Blog

Q: Dr. Eppley, I am a middle-aged male who is generally happy but the expression on my face gives a different impression. My eyebrows are very low and they slope downward in the middle to the nose. There is a very deep crease across the nose where my brows hangs down. I know I need […]

Q: Dr. Eppley, I had zygoma reduction surgery over 1 year ago in Korea. The method was L osteotomy cut with posterior bone cut, and then push the bone forward with screws. This was all done through intraoral incision method because I did not want scars on the face. Unfortunately, there has been signs of […]

Q: Dr. Eppley, I have heard that you are very famous for your knowledge of face bone surgery from my friends in China. I would like to ask you some questions. I posted my question on Real Self and a Chinese version of Real Self but got no response. I got cheekbone reduction surgery in […]

Q: Dr. Eppley, I’ve recently (one month ago) undergone a horizontal chin reduction in my home country. I’m not sure what the technique is called exactly, but my surgeon cut my chin bone into a T sort of shape and removed a middle piece of bone via an intraoral incision. The horizontal length of the […]

Q: Dr. Eppley, I have some questions about the custom wrap around jawline implant. 1/ What is the maximum horizontal projection (in mm) that (wraparound) custom jaw implants of ‘mimicking BSSO’? 2/ What other procedures or implants are necessary to mimic BSSO? (other than custom jaw implants, custom midface implants, genioplasty) 3/ What is the […]

Q: Dr. Eppley, I am interested in a corner of mouth lift. I have tissue hanging over my mouth corners that makes a deep marionette line. What can be done to correct it?  Have a attached an unflattering picture for your assessment. A: Thank you for sending your picture. If you look closely what you […]

Q: Dr. Eppley,  I was involved in a car accident a while ago that required my chee bone to be repaired. The surgeon that operated on me performed the surgery was a plastic surgeon, rather than a craniofacial or maxillofacial surgeon. My cheekbone fracture was secured together with plates and screws and was performed entirely […]

Q: Dr. Eppley, ; I am a young male patient. I contacted you about a month ago asking questions about lip advancements. I just wanted to elaborate further.  I feel like my lips are a difficult case. Like I said previously, my lips are quite full already and I have 5mm Permalip implants in the […]

Q: Dr. Eppley, I am interested in a secondary rhinoplasty surgery.  I was just reaching out in regards to a prior septorhinoplasty surgery I had done. I am now one year post op and am not happy with the changes hang have been done to my nose shape. The changes that were done made my […]

Q: Dr. Eppley, My three year old son has a high cephalic index around 88/90%. We are interested in early skull reshaping surgery and would like to have some volume added to the back to make it more like 83/85%. Hoping this could be done with 15mm or less. He also has some bossing over […]

Q: Dr. Eppley, I have some facial implant questions regarding silicone implants. It seems as if some “experts” on different forums believe that jaw iimplants and cheek implants with silicone are inferior to harder materials such as Medpor or PEEK due to the fact that silicone is softer and thus when subjected to pressures from […]

Q: Dr. Eppley, I have an ear reshaping question about the procedure where the helical rim is folded in and it not being able to do be done at the same time as scapha reduction.  Is that the case even if the scapha reduction doesn’t include an incision on the helix? I’ve attached an example to help […]

Q: Dr. Eppley, I am interested in lip reshaping surgery. My main goals are to increase vermillion height and make my lips look larger and rounder (the shape of the lips in the pictures). I also would like to have a less prominent cupid’s bow to make the lips look rounder (like the pictures).  My […]

Q: Dr. Eppley, I’m one month post operation from a jaw/mandible reduction and horizontal chin reduction surgery using the T-osteotomy method. I have some chin reduction concerns. I’m loving the angle of my jawline but I’m very worried because it’s been 4 weeks and my chin looks very very pointy. My surgeon seems to have […]

Q: Dr. Eppley, I messaged you about my jaw and cheekbone reduction enquiries not too long ago. I’m still early in the cheekbone reduction recovery stage but I was wondering about something else. My doctor said it is good to practice opening my mouth as wide as I can after surgery. It’s barely been the […]

