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Q: Dr. Eppley, I wanted to ask you about my smile. I show very little or not enough upper teeth when I smile or talk. You recommended a smile lip reduction. My question is, is it lifetime after surgery? How long is the downtime? Whats the exact procedure called? Thank you and God bless. A: […]

Q: Dr. Eppley, I been looking into your chin reduction procedure and I am a big fan of your work. Here are some pictures of my chin from the front and side view. My chin bone specifically doesn’t need a reduction. I would say I would need a submental soft tissue chin reduction procedure since […]

Q: Dr. Eppley, good day I wanted to ask if the lower third can be lengthened in a narrow face with a small lower third total height (6.5cm) and if yes by how much. Also can the mandibular region also be supported by an implant for a better result? And are you familiar with procedures […]

Q: Dr. Eppley, Following jaw surgery five years ago which corrected an anterior open bite and opened my airway to resolve sleep apnea, I am left with some aesthetic issues, including a deep labiomental crease, slight lip asymmetry, and lip incompetence (see photo).  Is it possible to get an idea of the all-in cost for […]

Q: Dr. Eppley, I had my appointment with my ENT today (virtual consult).  He said it seems like a nasal valve collapse.  I have to go in physically once the covid-19 lockdown ends.  He said there’s an option to have an implant called Lateral or I would need another rhinoplasty to fix it.  Is this […]

Q: Dr. Eppley, Hi! I just had a quick question. I have a slight maxilla prognathism. As a teen, I had braces that basically moved my upper teeth back in the maxilla, but the excess “bony-ness” remained between the base of nose and top of teeth. Basically, it creates a “monkey mouth” effect. Anyways, my […]

Q: Dr. Eppley, All right, doctor, congratulations on honesty. In fact, I thought I had a double chin and I needed liposuction under my chin, but now I understand, thanks to you , what I really need. Forgive me, if I may seem inconvenient with questions, but I am trying to figure out what to do […]

Q: Dr. Eppley: Hi, I am interested in getting a wraparound jaw implant (chin/jaw). I am interested in widening my jaw angles and having a stronger lower half of my face. The first photo attached is of my chin/jaw, and the other photos after are of what I hope to achieve. Please let me know […]

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 […]