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Q: Dr. Eppley, I am interested in facial asymmetry surgery. Here is the list I came up with of the asymmetric facial features that bother me the most.. It is in order of which corrections I believe will minimize the asymmetry: • Cheek • Jawline/chin • Lip • Nostril • Eyelid I would like to […]

Q: Dr. Eppley, As a surgeon with experience in Asian cheekbone reduction/narrowing surgery, I hope you can advise me on the best path. It’s been around 6 months since my surgery. I have thick, acne-prone skin and I believe this combined with the surgical dissection has resulted in some slight cheek sagging. From a bony […]

Q: Dr. Eppley, I read a couple of your answers to questions about the mentalis muscle, and I was hoping you could help me. I had a chin implant place intra-orally a few years back.  A doctor on ReaSelf said that in all intra oral chin implants, the mentalis muscle attachment must be cut in […]

Q: Dr. Eppley, I’m currently doing braces for a year. I am sure you can’t do a genioplasty or customized jaw implant just yet. However is it possible to make a customized jaw implant that is designed to make a thicker and protruding mandible angle completely outward to create a sharp jaw line and a […]

Q: Dr. Eppley, Congratulation for your surgeries. I saw on your website the earlobe rotation by the fish tail technique. I did an otoplasty 15 years ago. I sent you an e-mail Months ago and you suggest me to do an earlobe reduction with an otoplasty revision. But I’m still afraid to do another complicated surgery […]

Q: Dr. Eppley, I am 21 years old and have always had long philtrum or at least just very minimal teeth show. I have no recession, my teeth are fine and my palate is wide. If I were to get the needed upper lip lift, it would kinda make the outer corners of my mouth […]

Q: Dr. Eppley, I have a abnormal chin … it’s long and wide I would love to completely shave it cause I hate my chin…. if I could have no chin it would have been better… that’s how much I hate it… I been bullied because of my chin and now I’m ready to do […]

Q: Dr. Eppley, I have thought long and hard about a skull implant revision and I’d like to go through with a revision on the left side. I tried my best to take pics that would show you exactly what I’m trying to describe… hopefully these will work.  You can see a gradual rise from […]

Q: Dr. Eppley, I am interested in getting surgery to correct my facial asymmetry and I am curious as to how much it would cost for me. My main concern is the lower part of my face. My jawline and chin is uneven. The right side on my face (left side for you) is noticeably […]

Q: Dr. Eppley, I am interested in custom facial implants of the jawline, infraorbital, and temporal Implants. My questions are: •Will the chin part of my custom wrap around implant be inserted beneath the chin using the same incision site that was used for my current chin implant? I have read that inserting chin implants […]

Q: Dr. Eppley, I had recently posted a question on Real Self regarding diced cartilage grafts and that there is growing evidence that source of the cartilage has an influence on the longevity of the graft. You had kindly answered my question stating that it makes a difference where it comes from (below link).  Could […]

Q: Dr. Eppley, I’ve attached a picture of my nose. This is how it looks every time I smile today – I get a distinct white spot at the tip of my nose. It’s extremely embarrassing in any social situation, because it looks so unnatural and weird. I’ve had three rhinoplasties already. The two first […]

Q: Dr. Eppley, Thank you very much for the effort that you have put in to illustrate the estimated outcome of the temporal reduction procedure in my son. I have had a conversation with a surgeon, and he said that narrowing the skull is not possible because it compresses the brain, and I really do hope that […]

Q: Dr. Eppley, I am interested in skull reshaping surgery. Please see the attached picture. I hope this provides an adequate image of my skull shape despite my current hair length (note my hair is very wet and patted down in these images). Please let me know if more shots from different angles would be […]

Q: Dr. Eppley, I am interested in a tracheostomy scar revision for my wide and depressed neck scar. , In regards to tracheostomy revision using dermal fat graft…I am considering having this operation done, as I have a tracheotomy scar that has a dramatic upward retraction when swallowing or talking. I just don’t want to […]

