Blog

Q: Dr. Eppley, I’m interested in having facial implants surgery. As you can see from my photos, I have flat cheeks and hollow nasal base. I actually had paranasal implant surgery two years ago but I realized the thickness of the implant is not enough. (5mm) Before I read your articles, I was only considering […]

Q: Dr. Eppley, Overall, I am looking for sharp angular model-like features. As in the custom jawline implant design:  1) Is the chin square?  2) I am unsure of the exact terms to describe the features I am looking for, but I would like the resultant jaw to be square, sharp, and chiseled.  3) I […]

Q: Dr. Eppley,  I have some questions regarding facial slimming with buccal lipectomies and perioral liposuction. I’m interested in doing the procedures and I’m wondering if you think that you could help me with this. To give you the full background: I’ve previously had some treatments done in my face in order to shape it in a […]

Q: Dr. Eppley, I am interested I knowing more about the iliac crest reduction procedure. What is the healing process like for an iliac crest reduction? What are some of the potential risks? What does pricing look like?  A: In answer to your questions about iliac crest reduction: 1) The maximum width of the iliac crest is […]

Q: Dr. Eppley, How much would an orbital box osteotomy cost for eyes that are too close together performed at your clinic? I am extremely motivated to have one, because my face is dramatically disharmonic due to this defect: my interpupillary distance is only 5.9 cm, my intercanthal distance is shorter than an eye breath […]

Q: Dr. Eppley, I was told that implants can be added to the scapula to assist in shoulder broadening. I am curious about the mechanics of this. Is the implant placed under the cartilage at the shoulder joint, meaning that the humerus will attach farther out from the body, or is it merely placed at […]

Q: Dr. Eppley, I had otoplasty surgery done as well as an earlobe reduction a few years ago and then returned a few months later to have a revision done on the pinning of my ears. I can see a difference, but slowly the tops of my ears have gone back and continued to stick […]

Q: Dr. Eppley, I recently made a post on Real Self, about the possibility of reduction of the iliac crest. You response was very helpful, and you said focusing on the augmentation of the hip was probably a better idea. I am still curious if reducing the iliac crest is possible? I want talk more […]

Q: Dr. Eppley, If the clavicle is lengthened by an inch on each side, does that translate into two additional inches of broadness in the shoulders, or is the actual gain in width reduced somewhat by the slightly inward pointing, S-shape of most people’s clavicles? Related question. Can this procedure be used to create straighter […]

Q: Dr. Eppley, How much does back of head surgery cost? I also have indentations on the side of my head. Not sure what caused it, but I suspect some kind of bone loss and it really bothers me. the back part more than the sides. Do you use OsteoBone? A: 1) If you want […]

Q: Dr. Eppley, How much time will the custom wrap implant take to settle (heal)?  How durable are the implants(what if some hits me hard or I fall down)?  A: In answer to your custom jawline implant questions:  1) The setting or healing from a custom jawline implant involves multiple phases which to the patient […]

Q: Dr. Eppley: I understand that with this type of osteotomy, the shoulder broadening effect is capped at about two inches. Would undergoing this procedure now mean that I am unable to undergo any further broadening of the clavicle later in life as the technology progresses? As an extension to that, can the surgery be […]

Q: Dr. Eppley, I am strongly considering getting a custom jawline implant.  I have a few questions, the first is: will I be prescribed painkillers afterwards or is it possible to forego this? Also, how long would I need to be out of work after this procedure? Could I get any sort of doctor’s note […]

Q: Dr. Eppley, I am planning on skull reshaping surgery with reduction on my head in the future and am wondering is it possible to have both sagittal and temporal reduction and how much of a difference does it make on the head? Also do you have to shave your head for the procedure? Another […]

Q: Dr. Eppley, I’m interested in a custom forehead implant as my brow should look much better with a bit more projection. My forehead has to much backward slope and it is narrow. Perhaps I would also need custom temporal implants or fat grafts, but I’m not sure. My biggest concert is that it looks […]

