Blog

Q: Dr. Eppley, I appreciate that Dr Eppley responded to my RealSelf post and understand that a submentoplasty would be the best option. From some of the research that I’ve done, I worry that because of the location of my hyoid bone, the operation would not be that beneficial to me. I had a genioplasty a […]

Q: Dr. Eppley, I am interested in some ways to possibly enhance my cheekbones/zygomatic arch due to them been really flat. I am interested in which options I’d have, custom implants or some kind of fillers?  Also if you can recommend any other procedures for any other parts of the face I’d be open to […]

Q: Dr. Eppley, Hello sir,I wanted to know whether you can change shape of my forehead?? I want a wider forehand!…Basically I want an oval face ! I have an oblong one now!!….My facial bones are wider than my forehead and it looks quite uneven… I want evenness to my face?? Is that possible? If yes […]

Q: Dr. Eppley, I hope you both and everyone else in the clinic are okay. When the coast is clear from coronavirus, I plan to come in soon for a procedure. I have a few more questions because I’m still undecided about the cheek implants  but am leaning in that direction. 1) How long are […]

Q: Dr. Eppley, Hello, I just saw your post on revising a scalp scar using running w plasty. I have a scar from a hair transplant that runs across the back of my head. It’s mostly thin and straight. The left side of the scar particularly bothers me because I feel it is more indented. […]

Q: Dr. Eppley, May I ask about the ear when plagiocephaly is present. Is it possible to move the ear even a little bit? If the bone behind the ear will be reduced? A: The answer is no asthe ear is fixed by the external auditory canal so no anteroposterior movement is possible. The protrusion […]

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 […]