Blog

Q: Dr. Eppley, Hi, I have a natural narrow mouth in neutral position. I am considering a lateral commissuroplasty to make my mouth in neutral position a little bit wider and model look. (2mms each side). However, when I smile my mouth is wide, so by getting this lateral commissuroplasty, while my smile get wider? […]

Q: Dr. Eppley, Hi I am considering lateral commissuroplasty of increased outer mouth width (1-2mms) equally. Will the scarring be bad? I know the area around mouth is sensible and easily scar-able. But how bad is it? Can the scars be seen from face to face distance or do you have to really look at […]

Q: Dr. Eppley, I had a gynecomastia surgery in two years ago. The result looked very good in the first month, but after removing the compression strap a scarred tissue lump appeared on both nipples and the skin was also flabby. Six months later my doctor injected steroids and I didn’t like the result, the […]

Q: Dr. Eppley, interested in removing excess sagging around belly button and what the cost and procedure would be.  A:Thank you for your inquiry and sending your picture. With loose skin around the umbilicus there is no good direct way to remove it. (i.e., vertical excision or periumbilical excision) Such scarring is just as bad […]

Q: Dr. Eppley, I had a chin Implant 3 years ago when I had a rhinoplasty done. I never wanted a chin implant however the surgeon recommended so I got it. Nine months after I decided to get it removed because I felt it made me look masculine, too much projection. However my skin began […]

Q: Dr. Eppley, Hi! While I’m in no place to afford a cosmetic cranial implant right now, I was wondering if I could see results in the future. I’m a 5’9″ male with a cranial circumference of 53 cm. So extremely small, and I absolutely hate my head. Can a cranial implant make my head […]

Q: Dr. Eppley, for my hyperdynamic chin ptosis, if it is treated by a submental technique where the excessive soft tissue chin pad is reduced/tucked. Will this cause my chin to have dimples, or orange like texture to my chin? Or make my mentalis muscle weak and worsen? A:Good questions and the answer would be […]

Q: Dr. Eppley, Hello I have a flat head and I’m struggling alot with my skull’s shape. Can i know how much the scull reshaping costs? A:The term ‘skull reshaping’ is a very broad term and does not specify the problem being treated or the specific procedure need to treat it. Without a detailed description […]

Q: Dr. Eppley, I am seeking a rhinoplasty and chin implant. I am transgender and looking to enhance how masculine my face appears as well as improve it aesthetically. I’ve considered buccal fat removal or cheek implants, even liposuction to my chin/jaw area, so I was wondering if you agreed with that assessment. (that it […]

Q: Dr. Eppley, I am looking for a skull as well as heel implants to make myself few inches taller as I am only 5-3 and because my Career is at stake. I tried to reach to few plastic surgeons but could not figure out where I can get the surgery . With a lot […]

Q: Dr. Eppley, I had cosmetic hip implants done in Los Angeles — twice, actually. The second was to upsize.  Unfortunately I’m not terribly pleased with the result — while the “width” is roughly what I was going for, the widest point is definitely higher than I would have liked, and the placement of the […]

Q: Dr. Eppley, I really would like a ball park estimate of forehead masculization before taking the next step. I want to make sure I have enough saved. Thank you.  A: Thank you for your inquiry and sending your picture. When you speak of forehead masculization you are most likely referring to a combined forehead-brow […]

Q: Dr. Eppley, I had a custom jaw implant by another surgeon in 2019, at first it looked good even though it was very swollen. But as swelling subsided, the implant lost all its angularity and Ive been left with a round looking facial shape, which is convex downwards at the mandible. In addition, the […]

Q: Dr. Eppley, I would like to know if it is possible to reduce the width of hips by shaving the great trochanter. Is it possible to narrow the great trochanter? I am thin ( I don’t really have extra fat) but the bone of the great trochanter sticks out a lot. It makes my […]

Q: Dr. Eppley, I’ve had extended infraorbital implants with SOOF lift but unfortunately there have been nerve complications with a permanent change in sensation most likely relating to the infraorbital nerve, My upper lip is worst off with a sharp painful feeling when stretched or pressured. The lip is a bit numb but also very […]

