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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 […]

Q: Dr. Eppley, I have a question about my facelift and laser peel recovery. I am two weeks out from a facelift and full laser peel. I have some residual redness on one side of my face that has a clear demarcation from that of the neck. I wonder if I had been burnt during […]

Q: Dr. Eppley, I had an appointment with you about a month ago. I was quoted for breast implants and a lift. I was wondering if he could tell me what it would look like if I just did implants. Thank you for your time.  A: With breast sagging, where the nipples sits at or […]

Q: Dr. Eppley, I am getting closer to finalizing my plans regarding facial implant procedures (hopefully this summer/early fall, depending on school schedule), and I just wanted to ask you a brief question regarding treatment/augmentation goals. Ironically enough, the photo linked below is actually a morph of a person’s face, but in general, is it […]

Q: Dr. Eppley, here are some pictures of my current buttock implants. They do not extend to my thighs and I can lift them off my butt by just putting my fingers under the implants. What are your recommendations for my buttock implant revision? A: Thank you for sending your pictures. What you have are […]

Q: Dr. Eppley, I am seeking chin implant replacement surgery. I had a chin implant done in 1989 which I always thought was too small. Mentor is the model but the doctor did not write down the lot number so I do not know the material. After having a midface lift and rhinoplasty the doctor […]

Q: Dr. Eppley, My question is in relation to the jaw angle ligaments near the insertion site of jaw angle implants. I saw below that there is a sphenomandibular ligament and a stylomandibular ligament at the back of mandible. I was wondering what happens here since they are directly in the area of insertion/fixation? A: […]

Q: Dr. Eppley, I am 52 years old and am interested in a tummy tuck. However I am a kidney transplant patient which was done four years ago. I am taking Prograft, Cellcept and Prednisone. My general doctor and nephrologist have cleared me for the surgery.  A: Being a kidney transplant patient does not exclude […]

Q: Dr. Eppley, I am interested in jaw angle implant revision. I had Medpor RZ jaw angle implants placed around 1 year ago. They are size large. Overall I think they are a bit too big, and should be replaced with a size medium of the same material of silicone. What do you think? Do […]

Q: Dr. Eppley, I am in need of a jaw angle implant revision. I am 6 weeks post op from cheek and widening jaw angle implants. I am very pleased with the cheek implants – subtle changes. Now the asymmetry of my jaw angle implants is another matter.  Due to some inherent jaw asymmetry I […]

Q: Dr. Eppley, I am interested in the following surgeries: 1. High radix rhinoplasty My nasal bridge/nose-raix is high and little bit wide. The nasal bridge/nose radix is shallow, without an indentation. I want to make my nasal bridge narrow and located low as possible. I also would like my nasal bridge to have an […]

Q: Dr. Eppley, my ears are pointy. Can you reshape them and make them rounder? They don’t look as pointy from profile view and one ear looks sort of different from the other.   A: Thank you for sending your ear pictures. While your ears are pointy they are not a classic Stahl’s ear deformity as […]

Q: Dr. Eppley, I am interested in forehead asymmetry correction. My forehead on the right side is about 3 or 4mm flatter than the left side. My temporal hairlinesare different on each side making me look slightly plagiocephalic and I can spot this quickly in a mirror. “I think” this is due to sleeping on […]

Q: Dr. Eppley, I have brow bone protrusion.I would like my forehead to be flatter and this obvious dent disappears. Plus, my eyebrows are asymmetric. I have two surgical methods in my mind.  1) An eyebrow lift with subsequent filler 2) an eyebrow lift and forehead contouring In this case, however, it is out of […]

Q: Dr. Eppley, I had a subnasal  lip lift two months ago only to reduce the distance between the nose and the lip. I didn’t want a lot of skin taken off and I didn’t want larger size or Cupid bow lips. I’m left with a triangle shape upper lip and my mouth doesn’t close […]

Q: Dr. Eppley, I have two questions about temporal reduction surgery. 1. How long time does it take removing the posterior temporalis muscle? If you already have made an coronal incision and the only thing that is to be done is removing the muscle? 2. How is it with scar tissue after skull reduction? I […]

Q: Dr. Eppley, I had a jaw angle reduction along with chin implant surgery two weeks ago. My lower lip is crooked when I’m smiling or trying to pull down my lower lip. The muscle under left side seems to be stronger than the right side. I don’t know if it is the trauma to […]

Q: Dr. Eppley, I want to know the biggest risk of brow bone reduction. Is blindness a risk?And if you could tell me if osteotomies above the brow area have similar (small) risks as brow bone reduction. A: There is no risk of blindness with brow bone reduction. The osteotomies used in an osteoblastic bone […]

Q: Dr. Eppley, What type of implant is movable, shave-able, and low risk of infection? I am planning in getting a custom forehead implant, 12mms thick on top of my forehead. And also can a brow bone be shaved once the implant is placed? A: Custom made silicone forehead and other skull implants have proven […]

Q: Dr. Eppley, I am a 25 year old male interested in jaw augmentation surgery, and from reading your very informative blog posts I believe what would best suit me is a custom jaw implant. In broadly qualitative terms, what I want to achieve is an overall squaring of my jaw, an improved definition of […]

Q: Dr. Eppley, I am considering cheekbone reduction reversal. In your expert opinion, would it be risky for me to try and attempt to flip the cheekbones back out after cheekbone reduction? Would flipping it back in place close the gap as well? A: Based on your 3D CT scans to move the anterior end […]

Q: Dr. Eppley, I am starting to prepare for the custom infraorbital rim-midface implant.This is because even tho the result is okay the off shelf orbital rim implant makes the two sides of my face a bit assymmetric and its not fixed with screws either, which I believe it should. I would like to ask […]