Blog
Reduction of Overdone Maxillary Advancement
December 29, 2018Q: Dr. Eppley, I have recently underwent double jaw advancement surgery. However my surgery is somewhat overdone and now im left with an extremely full lower third and some irregularities and deficiencies in my middle third. I read on your blog that its possible to get rid of this fullness through maxillary reshaping of the […]
Assessing and Treating Torticollis and Facial Asymmetry
December 29, 2018Q: Dr. Eppley, The untreated torticollis has left me with a head tilt as I mentioned before, but when I force my head to the right I can line up my eyes and my ears. I would like to model the surgery around my head in this position, not the tilted one, if that makes […]
Reducing Midfacal Length With Lip and Corner of Mouth Lift?
December 29, 2018Q: Dr. Eppley, My midface (pupil to lip corner) is a bit too long for my liking. (aka long midface) I know that shortening the nose could help, but I am wondering if a lip and mouth corner lift could have a significant affect in shortening the midface? Could the mouth corners perhaps be lifted […]
Material for Custom Wraparound Jaw and Cheek Implants
December 29, 2018Q: Dr. Eppley, I am just recovering from my rhinoplasty and am very happy with the results so I am starting to plan and save for my wraparound jaw implants and cheek implants with you. I apologize if I have asked this before, but which material will you be using for the implant and what is […]
Jaw Restoration after Cortical Jaw Reduction
December 24, 2018Q: Dr. Eppley, I had cortical jaw reduction done in Asia and unhappy with the results. Do you do custom jaw implants? if so,would Peek or titanium mandible angle implants be better? Thank you. A: I have done hundreds of custom jaw implants out of every available material. Whether the more expensive options of PEEK […]
Head Asymmetry Correction
December 24, 2018Q: Dr. Eppley, I would like to ask if my head asymmetry where one side of my head is bigger than the other or it looks like it is leaning to one side, would be fixable by any of your surgeries? I am guessing one side should be reduced and the other augmented? If you […]
Paranasal Augmentation with Hydroxyapatite Cement
December 24, 2018Q: Dr. Eppley, I am writing you based on a post I saw on realself where Dr. Eppley discussed options for paranasal augmentation with a patient. I am a 32 year old female with some sinking in the midface area and prominent nasolabial folds for my age. I saw a maxillofacial surgeon to discuss correction […]
Temporal MIdface Lift Recovery
December 24, 2018Q: Dr. Eppley, I’m 5 months post operation from a temporal midface lift. I had some questions about my recovery as my own surgeon is not being very helpful in answering my enquiries. On one half of my face, I seem to be having some issues with nerve recovery. My motor function is all intact […]
Temporal Muscle Removal for Head Widening Reduction
December 24, 2018Q: Dr. Eppley, I hope this email finds you well. Its been a while since I was last in touch as I was busy at work and trying to save for the procedure. I have a few questions if you would be so kind to answer when you have a few minutes to spare from […]
Custom Facial Implants vs. Osteotomies
December 23, 2018Q: Dr. Eppley, Recently I have been researching German maxillofacial surgeon Hermann Sailer’s theories about forward growth being a prime indicator of attraction. My questions along that line are: 1. You have written an article in which you discussed the “male model” face being one comprised of angularity and defined features, which can be achieved […]
Chin Implant Asymmetry and Revisional Surgery
December 23, 2018Q: Dr. Eppley, Last year I had a chin augmentation. It has come to my attention the implant sits crooked/asymmetric. My chin was asymmetric to begin with but I was assured it would not be an issue. Judging by the photo, do you think it’s reasonable to ask for a revision? What surgical methods are available to […]
Root Canal after Jaw Angle Implants
December 23, 2018Q: Dr. Eppley, I had jaw angle implants placed six months ago. Over past few years, I’ve had intermittent sensitivity in bottom left rear molar. About 3 months ago, finally went to see a more experienced dentist who was able to identify a ‘hairline’ crack in the tooth. As luck would have it, the problem […]
Long Midface Treatment Options
December 23, 2018Q: Dr. Eppley, I am someone who has an extremely long midface (long nose length) distance between the eyebrow and bottom of the nose, which makes my face extremely long and thin looking. I also have a severely recessed chin (about 11 mm deficient) I have been looking up procedures to give more horizontal projection […]
Cheek Implant Replacements
December 23, 2018Q: Dr. Eppley, I am interested in cheek implant replacements. My current cheek implants are a medium combination submalar and malar midface implant. It’s opaque, blue and a rubbery material. The side that is placed on the bone has small tentacle like projections. I’m not sure if it caused by improper placement, sizing, implant shape […]
Plate Removal and Secondary Sliding Genioplasty Advancement
December 23, 2018Q: Dr. Eppley, One year ago I had a sliding genioplasty (along with LeFort 1) that horizontally advanced my chin 6mm. Although the projection of my chin improved, I was still unsatisfied by it, so on Friday, I was scheduled to have another 6mm genioplasty (for more horizontal advancement), as well as wisdom teeth extracted. […]
Secondary Jaw Angle Implant Overlays
December 23, 2018Q: Dr. Eppley, I recently got Medpor jaw angle implants (1 month ago) 7.5 mm but already I wish I had went larger to the 1cm ones to have more flare. Would it be possible say in a year or so time to place a small custom silicone implant over the polyethylene implant without removal […]
Are Titanium Facial Implants a Viable Option?
