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Q: Dr. Eppley, A week ago I had mandibular implants placed. My jaw muscles are not extremely large and bloated. Is getting Botox so soon after surgery an option? Would that compromise the result or healing, or would it have any negative effect on the implant?  Thanks  A: While your questions are more appropriate for […]

Q: Dr. Eppley, I have an aesthetic eye spacing concern. I believe my eyes are positioned too close together in proportion to the rest of my face. It is something that has bothered me for a very long time and I am willing to do whatever it takes to find a solution. Through my own […]

Q: Dr. Eppley, I have a fairly recessed midface and orbital area. This is noticeable from profile and indicated by my negative orbital vector. It also results in the appearance of dark tear troughs under my eyes. I would like to fix this through any means possible. My problem is that I have a great […]

Q: Dr. Eppley, Can the costal margin directly under the breast be shaved/reshaped/removed? Or is that not possible due to it be so close to the chest? Most people I’ve seen with costal margin protrusion are usually lower and not directly under the breast like mine(i have an extremely short torso). A: The costal margin […]

Q: Dr. Eppley, In addition to my previous email, I’ve become intrigued by a recent post you put up on IG regarding clavicle reduction. I’m interested in doing somewhat of an “upper body feminization” if you will. I’m transgender (MTF) and am interested in learning more about whether there would be any significant benefits to […]

Q: Dr. Eppley, I’d like to ask 2 questions to Dr. Eppley regarding my future procedures I’m going to get from him  1) If I get a custom jawline implant and infra-orbital-malar implant, will they always look “sharp / chiselled” or does that depend on bodyfat percentage, and if someone stores a lot of fat […]

Q: Dr. Eppley, how would orbital decompression effect palpebral fissure length? I have rather wide set eyes, albeit shallow set ones, and anything that would make my eyes seem horizontally shorter would be sub optimal. A: The orbital decompression procedure is not known to necessarily affect horizontal palpebral length. Theoretically it may as the eye […]

Q: Dr. Eppley, I just wanted to ask a couple more questions about hip implants if that’s okay.  I understand the pricing, the pain level, the scar, and that I need about 3cm per side custom hip implants… but I was wondering if it would feel somewhat real and soft at 3cm and won’t be […]

Q: Dr. Eppley, I have a deep mental crease. Some time ago I underwent a bilateral sagittal split, which I am told was successful and to date, have had no issues. I have regular checkups at the dentist and have been told that my bite is fine, after years of feeling that it wasn’t. For […]

Q: Dr. Eppley,“I am looking to enhance jaw and chin area. Attached are six photos- 1. Front- full bite/molar teeth touching 2. Front- relaxed face 3. Front- advancing chin vertically and slightly anteriorly 4. Side- full bite/molar touching 5. Side- relaxed face 6. Side- advancing chin vertically and slightly anteriorly. #6 shows the type of […]

Q: Dr. Eppley, I had an orbital floor injury and subsequently had an orbital floor implant added but I may need another metal implant or simply silicone on top of it. Can that be done? A:You can place either a custom metal or silicone implant on an existing titanium orbital floor implant. This is not […]

Q: Dr. Eppley, Is a revision genioplasty more risky than the original genioplasty? How soon can a genioplasty be revised? My surgery was two months ago and the lower part of my chin (below the fold) is still out further horizontally than my lips. I value your opinion. Thank you. .A: In answer to your […]

Q: Dr. Eppley, I have had a previous Custom Chin Implant that provided me with horizontal projection of my chin. However, I would like to have my chin augmented vertically with a sliding genioplasty. I am just curious if the chin implant would be needed to be removed in order for a sliding genioplasty to […]

Q: Dr. Eppley, I have had upper jaw advancement surgery, and surgeon did not do alar cinch. My nose has remained the same apart from horribly flared nostrils. They flare outwards and upwards so that frontways on – my nostrils are higher either side than the tip, and they look open from the sides. I […]

Q: Dr. Eppley, I have an overbite that I’ve been told (by a couple of orthodontists) can only be fixed with jaw surgery.  And due to the overbite I have a pretty recessed chin and my nose appears bigger. However, jaw surgery is a major surgery and I don’t have the type of support system […]

