Blog

Q: Dr. Eppley, I was wondering if there was any type of surgical procedure that would directly involve changing the shape of the pelvis, not through fat transfers or implants, but with a modification of the bone itself. Specifically of the iliac crest, to give a male pelvis less height and more width if that […]

Q: Dr. Eppley, I have questions about rib removal surgery. I’m a MtF transgender and have a very hard time narrowing my waist. This gives (in my opinion) a very masculine appearance to my body. I was wondering how much a rib removal is, how dramatic you think it can be in a transgender patient, […]

Q: Dr. Eppley, I am interested in information on a chin implant. I have currently have a chin implant However I’m not quite satisfied with the results.  I’m not sure of what kind of implant I have however I can get that information. I feel that my chin appears very “chubby” and I was expecting more […]

Q: Dr. Eppley, do you also do Scapula widening surgery? Or even ribcage widening surgery? A: Scapular widening surgery is not a procedure I have ever heard of nor could I envision from a bone perspective how any such procedure would be done in an aesthetic manner. While I have never done it or heard […]

Q: Dr. Eppley, My short midface questions are: 1. I feel that that my horizontal proportions of my face is a weak point. Hence I feel that my mid face between the subnasal area and the glabella region is too short. Hence I was wondering if there was any way of lengthening the mid face […]

Q: Dr. Eppley, I am a 26 year old male and realized in early high school something was wrong with my face when I first took a picture of myself. I always thought I was good looking when I looked in the mirror but when I saw what I truly looked like to everyone else […]

Q: Dr. Eppley, I was hoping to get more information about the rib removal/modification surgery.  My waist is currently at 27” and I would absolutely love to get it down to 23”. Is that a possibility? How many of these surgeries did Dr. Eppley perform? Were there any cases that had complications arise? If yes, […]

Q: 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 […]

Q: 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 […]

Q: 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 […]

Q: 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 […]

Q: 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 […]

Q: 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 […]

Q: 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 […]

Q: 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 […]

Q: 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 […]

Q: 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 […]

Q: 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 […]

Q: 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 […]

Q: 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 […]

Q: 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 […]

Q: 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. […]

Q: 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 […]

Q: 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 […]

Q: 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 […]

Q: 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 […]

Q: 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 […]

Q: 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 . […]

Q: 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 […]

Q: 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 […]