Blog

Q: Dr. Eppley, I was interested to read your comments regarding augmenting the skull area: ‘Kryptonite Bone Cement, can be injected through a very small incision (10mms) and shaped until set from the outside. ‘m (injectable cranioplasty) Would this procedure be suitable for expanding the cranium, beginning from above the forehead, top of the cranium […]

Q: Dr. Eppley, I’m interested in rib removal. I was wondering how much of the 11th and 12th ribs you remove during the procedure? Also, what is the risk of post-thoracotomy pain from the procedure? And what do you do with the intercostal nerves that run below the ribs when you do this procedure? Thanks […]

Q: Dr. Eppley, in Europe and Australia, PEEK has recently come into use as a facial implant material, particularly being advertised for its ability to be custom manufactured/shaped for the patient. One of the supposed benefits of this new material is that it is very similar in density and hardness to bone. However from reading […]

Q: Dr. Eppley, i had my chin implant revised last year as it had shifted after ten years. A surgeon repositioned the implant intraorally but i did not like the look. I subsequently had it removed a thereafter as it got infected as well. The surgeon who removed the implant saw fit to inject me […]

Q: Dr. Eppley, I’m trying to decide if I should get a BSSO mandible advancement surgery or jaw/chin implants for my overbite and weak jawline. It is very hard to decide and I am not sure what to do. A: Actually that jaw augmentation decision is much more straightforward than you think it is. First, […]

Q: Dr. Eppley, I appreciate the chin augmentation prediction imaging that you have sent me. I attached the image that I found more desirable. Doctor, if you could clear up some questions, I would hugely appreciate it. My questions are: 1 Is this chin augmentation result achievable? 2 Doctor, I really don’t want to make […]

Q: Dr. Eppley, Would it be possible to do the rhinoplasty to straighten asymmetry but keep some features of my nose? I would like to take down the small hump, but I honestly kind of like how the tip of my nose flicks upward. I know that is usually undesirable, but for some reason I’ve […]

Q: Dr. Eppley, I am interested in the skull reshaping procedure. My skull is pretty oddly shaped and I’m not sure what can be done. I have attached several pictures from various angles. I’m most interested in reducing the bump on the top of my head and correcting why my head looks odd from some […]

Q: Dr. Eppley, I am interested in a cleft septorhinoplasty or at least I think that is what it is called. These are all photos within the last year taken with my phone. So the right side of my face will appear on the left. I’m not to worried about the deviated septum. I was […]

Q: Dr. Eppley, I had two subdural hematomas removed five years ago and one hole to remove a bone flap was done on my temple and has left a indentation to my face shape. Is there a possibility of an implant being set there because of the injury. I am going to talk to my […]

Q: Dr. Eppley, what are some ways that you can bring deep set eyes forward? I have eyes that sink back more than normal giving the appearance of enophthalmos. I’ve read about orbital floor implants, injections to prop eyeball up and more forward to protrude. This is my biggest insecurity is that my eyes are […]

Q: Dr. Eppley, I would like to get a consult on a scar revision on my shoulder. I had a small keloid scar (about .5cm) on her left back shoulder that a dermatologist tried to remove with elliptical excision a couple years ago. Unfortunately the healing process was disrupted by a complication infection that was […]

Q: Dr. Eppley, I am interested in an umbilicoplasty procedure. My belly button has turned into an outie after my pregnancies and looks abnormal. Why does it look this way and what can be done about it? How does the umbilicoplasty procedure work? A: Thank you for sending your pictures. Your current umbilical shape is […]

Q: Dr. Eppley, I had to have the bottom half of my ear surgically removed as the result of cancer. Since radiation was tried but was unsuccessful, permanent replacement via a an ear bone attachment is not possible. I am interested in a permanent ear replacement using your technique of creating a mold, growing ear […]

Q: Dr. Eppley,I am writing to you to enquire as to the methods one could use to restore a chin after a failed chin reduction.I underwent a chin reduction surgery to correct the excessive vertical dimension of my chin. Supposedly a section of bone was removed from the center of my chin and the lower […]

