Blog

Q: Dr. Eppley, I’ve been reading a lot on your blog how you mention that some degree sagging is likely to occur after cheek implant removal because the ligaments do not reattach.  I was hoping I could get some clarification on this.  In a 2013 RealSelf answer, I see you wrote the following in reliance […]

Q: Dr. Eppley, does you perform any procedures for adults suffering from untreated brachycephaly that can help reduce the width of the head? I am not sure if reducing the temporal muscle will be enough…  I am this person, my head circumference is quite big (66 cm)… I cannot wear any helmet. If I could […]

Q: Dr. Eppley, Do you think it would be possible to transfer a large area of skin (full thickness graft) from a forehead reduction to the cheek that’s about 2 cm in height and 4.5 cm long and then reduce the scars of the borders left behind with lasers (as an alternative to individual punch […]

Q: Dr. Eppley, I like your facial morphs very much.! I agree with you, in fact I wanted to ask you, whether it is better to use fillers or implants with regard to the zygomatic and orbital area? I ask this because, with my friend ,we looked on the web and we think that the implants […]

Q: Dr. Eppley, Hi, I already have a chin implant in place. But it doesn’t give me the length and definition I was hoping to get. With a custom chin implant can I get a much longer and tighter (square) chin which is protruding.  Can you also give me an estimate of the recovery period?  […]

Q: Dr. Eppley, About 9 years ago I had a chin reduction in which they used a titanium plate and screws to hold it together. These screws and plate were not removed. I’ve had some complications and just don’t want them in my body anymore. I had a few questions for you. 1. Is it […]

Q: Dr. Eppley, I suffered from severe cystic acne when I was younger that left pitting in concentrated areas on my cheeks. I’ve tried $15,000 of laser surgeries, dermabrasions, retinal products, and punch excision (the punch excision left the pits even bigger) and nothing has worked. The dermatologists won’t try punch grafts, because they do […]

Q: Dr. Eppley, I want do get my biceps and triceps enhanced by using fat but I haven’t found very much information about the procedure. Is this something you perform? Thanks A: I have done fat injections for deltoid, bicep and gastrocnemius muscle augmentations. There are two basic issues with using fat injections for muscle […]

Q: Dr. Eppley, I came across your practice online while researching rib anomaly correction surgery. I have always been self conscious of my rib cage and was hoping to gather some information of surgical options. I saw on your website that you’ve done some rib shaving to reduce the flare. I would like to learn […]

Q: Dr. Eppley, Hello. Here you can see that by extending my chin down and outward, it corrects 3 key flaws: 1) Lack of lateral chin projection. Before: from side view, the foremost point of the chin is slightly recessed from the foremost point of my lips. After: the foremost point of the chin now […]

Q: Dr. Eppley, If you play contact sports like soccer or football, will occipital skull reduction affect your game?(Example: making your skull weak because the outer cortex is being removed and rough contact to the head can injure you badly.)  A: This is a common question about any form of skull reduction surgery and the […]

Q: Dr. Eppley, I would like to enquire about your custom cleft chin implant design for male three-piece total jawline augmentation. My question is, is this procedure for men with existing cleft chins, or is it to create a cleft chin. If it is to create a cleft chins, then how does the procedure work. […]

Q: Dr. Eppley, do you think that there is a significant chance that the vibration from an electric razor, an electric hair clipper, or an electric toothbrush could dislodge the screws that are holding my facial implants in place? If you thought that the vibration might slowly unscrew them over time or cause any other damage, I […]

Q: Dr. Eppley, Would I be a good candidate for head width reduction? I have all my life alway disliked and had insecurities with my bulbous wide shaped head. I cannot wear sunglasses because i look silly being the sides of my head Protrude further out than my sunglasses (especially the left side) and in […]

Q: Dr. Eppley, I have questions about temporal implants, zygomatic arch implants and vertical chin reduction. Are you pretty confident  that you can produce a significant improvement and that you would not have to go in again  and that the result would last several years. With the temporal implant With the cheek implant With the chin […]

