Blog

Q: Dr. Eppley, I am a young woman who has an abnormally narrow face / skull / forehead. My skull is considerably narrow while the width of my forehead is abnormally small which makes my forehead with a bulging deformation. The more I get older and the more it becomes unbearable. I wish I could […]

Q: Dr. Eppley, I am looking for a dramatic chin augmentation as I have a really short chin. A: Thank you for your inquiry and sending your pictures. A significant chin augmentation is generally anything north of 10 to 12mms. Your chin deficiency is probably in the range of 15mms. Such can augmentation are best […]

Q: Dr. Eppley, My lower lip sags since I had a silicone chin implant removed over 5 years ago. I only had it in for 9 months. Since then I have trouble making my lips meet and my mouth is usually gaping open. I went to a maxillofacial surgeon a couple years ago who said […]

Q: Dr. Eppley, I hope this finds you safe and well. I’m a young man who would like to look the best I possibly can and have long considered cosmetic surgery but never quite pulled the trigger. Part of it is that I’m fairly confident in my appearance to start and have worried that augmentations […]

Q: Dr. Eppley, Do you perform orthognathic surgery? I came across some very interesting comments from you on Realself posts. I started my orthodontic treatment over a year ag.. I refused to accept extractions and accepted IPR instead. Two orthognathic surgeons that I was recommended to by my orthodontist saw my case and called it […]

Q: Dr. Eppley, I am interested in gynecomastia reduction surgery with nipple reduction at the same time. But did have one concern that another physician raised regarding a nipple reduction – specifically, the physician was very hesitant that such a procedure was worthwhile considering the risks (which he described as a 20% chance of necrosis […]

Q: Dr. Eppley, I am inquiring about the shoulder width reduction surgery. I am very insecure about how broad my shoulders are. I’ve always wanted a delicate, feminine shape so that I could wear whatever I wanted to without feeling like I had to hide a part of myself. For reducing the width of your […]

Q: Dr. Eppley, I am a young male seeking help and guidance about my skull shape. I am concerned about the top portion of my skull, it looks like i have a ridge / bump on the sagittal structure. I was never aware of my skull shape until i recently shaved my head due to […]

Q: Dr. Eppley, Ok with Botox, in some instances it can cause poisoning and permanent nerve damage. I think if we use a high dose the risk is higher of botox spreading to other parts in the face. If you remove part of the muscle, what % of the muscle are you removing. Is it […]

Q: Dr. Eppley, I had class 3 orthognathic surgery when I was a teenager – my lower jaw was moved backward and my upper jaw was moved forward. A sliding genioplasty was also performed at the same time. I’ve since fully recovered. I suspect this may have left me with excess fat deposits under the […]

Q: Dr. Eppley, Hello,I’m inquiring about a service you offer. Since I was young I’ve had a dented skull which is pretty largely visible but I manage to hide it fairly well & it’s not really noticed ever. But I will foresee the need the surgery one day if I ever go bald lol, so […]

Q: Dr. Eppley: I would like to ask several things in detail. I also uploaded my pictures and CT of my head and picture of head of female that I want to have. First, second and third file uploaded are pictures of my head And fourth and fifth file is pictures of female’s head that […]

Q: Dr. Eppley, I am based in Canada and my background is Indian. I have thick skin and my original nose was wide AND long! I’ve had 3 surgeries (Primary in India and two revisions in Canada) but the result is still bulby looking, the tip still long. I was wondering if you are comfortable […]

Q: Dr. Eppley, Hello and how are you?  I am emailing you as suggested by Camille with my inquires and photos. First let me begin with the background. Overall, I am happy with my face and think I am approaching this from a decent baseline but I was wondering if it is possible to enhance […]

Q: Dr. Eppley, Thank you for your reply and your feedback about the photos! And i think you are right that I do not have a true sagittal ridge but it looks a bit more elevated at the sagittal structure. But it still affects me negatively, and I am still interested in the surgery. In order […]