Q: Dr. Eppley, I’ve been surfacing on internet for quite some time now to seek the corrective options I’ve got for my facial asymmetry. The problem with my face is that the left side of my face is bigge r(overgrown) than the right side and my chin and lower lip seems to be drawn to […]

Q: Dr. Eppley, I have had two mandible reductions and one full lower jaw sagittal split  jaw procedure. These were done within about 5 months of each other. It has been about 9 months after the sagittal split procedure and I still  have a problem with my lips.  I think the doctor burred too much and […]

Q: Dr. Eppley, I have some questions about standard temporal implants: How can a standard implant cover up the inner concave on the hollowing temple fully with perfect positive results? Won’t there be bulges, indents of pockets not covered by the standard implant?  By standard, do you mean a one size fits all? Is this […]

Q: Dr. Eppley, I am well from my brow bone reduction procedure. I am doing well. Again, overall pleased with the outcome of my procedure. I do hope I am not asking too many questions, but I am curious about something.  Is it possible to have the plates and screws removed from my forehead? If […]

Q: Dr. Eppley, I am interested in placing a chin implant on top of my sliding genioplasty.  Maybe if my sliding genioplasty cut was made further back and moved in slight angle higher to make it look more square from front (losing some vertical height maybe). It is what it is – But I still […]

Q: Dr. Eppley, I have interest in consulting regarding dermal fat drafting surgery . I have been researchimg for sooo long hoping to find something like this. I was diagnosed with linear scleroderma a few years ago and have noticed my top frontal area become more and more darker and indented. I am a 33 year […]

Q: Dr. Eppley, I have benign temporalis muscle hypertrophy on the sides of my forehead.  It adds width to my forehead which gives my forehead a kind of alien shape. I know it is the temporalis muscles as when I fully open my mouth I achieve a very desirable atrophy which diminishes the odd looking […]

Q: Dr. Eppley, I am interested in jawline reduction surgery and rhinoplasty for a facial feminization effect. I am a female but I look too masculine. Perhaps this is a bit silly, but my friend photoshopped my face to look much more oval. I’d like to go for a more oval jaw (if possible) and […]

Q: Dr. Eppley, I am interested in your suggestion as to whether micro fat injections might be able to break up Sculptra granulomas. I developed Sculptra bumps about 15 months after initial injections. My doctor has been injecting them with a mixture of Kenalog and 5 FU. They are improving slightly after 3 months of […]

Q: Dr. Eppley, I am interested in facial reshaping surgery. I want to remove my medium chin implant and get a sliding genioplasty. I want my chin to be a bit more squared. I also don’t want to sound like I am abnormal because I know I’m perfectly decent looking but I would also like some […]

Q: Dr. Eppley, I am interested in forehead reshaping. I have mild to moderate metopic synostosis that was uncorrected as a baby. Because of this, the metopic ridge is prominent, starting about halfway down my forehead up to about 2″ behind my hairline. My entire forehead has the pointed appearance seen in trigonocephaly.  My question […]

Q: Dr. Eppley, I would like to get a lip lift but I also will get a rhinoplasty with a different surgeon I have already paid to do. My question is should I get the lip lift first and then rhinoplasty or the opposite way?i don’t want to get them together. The surgeon will reduce […]

Q: Dr. Eppley, I have a question about temporal artery ligation. Is the procedure you undertake similar to a traditional temporal artery biopsy?  I wasn’t sure if a biopsy results in the artery being completely tied off, or if it is somehow reconnected after the sample section is removed.  Just curious if there are any similarities […]

Q: Dr. Eppley, I am attaching some photos for assessment for perioral mound liposuction The area I am concerned with is particularly visible in a 3/4 facial profile, but it also shows up in straight-on shots as weird shadowing around and below the corners of my mouth. Ideally, I would like this area to flatten, so […]

Q: Dr. Eppley, I am interested in chin implant removal.  I had a chin implant placed three years ago.I feel that it looks too rounded and full when I smile especially since my teeth do not show when I smile. It looks out of proportion. The Doctor who did it is fantastic and I really […]