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Q: Dr. Eppley, I have been following you for quite a long time and am impressed by the exhaustive list of procedures you are capable of performing well. I am a 25 year old male who is interested in increasing all three of the bony dimensions of my face for a more masculine and attractive […]

Q: Dr. Eppley, I’m not familiar with the mucosal smile line lift. Is it necessary to do both a subnasal lip lift or can you just do the mucosal smile line lift only?  This would be the goal in picture form.  A: The smile line lift procedure is really an upper lip reduction where the […]

Q: Dr. Eppley, I am asking to you about a procedure that you probably do not get asked about. So basically there is a plastic surgeon who advertises “shoulder widening” using the patients own bone. The technique is described as making an osteotomy in the bone and inserting a permanent titanium plate to stabilize the […]

Q: Dr. Eppley, I am a 42 year old male with very strong master muscles (on the right side of my face) that gives it an asymmetrical look.  I have tried talking to several renowned plastic surgeons, but I am told that  1. (I had a facelift in 2014) – since I am pretty skinny, […]

Q: Dr. Eppley, Thank you for your reply. I am interested in modifying my cheeks and chin. My cheekbones are very prominent and a bit too wide. One cheek (the one without the mole) is particularly big. I am looking to see if cheek reduction would be a way to correct the size and asymmetry. As […]

Q: Dr. Eppley, Thank you for the pictures and the consult on custom skull implants. I have 10 follow-up questions, if you don’t mind. 1. As you might be able to see in the pictures, the top of my head does not have a lot of volume either (relatively flat). In your professional opinion, do […]

Q: Dr. Eppley, I’m a 25 year old male and I’ve been following your blog for some time. I am interested in the ‘male model’ cheek implants that you have discussed a few times. As far as I am aware, this involves augmenting the zygomatic process of the temporal bone (the zygomatic arches) along with […]

Q: Dr. Eppley, I want to remove my jaw angle implants. I really don’t like the results, but I want to know if my skin its getting back to normal after this. Also what is going to happen with the pockets where the implants are? The doctor told me they are médium size silicone implants. […]

Q: Dr. Eppley, Three months ago I had a forehead reduction. The forehead reduction made a big difference. However, ideally, I wish my hairline would be just a centimeter lower and start exactly where my scar ends. Would you advise me to get the forehead reduction done again to lower it just that extra bit, or […]

Q: Dr. Eppley, Well I had some work done on my ear as a child (Microtia Reconstruction Revision) but I didn’t like the work done so I want to consult with another doctor to see if I can get better work done. A: Thank you for sending your ear pictures after your microtia reconstruction done […]

Q: Dr. Eppley, We had a Skype call a few days ago regarding forearm implants. You asked me to draw the part on my forearm where I would like it to be augmented. Please see the attachment and let me know what your opinion is. A: Thank you for sending your desired forearm implant location […]

Q: Dr. Eppley, I have a question about deltoid implants if you don’t mind. Basically I have been doing searches for the right type of deltoid implants to achieve my goals. I currently understand there is a limit to how much shoulder width can actually be achieved, I have looked at many deltoid implants from […]

Q: Dr. Eppley, I am a young female with a weak recessed chin which is worsened by a skeletal overbite (by 50%). Jaw surgery is too extreme for me so i was thinking of a genioplasty. My main concerns are further elongating my face. I already have an extremely long face and wish to not […]

Q: Dr. Eppley, I am interested in Facial Feminization surgery. I am 55 years old so I know that adds to the complexity to it. I have attached pictures for your review and recommendations. A: Thank you for sending your pictures. Your FFS surgery is more challenging to image/predict because you have a major facial […]

Q: Dr. Eppley, your internet page explains that back of head augmentation is possible by use of different kind of surgery. However, I have read a lot about different possibilities such as implants made from silicone or the use of Osteobond. I am struggling a bit by imaging what is best suitable for me and […]

Q: Dr. Eppley, We have discussed using an implant for my infraorbital-malar augmentation, but I was wondering if fat grafting could be an option as well. I think I would prefer the fat grafting, it seems less invasive and more natural. I attached some photos of my face. Also, I saw that fat grafting could […]