Q: Dr. Eppley, I have what you call a (lightbulb) appearance from head shape to narrow jaw. I believe what I need is head width narrowing by temporal reduction.  I want to know what you charge for this, as well as are there complications with this surgery, or has it been a success every time?  […]

Q: Dr. Eppley, There is this recent study published by you: https://exploreplasticsurgery.com/plastic-surgery-case-study-custom-infraorbital-maxillary-malar-implant-as-secondary-midface-augmentation-after-a-lefort-i-osteotomy/?doing_wp_cron=1612719980.9635739326477050781250  “….a custom implant design allows for a smooth augmentation effect that can blend in with a previous underlying LeFort I osteotomy.” Is it better and more controlled to place such implants after healing from a LeFort 1 or high LeFort 1 or is […]

Q: Dr. Eppley,   I was wondering because I have heard and noticed all surgeons do the bicep/tricep implant insertion differently. Some state that under the muscle can look better and hold better in place but there is the risk of nerve damage going underneath the muscle. I have heard that placing it on top of […]

Q: Dr. Eppley, hello one of my cheek is more receded making it look flat is is possible to bring one of my cheek forward. A: If you are referring to building out the flatter cheek using an implant then yes. if you are referring to cutting the cheekbone and bringing it forward (rather than […]

Q: Dr. Eppley, I horse back ride 5 days a week. Would there be more risk for when I fall off my horse if I had those ribs removed? A: Since the inner half of ribs 10, 11 and 12 remain I do not see ant increased should you fall from a horse. But when […]

Q: Dr. Eppley, “Good morning doctor, I have some questions about Permalip, is smoking a problem? the lips remain hard? thank you” A: I am not aware that smoking increases any risks from lip implant surgery. The lips will soften as they heal after implant placement. One may be able to feel the implant but […]

Q: Dr. Eppley, Hello. My testicles have become smaller due to testosterone replacement ( I don’t abuse it. My level was 34 !). Are the testicle implants still really firm ? Know a guy who has them and they felt unnatural to the touch. Thanks ! A: You are likely referring to the common use […]

Q: Dr. Eppley, I have a problem with the length of my nose. The length of my nose takes a large part on my midface. Is it possilble to reduce the wings of the nose and the tip? My wish is to get a reduction of the length of my nose from the eyes to […]

Q: Dr. Eppley, in the future I want to get skull reduction surgery. My neurocranium is rather large and I understand the reduction is limited. My three main questions are will this lower the hairline sightly because of excess skin, will it raise my eyebrows, and what kind of scarring is left behind and can […]

Q: Dr. Eppley, I’m looking for a surgeon who can make my hips as wide, or close to my shoulders. I noticed you said America only uses soft implants, I was wondering if you could order and use hard implants. Titanium or mesh implants to place on the crest. I do not believe I will […]

Q: Dr. Eppley, I’m a 32 year old man. I want a customized implant to provide forward projection to my infraorbital rims. Uniquely, I want this implant to move the frontal process of the maxilla forward. Here, I am referring to the point at which the infraorbital rim meets the frontal process. This would typically […]

Q: Dr. Eppley, I’m interested in shoulder reduction surgery with you. I have suffered from my wide shoulders since I can think of, can’t feel fully feminine cause of them.  I am pleased to find out his surgery exists, however not much info and before after pictures are present hence I have no idea what […]

Q: Dr. Eppley, I am aware that your office performs rib removal for body contouring purposes. After doing some research into rib removal and other methods of waistline reduction I have come across the Kudzaev method of waist narrowing[1]. This procedure is currently only popular and performed in eastern Europe and involves performing a partial osteotomy […]

Q: Dr. Eppley, I would like to undergo skull augmentation surgery.  My problem is that my forehead is convex and seen from the front it looks very narrow. The areas to increase are shown in the Figure 1  To hope for a “global” increase it will be necessary to increase the projection of the eyebrow […]

Q: Dr. Eppley, I had a Lefort 1 and genioplasty in the past and it greatly improved my breathing and lip competence. However a small amount of lower lip incompetence persists. Fixing that lip incompetence is my main objective, though aesthetics are very important to me as well. Based on my pictures, what option do […]