Q: Dr. Eppley, I have looked at the first draft of my custom jawline implant design. I would like the jaw angles to drop down further. According to my measurements I need about 31mms downward. What do you think? A: Thank you for your input on the custom jawline implant design. The only tricky part […]

Q: Dr. Eppley, I was told a cheek implant is necessary to elevate the lower eye lids to shape it more lateral to create this look. I am not sure how this makes any sense. While some also suggest that throwing in there a mid face lift can push the eyes as well to give […]

Q: Dr. Eppley, I am looking for solutions to improve my paranasal area. I have quite chubby cheeks for my age and with my paranasal area slightly sunken in, it gives the illusion or shadows of nasolabial folds, thus making me look quite older. Where I live, fillers are quite expensive compared to that of […]

Q: Dr. Eppley, I am very appreciative of your insight, it is amazing to even get a glimpse into your wealth of knowledge of facial surgery. Is there any particular reason why the potential negative effects of cheekbone reduction only become evident after 3-6 months? No medical education here, but why wouldn’t the sagging not […]

Q: Dr. Eppley, I am interested in hip and thigh implants. I have the following questions: My one hip is a bit flat, would it be possible to have a small hip implant on one side as well and a larger hip implant on the side that needs more volume? Do you see any issues […]

Q: Dr. Eppley, I am interested in rib removal for body contouring purposes. I have the following rib removal questions: 1. Estimated cost for the surgery 2. Recovery period after surgery, especially if flying in for the procedure 3. Whether fat removed from flanks during procedure and can be transferred to the breasts Thanks in […]

Q: Dr. Eppley, I’m 31 years old and I’ve been overweight for most of my young adult life. I’ve spent the last three years trying to lose weight and I’ve managed to lose a whopping 110 lbs.  I am proud of myself for what I have achieved thus far, but a problem remains. As I […]

Q: Dr. Eppley, I am interested in your surgery expertise and I hope you can help me. 1. I had a “chin wing” osteotomy a couple of years ago. Can jaw implants be placed on top of this? And does it increase the likelihood of post-surgery complications? 2. I’m interested in custom midface implants, specifically […]

Q: Dr. Eppley, Late last year I underwent cheekbone surgery on the left side of my face to correct some asymmetry. I wasn’t aware that this type of surgery was offered in America, so I had this surgery in Thailand. From my understanding of the surgery, I had an L shaped wedge of 5mm taking […]

Q: Dr. Eppley, what is rib removal recovery like? I understand it is two to three weeks, but is that time spent in bed, or is it closer to recovery the first week, then taking it easy for two more weeks or something different? i work at a job that is not too stressful physically, […]

Q: Dr. Eppley, From your blog, I’ve read that weak cheekbones can contribute to midface aging. Does this mean that with zygoma reduction, there could be potentially adverse side effects in the future, even if the surgery was a deemed “a success” say a year after the surgery? Would taking out a wedge of bone […]

Q: Dr. Eppley, I have interested in some combination of cheek and jaw implants. Although I’m not yet 100% certain which procedures I’d like to have done, I have a few brief questions regarding these surgeries. 1) For jaw implants, do you think it is necessary to have custom implants created if a male patient […]

Q: Dr. Eppley, I am a 37 year old man who is extremely self conscious about the shape of my head. I’ve longed for a nicely rounded back head. Through my research I recently learned of your practice who performs surgical back of the head reshaping.  I typically where my hair rather short…prefer it to be […]

Q: Dr. Eppley, I am a young adult male who is three weeks post-op from jaw shaving and cheekbone reduction (front and back end osteotomies) surgeries in Korea. I understand that these surgeries take quite a while for the swelling to subside but I have a question I must ask. When I look in the […]

Q: Dr. Eppley, I would like to ask about facial implants for under the eyes, I believe they are known as custom infraorbital rim implants. I have inherited hollowed eyes and I would like to ask how well are the implants attached, if it moves while smiling and if you can feel it. Thank you […]