Q: Dr. Eppley, Hello. Is it possible to completely augment the front of the face. Just front of the face like the complete maxilla. See attached example. So I need infraorbital and complete front of face down to and around the nose and nasolabial area. Can you do that? What material would you use? A: […]

Q: Dr. Eppley, One question related to deltoid fat injections: I see many articles online how fat should only be grafted to a deltoid within a certain triangular shape on the side dealt. Is this true?  -Or can be fat be injected anywhere intramuscularly into the deltoid muscle, including the front deltoid? -I believe the […]

Q: Dr. Eppley, I recently had a 10 year-old Medpor chin implant shaved yielding poor results. I need to replace it and am worried about complications. How long will I be visibly swollen? Wondering how long until I am presentable. How difficult/risky is a Medpor remove/replace? Failure is not an option due to my job. […]

Q: Dr. Eppley,  I had a sliding genioplasty last week. Recovery is going well and wanted to ask you a few questions: 1. Is jogging/running exercise okay? (Now 3 days post op) 2. Is it recommended to keep talking/smiling and basically retrain my lips? Some exercise for my lips. Or keep them stagnant while healing? […]

Q: Dr. Eppley, I noticed a post inquiring about testicular enlargement, but the reply just explained the difference between implant & enhancement. I was wondering if you perform this procedure. I’ve been on testosterone replacement therapy for a while and have experienced severe testicle atrophy. The only surgeon I’ve found so far is in Beverly […]

Q: Dr. Eppley, How much more difficult is a Medpor chin replacement vs a virgin implant? Should I be concerned that 90% of doctors seem to say it is impossible? Should I consider replacing it with silicone instead of Medpor? How long do I need to wait? If we replaced the exact implant, could we […]

Q: Dr. Eppley, Will I be normal after doing a skull reshaping surgery, and will it not affect my memory. Will skull reshapping restrict me from going to extreme weather conditions. How long does it takes for 100% recovery.  A: If I interpret your picture correctly your skull shape concern is the bump on the […]

Q: Dr. Eppley, I’ve undergone jaw angle implants one week ago and, as many patients, I am worried about the implants’ size. I’ve used the 10mm Terino’s lateral implants. This picture of myself is the pre-op front view m in order for you to know what I was like before and judge better.  I know […]

Q: Dr. Eppley, I am interested in silicone cheek implants (with screws) not only for appearance but also in the hopes that it will help my breathing obstruction on my right side of my nose which is alleviated by the skin stretching that would be enacted by the cheek implant (see last photo). I am […]

Q: Dr. Eppley, I’m interested in reducing scleral show and raising my lower eyelid, from what I’ve read from your articles the best solution is usually a combination of an infraorbital rim implant combined with a lateral canthopexy. I’ve included some pictures to show if you think this would address these issues. A:You have correctly […]

Q: Dr. Eppley, I am 21 years old and I have noticed that I have a dent on my crown and its mostly on one side like it is missing bone. I noticed about two years ago when my mom was massaging my scalp. At that moment I was like I don’t care. But now […]

Q: Dr. Eppley, I recently had custom infraorbital-malar implants placed for significant malar hypoplasia. Unfortunately I was underwhelmed with the anterior projection the surgeon designed as it was a just 4.5mm at its point of maximum projection. highest.  In your professional opinion, what is the maximum anterior projection in mm for infraorbital-malar implants that would […]

Q: Dr. Eppley, I’m a man and have very prominent temple lines (superior temporal lines), I think they are called. It causes the arteries at the side of my head to constantly bulge which looks unsightly. Is it possible to flatten, or create a channel in, a small part of each temple line to relieve […]

Q: Dr. Eppley, The first picture is how I want my nose and the pictures below is my current nose. Is this rhinoplasty result possible? A: Such a result may or may not the completely possible. It is important to know that no matter what is done to the bone and cartilage support of the […]

Q: Dr. Eppley, Can custom orbital rim implants alter the shape of the eye? For example, making a rounder, droopier eye appear more sharp and narrow? A: Given that there is a near linear relationship between the shape and level of the infraorbital rim and that of the overlying lower eyelid, you are correct in […]