Q: Dr. Eppley, I do have a few questions.  The first are related to the temples: a.) If Dr. Eppley were to use filler this time around, would that show me pretty much exactly what an implant would look like? b.)  What is the price differential? c.) If I went with the implants, would open […]

Q: Dr. Eppley, Is it normal for gluteal implants placed intramuscularly to flip? And is that something that will become less common with larger implants? If not can anything be done to ensure it doesn’t happen? A: Buttock implants placed in the intramuscular pocket have a much tighter compression against the implant and often have […]

Q: Dr. Eppley, I was wondering how close you could get me to looking like this guy. (link attached) I’ll attach some photos of myself and explain what I’d want to change to try and match the male model look.  I want to know about forehead implants and how to go about getting my forehead to […]

Q: Dr. Eppley, I would like to have four to six ribs removed. I am also planning on extra large breast tissue expanders to reach a goal of 5000cc to 6000cc in each breast. Given that would it be safe to remove four ti six 4-6 floating ribs if I have 6000cc saline in my […]

Q: Dr. Eppley, several years ago I had a buccal lipectomy. I never liked the result and am searching for a “reversal”. In your blog I have read about the possibility to place a dermal fat graft in the buccal space. This is my preferred option since a dermal fat graft creates more assured volume than […]

Q: Dr. Eppley, I am interested in hairline lowering. Would I need scalp expansion to do so? I can’t tell how loose my scalp is and whether it can move a lot or not. It seems sort of flexible but I am not sure how much looseness is needed. A: Whether your frontal hairline can […]

Q: Dr. Eppley, I would like to ask you about how to decide the correct size for jaw angle implants. For reference my bigonial width is 9.8cm without soft tissues and 11cm counting them, my bizygomatic width is 13.6cm. Thanks for the help and greetings. A: The reality is there is no exact science as […]

Q: Dr. Eppley, I have been suffering with rib pain for over 2 years now. I can’t walk or do activities without burning pain in my left side. I believe the worst are ribs 11 and 12, possibly 10. I saw that you’ve done surgery for the bottom ribs hitting the iliac crest. I am […]

Q: Dr. Eppley, I have two large dents (step-offs) and a large bony bulge (on left jawline) that resulted from a bad sliding genioplasty done in 2009. I just want my straight jawline back but concerns over someone not experienced in bone work, particularly in what I’ve been told is a complicated repair, have resulted […]

Q: Dr. Eppley, I was wondering if it was possible to widen or enlarge my head, it is small. That along with a jawline augmentation. Is it possible to do simultaneously. How much would that cost?  Also are there any long term side effects of placing implant on the skull? Such as headaches, or increased […]

Q: Dr. Eppley, I am interested in ear reduction surgery. As you can see from the photo, I already had this surgery done but I would like to achieve better results.  1. Could you please tell me what would be the total price of the surgery (incl. medication, preparation etc.)  2. Will you be using […]

Q: Dr. Eppley, I was wondering what I could do to get a defined, sharper chin that projects downward more. I would like a more heart/diamond shaped face.  I am content with my jaw definition/angles, but I want to project the chin and make it sharper like the model’s.  I don’t think i would need […]

Q: Dr. Eppley, I have been following for website for years now. I think you are the right person that I should go to. I am looking for forehead implant, more masculine forehead, more brow bone projection, less backward vertical slope of forehead, more typical handsome male model forehead and more deep set eyes. I […]

Q: Dr. Eppley, I am very interested in hip implants and rib removal/rib resection surgery for a smaller waist and longer torso done by you. A few questions regarding rib removal surgery.  1. Can one reproduce after such surgery?  2. What are the most common risks/long term side effects associated with such surgery?  3. Can […]

Q: Dr. Eppley, I am still contemplating getting fillers for jawline augmentation. it has been awhile since I contacted you. Is there any new filler that is a injectable solid or implant so I don’t have to worry about migration or accidentally injecting into an artery since it would stay one piece. I read somewhere […]