Q: Dr. Eppley, I have eye asymmetry. I have had it since i was young. What can be done for it? I have attached pictures for you review. A: Thank you for your inquiry and sending all of your pictures. Your eye asymmetry is due to a well known condition of VOD. (vertical orbital dystopia) […]

Q: Dr. Eppley, my issue is mainly the posterior part of the temporal muscle. I looked it up and it was stated online that the posterior muscle is responsible for moving the jaw forward and back. I have three questions: 1) Is it possible to remove 50% of the posterior muscle, cut it in half […]

Q: Dr. Eppley, I am a board certified plastic surgeon. I recently had a patient requesting an skin excision from her elbow. (elbow lift) I had never heard of that procedure and did not even realize one existed. I saw that you have indeed done this procedure. I was wondering if you have any pics […]

Q: Dr. Eppley, I am looking for a plastic surgeon that can remove a skin graft that took place due to a car accident where I had a scalp flap rotated forwarded to replace forehead tissue and a skin graft put in place behind the rotated flap. This took place when I was very young. […]

Q: Dr. Eppley, I plan to fly out this summer and set up an appointment with you. I’ve read numerous studies and doctors have been able to reduce the temples by 4-5 mm with Botox injections.Yes your right, multiple injection rounds are needed every 3-6 months. But I’m willing to pay and fly out to you […]

Q: Dr. Eppley, Looking through the internet about “chin ptosis” (I just find out this is the medical name) I found a blog in which you provided some valid points and and your views on patients with the same “issue” that I have. I had no idea that I was not alone about this, usually […]

Q: Dr. Eppley, Can you perform hip implant and butt implant surgery at the same time? A: It is technically possible to perform buttock and hip implants at the same time…but that makes for a difficult recovery. I have had numerous patients go through this combo body contouring/augmentation surgery but they will tell you it […]

Q: Dr. Eppley, I had posterior temporal reduction surgery by muscle removal three months ago and am very pleased with the result. My question now is what can be done for the anterior temporal muscle closer to my eye.  A: Based on your email previously and the current one, I assume the remaining issue is […]

Q: Dr. Eppley, I had 300ccs of Aaquafil injection into my hips last year. I am interested now in getting hip implants for more volume. Is it safe to do so after these injections? A: Aquafil is an injectable filler that is composed of 97% saline and 3% polyamidized hydrophilic gel. (It is not FDA-approved in […]

Q: Dr. Eppley, I am interested in custom pectoral implants.I’m 6’ 3” and anywhere from 220 to 250lbs  so the 900cc custom pectoral implants would work. Is my silicone that was injected in my chest an issue? I am also planning on having shoulder surgery soon, is that an issue? Ideally I’d like to get […]

Q: Dr. Eppley, I am concerned about long term infection with a Medpor chin implant. I had a medpor chin implant placed one year ago and I’m worried about the infection possibility of the implant. Is it beneficial to switch this into a silicone implant now? A: By your description you have an existing Medpor […]

Q: Dr. Eppley, My son is 5 years old and was born with scalp aplasia cutis congenita. Around 3 x3 xm on the scalp. The dermatologists does not wish to help us correct this until my son has a say on this when he is older which I think is ridiculous as a parent.  A: […]

Q: Dr. Eppley, Im writing to you because i find your work amazing! I want to do several aesthetics procedures with you. But i have a big big problem, who makes me sad everyday…..  I would like to find a definitive solution for my shoulder. I have a skin congenital atrophy yon my shoulder. (lack […]

Q: Dr. Eppley, I am 21 years old and I have plagiocephaly which has never been treated. The cranial malformation does not bother me but the asymmetry of my face is really showy and ruins my life, I am in depression because of this, I have no social life. I send you photos of my […]

Q: Dr. Eppley, Hello there, I’ve been looking for someone that could offer skull reshaping surgery for years and have just discovered you! I suffer from scaphocephaly, its bothered me for years to the point where, now at 28 years old, I need to do something about it. I understand I probably wouldn’t achieve a […]