Q: Dr. Eppley, I’m considering getting implants, but I’m worried about both bone erosion and infection. When it comes to bone erosion, I’m worried about how much bone will actually erode and will I have to eventually replace my implant in a few years time? Also, I plan on having some teeth removed and replaced […]

Q: Dr. Eppley, I have never had any work done to the chin area although years ago I did have a submental incision at the crease where skin and tissue was removed and lipo done. Here are my concerns: 1) Chin Ptosis/witches chin is potentially causing:     a)  A deep submental crease causing an […]

Q: Dr. Eppley, I have some inquiries regarding skull reshaping. I have a problem with the top of my skull, to be more preicise, there is a big “bump” (I can send you pictures if you provide me with your e-mail adress). It’s approximately 1 inch high, 1.5 inches wide, and about 2.5 inches long. […]

Q: Dr. Eppley, I am seeking brow bone recontouring from a brow bone fracture that I had two years ago. This was never fixed and had left me with a big indent in my brow. Can this be fixed? A: Thank you for sending your pictures and the x-rays. What you originally had is a […]

Q: Dr. Eppley, I was wondering if I would be able to get an idea of what is able to be done about my face being completely asymmetrical. (facial asymmetry surgery) This is something that has bothered me my entire life and is only making me more self concious as I get older. I feel […]

Q: Dr. Eppley, Please help! I want to change my long face shape!  (facial reshaping surgery)I’ve always dreamt of having a shorter face….heart shaped or diamond shaped with higher cheek bones and a more defined jaw. I have a double chin! Also it looks like I’ve broken my nose?? I hate my nose it’s quite […]

Q: Dr. Eppley, I am interested in jaw surgery. I’ve had braces throughout high school. My orthodontist used spurs on the back of my top 4 teeth in order to stop my tongue thrusting. That was unsuccessful and he removed the braces. A year later I went to a different oral surgeon then the one […]

Q: Dr. Eppley, I would like to have some information regarding aesthetic shoulder augmentation with silicone implants. (deltoid implants) After a motorcycle accident when I was young, I broke my right collarbone and in the hospital the doctor decided not to operate the shoulder. As a consequence the bone of the clavicle is welded overlapping […]

Q: Dr. Eppley, I have a condition called costo-iliac impingement syndrome where my right 12th rib tip sticks into he right hip due to a laminectomy and spinal fusion I had in 1973. Over time some scoliosis and gravity have made my condition very painful. How much does a procedure like this cost? Do you […]

Q: Dr. Eppley, I’ve done some research on Facial Feminization Surgery and noticed your website. I am interested in getting some Facial Feminization surgery going forward. I’ve had plenty of surgeries done in the past. I’ve had 4 rhinoplasties with alarplasty and tiplasty, Jawline reduction with chin contouring, chin implant, cheek implant, brow bone reduction, […]

Q: Dr. Eppley, I am interested in pectoral implant revision surgery. I currently have pectoral` implants. These were custom made to my specifications. I had a larger implant made for more projection.I am fairly happy with them except they are too firm and they do not feel natural when massaged. I was wondering if there […]

Q: Dr. Eppley, Would gummy smile surgery consist of all four elements below? Or sometimes only some of them? 1.  V-Y procedure 2. Muscle release / levator muscle transection 3. Using a premaxillary implant after muscle release 4. Vestibular shortening. I understand (1), (2) and (3). However, I am not sure I understand (4) Vestibular shortening. What is […]

Q: Dr. Eppley, I hope this email finds you well. Next month will mark one year since I had my custom jawline implant augmentation surgery with you. To say I am happy with the results is an understatement. I think you did a fantastic job in selecting and placing the implants.  Here are recent pictures. […]

Q: Dr. Eppley, When an individual gets revision for sliding genioplasty, three to four months after initial procedure, and the same cut that was used in the initial procedure is traced and used again for the revision? is bone freshening a requirement?  Meaning do the end segments of the bone have to be “freshened” or […]