December 23, 2018Q: Dr. Eppley, I am curious about custom titanium facial implants. Seeing a lot of fear mongering on the internet regarding bone re-absorption, infection, etc. Can you update me with the latest information on risk? How long do titanium implants last before complications are possible? Possibility of muscle or nerve damage, or large scarring? Is […]
Hydroxyapatite Granules for Facial Augmentation
December 22, 2018Q: Dr. Eppley, I’m emailing you regarding coral hydroxyapatite/Interpore. It is a porous, non-degradable granular mixture of hydroxyapatite from coral in the sea. It is perfect for facial augmentation, I believe. Do you use this material or happen to have any of it on the shelf? I don’t like the idea of a traditional implant […]
Jaw Angle Implant Replacements
December 22, 2018Q: Dr. Eppley, I had mandibular body implants, placed bilaterally without complication, around 20 years ago. The projection of my chin was also reduced at that same time. There were no screws, the mandibular body implants were the largest size available. At that time it was very uncommon to lower the mandibular jaw angle , so […]
Botox vs Surgical Removal of Posterior Temporal Muscle
December 22, 2018Q: Dr. Eppley, I am a 22-year old male. My temporalis muscles bulge at the sides which makes me look like an alien. Because of the my protruding posterior temporalis, my hat size is 58cm, and even that feels a little tight. I heard that you’re one of the few surgeons that can surgically excise […]
Making One Taller with a Skull Implant
December 2, 2018Q: Dr. Eppley, I just would like to know if you can help me with a procedure. So, I would like to have a silicone implant in my head to grow 2.5 cm for my job and my career. My career requires me to have at least 166, but my size is a 163.5 . […]
Can the MIdface be Shortened?
December 2, 2018Q: Dr. Eppley, I have a very long face, it’s actually long through out and while i am looking into hairline lowering/hair transplant , and have already had a chin reduction , the mid face and the part of the lower face that is between the lips and the nose appear to be harder to […]
Anterior Temporal Muscle Reduction
December 1, 2018Q: Dr. Eppley, I’ve had decent results from Botox to correct temporal hypertrophy, but the results are always temporary unfortunately, so I’m looking for something more permanent. I have a few questions please .. .1) I think the muscle is thickened in both anterior and posterior aspects, but I think in my case its more […]
Dynamic Chin Pad Ptosis after Sliding Genioplasty Setback
December 1, 2018Q: Dr. Eppley, I am searching for a doctor well experienced in sliding genioplasty revision. I had a sliding genioplasty reduction 6 months ago as I wanted to reduce the protrusion of my chin when I smiled. I am happy w the results, the problem is the dynamic ptosis my chin manifests every time I […]
Facial Implant Imaging on CT scans
November 30, 2018Q: Dr. Eppley, I have been following a lot of your work and you seem to know a lot about computer imaging. I think I will have to go with you for my next procedure because my current doctor doesn’t seem as informed as you. I had off the shelf cheek implants inserted by a […]
External Approach to Jaw Angle Implants
November 30, 2018Q: Dr. Eppley, I have been thinking about getting custom made jaw implants to compliment my cheek implants, but the ONLY thing that scares me is an infection. I am terrified of infections, which is why I had the cheek implants inserted through the eye lid. Which brings me to this series of questions: 1. […]
Custom Jawline Implant and Neck Contouring
November 26, 2018Q: Dr. Eppley, I’ve been carefully considering everything and I think I am going to put off getting calf augmentation and custom infraorbital-malar implants until future procedures, if I choose to do so. I am still interested in the following: -Custom Jawline -Buccal Lipectomies with Perioral Mound Liposuction: Bilateral -Septorhinoplasty -Fat Grafting to: Labiomental Fold […]
Custom Wraparound Jawline Implant Design and Cost Questions
November 26, 2018Q: Dr. Eppley, I am an international patient and am interested in a custom wraparound jaw implant. I have a few questions: 1. As I am an international patient, will it be possible for Dr Eppley to design the implant just off the 3D ct scans or will i have to physically be present for […]
Facial Reshaping with Cheek Implants and Chin Lengthening
November 23, 2018Q: Dr. Eppley, I have really been mulling a facial reshaping procedure for some time. I am interested in getting a more heart shaped face. High, defined ogee curve – so delicate cheekbones and a V like chin. I am unclear on if I need to touch my chin at all. I am also unclear […]
Custom Infraorbital Cheek Implants and the Lower Eyelid Incision
November 23, 2018Q: Dr Eppley, I am interested in custom infraorbital cheek implants. However, I have scleral show and don’t want to run the risk of amplifying it through insertion via the eyelid. Could the custom implant be inserted though the mouth? Thanks. A: The intraoral route for custom infraorbital-malar implants can be used IF the implant […]