Q: Dr. Eppley, I recently read a paper titled “CLAVICLE LENGTHENING BY DISTRACTION OSTEOGENESIS FOR CONGENITAL CLAVICULAR HYPOPLASIA”. I’ve reached out to the surgeons who conducted the first paper and am waiting for a consultation.  My question for you is have you ever performed distraction osteogenesis of the clavicle.  I read your blog post discussing […]

Q: Dr. Eppley, I’ve attached pictures for your review. My goals are to eliminate/reduce fat around my stomach, back, arms, flanks,  and inner thighs. I am hoping that I’m a candidate for a BBL (Brazilian Butt Lift), but I don’t know if I have enough fat to transfer.  I would also consider a butt implant. I’d […]

Q: Dr. Eppley, I have positional plagiocephaly on left side, which is not actually that bad but I can feel it and it affects my face, mostly nose and ears because the skull is like rolled on one side and so the bones on cheek and eye bones are more in front on left side. […]

Q: Dr. Eppley, I am a middle age male whom found a post you wrote, which is one of the few bits of information I have found online regarding a problem I have and I would be very grateful for some advice as I’m not sure what to do. This is the post I found:  […]

Q: Dr. Eppley, I have questions about the three operations I will be having. What are the downsides of any of these three procedures (temporal implants, lateral cheek implants, chin reduction)? And percentage frequency of the downsides? Is there any chance the implants would not look natural? Do they look as good as fillers? I […]

Q: Dr. Eppley, I was wondering if head width reduction can only be done by the removal of the temporal muscle, or is it possible after removing the muscle to also apply some bone burring to reduce the width even further? A: When it comes to head width narrowing by temporal reduction, it is important […]

Q: Dr. Eppley, I’m thinking about scheduling a consultation with you guys, but before I fly all the way to Indiana I have a few questions.  With your custom chin implants how many mm will the jaw be extended? I need about a 20 mm extension. I know that’s not common, but I was also […]

Q: Dr. Eppley, After having my cheek implants removed, I feel like my mid-face is looser and less smooth. I think as thinking about getting co2 ablative laser to tighten it and hopefully help the tissues settle to how they were before. I think there is some sagging and my lower cheeks appear fuller, but […]

Q: Dr. Eppley, I think I have cutis vertices gyrata (CVG) of the scalp. I have not consulted with a dermatologist so I’m not sure what CVG type it is. Ideally, I would like to have a scan CT/MRI to identify the disorder and plan treatment moving forward. If your facility provides all these services then […]

Q: Dr. Eppley, I have a very long chin and I know you said that the correct treatment for it was a vertical chin reduction done from inside the mouth.The computer imaging you sent looked like a good improvement. But I wanted to know one more thing. If you could make the chin this it […]

Q: Dr. Eppley,  I have a wide and asymmetric forehead. I have asked people if the right side of my forehead was larger than the left side but they said they didn’t really notice. But my forehead is definitely bigger than the rest of my face. What would be the options for making the forehead […]

Q: Dr. Eppley, Since I live out of town I assume that the creation of a custom chin implant is a process which would probably (?) necessitate my traveling to Indiana more than once. It would take a lot of effort for me to travel for the actual surgery. Therefore, I was hoping that the […]

Q: Dr. Eppley, About six months ago I had jaw implants. Three days ago I had unbearable pain from a toothache. The next day I went to a dentist and was prescribed Clindamacyn 300mg 3 times daily to treat a tooth infection. A day later I had the tooth drained, and next week it’ll be […]

Q: Dr. Eppley, I have a very long chin and I know you said that the correct treatment for it was a vertical chin reduction done from inside the mouth.The computer imaging you sent looked like a good improvement. But I wanted to know one more thing. If you could make the chin this it […]

Q: Dr. Eppley, I think it might be best just to ask a few questions along with a few photos for you to view. I understand a chin implant or a sliding genioplasty would highly benefit myself, although being 26 years of age, I am leaning toward a sliding genioplasty. If I’m deemed a suitable candidate, […]