anterior chin for a more square front-view shape, and define the over all […]

Q: Dr. Eppley, I currently have 10 year old 450cc mod+ dual plane. I’ve never been happy with them. I started out with very small tuberous breast. My surgeon over dissected my pockets so they bottomed out almost immediately, plus I have lateral displacement when I lay down. This was compounded by pregnancy. I’m hoping […]

Q: Dr. Eppley, Thank you for taking the time to look at my case. I am aware these pictures are not the best. Please let me know if the pictures need to be improved upon. There are a few things I would like to change about my face. Firstly, both of my jaws are recessed […]

Q:  Dr. Eppley. I am seeking your opinion on the use of a zygomatic sandwich osteotomy (ZSO) versus (infra) zygo implants for aesthetic zygo augmentation in Caucasian patients. In your experience, which technique generally provides the better aesthetic result, and why? Do you consider ZSO to be a good option for enhancing cheek/zygo projection, or […]

Q: Dr. Eppley, Am I a good candidate for cheek implants? A: Whether one is a good candidate for any aesthetic surgery depends on what are their exact aesthetic goals. The term cheek augmentation is a general one and doesn’t tell me anything about the patient’s specific dimensional needs. So until I know what they […]

Q: Dr. Eppley, I wanted to ask about whether reducing the vertical height of my chin could be an option for me. I understand that my chin may not be abnormally long, but aesthetically I tend to prefer a more compact lower-face/chin appearance, so I’ve been wondering whether a conservative vertical reduction could be worth […]

Q: Dr. Eppley, m writing because I’d like to inquire about the side-by-side implantation technique for testicle enlargement. I’ve always had fairly small testicles and now, with TRT, they are even smaller. As a gay man, I’ve, likewise, always wanted a much larger set of testicles. I’d like to discuss possibilities further. I’m also interested […]

Q: Dr. Eppley, So I had neuro surgery in the past to fix my epilepsy problem, and it worked. But I was left with both sides of my head unevenly matched and looking to get it fixed and was told from a friend that you guys do great. I’ll take pictures and share them and […]

Q: Dr. Eppley, I had an undescended testicle brought down when I was a child. As a result of this both testicles are undersized and the right testicle is very small. I am seeking to get prosthetics as the two native testicles are tiny. I have just had an ultrasound and hormone panel taken. So, […]

Q: Dr. Eppley, I recently had genioplasty, cheek and jawline implant (non-custom) surgery earlier this year.. I am happy with the chin result, but I do not love the result of the jawline implants particularly. I think they flare out too much and have too steep an angle, finishing well short of where my chin […]

Q: Dr. Eppley, I’m inquiring about if you’re able to even out the top of my head, it is very uneven. A: Thank you for sending your pictures. You do have a tremendously high and overgrown crown of the skull of your head. Therefore, I think the question is how much of that crown height […]

Q: Dr. Eppley, I would like to balance my chin with my nose but still look feminine and enhance my jawline. A: hank you for your inquiry and sending your pictures. As you know, you have a tremendously short chin due to a significantunder development of the lower jaw. Short of major jaw,\ advancement surgery, […]

Q: Dr. Eppley, Am I the right candidate for a lip lift? As you can see, my philtrum is visibly on the longer side. I measured it at around 20–21 mm, but I’m not completely sure anymore. My goal is to achieve a philtrum length of about 14–15 mm with surgery to better harmonize my […]

Q: Dr. Eppley, I’m 9 weeks post reduction T genioplasty and I have noticed a significantly deepened anterior mandibular vestibule, restricted smile and lower lip depression, and sagging chin appearance despite minimal to no swelling. The vestibule was initially much shallower after surgery and opened up/deepened around week 2 or 3. I am concerned about […]

Q: Dr. Eppley, I am a 27 year old intersex xxy trans woman who is 5’2, and around 110-120lbs. my growth was stunted as a child, because of adhd treatment and malnourishment. This has resulted in short stature, but my ribs dig into my hips and have caused significant postural issues for me as my […]

Q: Dr. Eppley, . I’m 33yo female. Prior rhino. My nostrils were fairly normal but now peaked…n nose is small and cut out looking overall.. likely due to Morpheus 8. It wiped out my facial fat and gave my nose a weird shape n my forehead has bone ridges. When my forehead was swollen after […]

Q: Dr. Eppley, am seeking advice regarding a longstanding concern about the appearance of my shoulders and clavicles. I have attached photographs that clearly show the issue. My left clavicle appears noticeably shorter than my right, and my left shoulder seems to sit further underneath the clavicle rather than extending outward in the same way […]

Q: Dr. Eppley, One more question I know you said 2.5 cm is the max but I seen on the website that the doctor will do 3 cm on each side. Would that still be safe? A: The safe amount of bone removed in clavicle reduction surgery is ultimately determined during the procedure. However, based […]

Q: Dr. Eppley, I am writing to you regarding an issue that has troubled me for a very long time; I have a very pronounced skeletal facial asymmetry, visible mainly around the eyes, eyebrows, and cheekbones (zygomatic bones), but also affecting the ears and jaw. In fact, almost all the bony structures show a vertical and […]

Q: Dr. Eppley, I want an expert’s opinion on what procedures would be the highest ROI for me to improve my overall harmony/facial attractiveness.” A: In a male, and you are no exception, the chin and jawline is always one of the most significant changers of the face, in terms of both attractiveness and proportion. […]

Q: Dr. Eppley, I had a question in regards to cheekbone reduction. I am male looking to seek a more narrow, elongated face shape to look more appropriately masculine (rectangle face shape) 1. How much reduction is possible, particularly in those with very wide bizygomatic width (165+mm) and a hypereuryproscopic facial indexa? I wanted a […]