Q: Dr. Eppley, I am interested in mesh chin implant removal.  I had a mesh chin implant placed six months ago. It made my face look too long and I want it taken out. My doctor said he had a 50/50 chance of damaging a nerve or making my chin worse. Do you remove these […]

Q: Dr. Eppley, I am interested in cheekbone reconstruction. I suffered a self inflicted blunt trauma to my right cheekbone ten years ago. I pushed it in with my fist over several months until I felt it sink in then stopped immediately. Not the zygomatic arch but around the orbit of the eye. The bone […]

Q: Dr. Eppley, I am interested in male cheek augmentation. I had all but decided against cheek implants as they often look like this.  He looks much more feminine after. However I just happened upon this result of yours from earlier this year which is making me reconsider.  I would love to have a brief […]

Q: Dr. Eppley, I am interested in a skull implant. My head is very flat at the back. I would like to know what the advantages and disadvantages of using silicone vs. bone cements are. Particularly, how long they will last. I am 37 years old and hope to be around for many more years […]

Q: Dr. Eppley, I want to know more about surgery to correct facial asymmetry. The right side of my face is significantly higher than the left side. I’m from out of town so I can attach some pictures if that would help. A: Thank you for sending your pictures. What you have is a right […]

Q: Dr. Eppley, I am curious to know if being on immunosuppression is a reason that I can not have breast augmentation. I am on 5mg of prednisone, Imuran and Plavix daily. I am unhappy with my breasts and is interested in breast implants. Is this something that can be done, or not while on those […]

Q: Dr. Eppley, I had a jaw angle augmentation done with hydroxyapatite granules at the end of last year. While the outcome produced some improvement, I have a very short lower jaw and I am looking for anbetter solution to vertically lengthening my jaw angles. The question is in the case if I would like […]

Q: Dr. Eppley, I am transgender and would like to feminize my figure. (transgender body feminization) I have been putting on fat in preparation for a fat transfer to my butt and hips. I was worried having read on the internet that the fat can be lost over a period of a year and I […]

Q: Dr. Eppley, I am interested in knowing whether I can have an extreme jaw angle augmentation. I will be having surgery to both advance and widen my jaw very soon. However, my surgeon does not use implants. In the attached picture I have a before and (predicted) after for the advancement, but I also […]

Q: Dr. Eppley, I am happy to hear I am a candidate for a sliding genioplasty. I scheduled a consultation for next month to discuss more. Before then, I had two follow-up questions. I understand completely if this is too much for email and would need to be discussed during a consultation. I apologize if […]

Q: Dr. Eppley,I am a 32 year-old male and seem to be dealing with progressive hemifacial atrophy on the right side of my face. While signs of the disease first appeared seven year ago, I have seen more significant atrophy over the past 12-24 months. To this point, the disease seems to only be affecting […]

Q: Dr. Eppley, I contacted you a little while ago regarding chin implants, and you felt that I had a horizontal deficiency of around 10mm. My first question is whether larger implants like this carry any particular risks or pitfalls compared to the smaller ones. I was also wondering what kind of frontal view change […]

Q: Dr. Eppley, I am writing to you with a question about custom facial implants. Though I am a big fan of your work and admire what you have done for so many people, I am scared to travel out of the country for surgical work. I have found a reputable craniomaxillofacial surgeon in my […]

Q: Dr. Eppley, I am seeking your advice on my forehead protrusions. I believe I have two relatively small osteomas above each of my eyebrows and have become increasingly concerned about their appearance. I have looked into treatment for this to try and identify a rough sort of price that I would be paying but […]

Q: Dr. Eppley, I am a 25 year-old male and I have untreated plagiocephaly. I am interested in plagiocephaly correction.  The right side of my skull is pushed forward i.e my back right side of the skull is flat and I have bulge on my forehead and because of that my head looks wide on […]