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Q: Dr. Eppley,  Will a reduction sliding genioplasty make my chin pointier or wider from front view? And who benefits from the double sliding genioplasty? Is it twice as expensive as a normal one? Lastly, if I opted for chin widening, where does the bone graft come from? Thanks a lot. A: A sliding genioplasty […]

Q: Dr. Eppley, I am interested in skull reshaping for my son. He is 4 years old. I went to several doctors to exam his head, only to have them tell me his head was normal. I begged for the helmet when he was a baby and they said no he doesn’t need it. I’ve […]

Q: Dr. Eppley, Congratulations on your great blog first of all particularly on rhinoplasty topics. I have been bothered by the appearance of my nose for quite a long time and it’s the lateral view of it that bothers me the most. I’ve read both online and on your blog about the importance or the […]

Q: Dr. Eppley, I have an additional question about my stomach and tummy tuck surgery.  I don’t want a tummy tuck where I have a scar that goes around my hips. I was wondering if skin could just be pulled tighter towards the pelvic area so that the wrinkling and obvious bulge would look smoother. […]

Q: Dr. Eppley, I have had a bull horn lip lift. I think it makes my mouth a little bit “sad” as it only lifts in the middle and not the sides. My wish is to have a higher middle part to push down on the lower lip and make the middle line in the […]

Q: Dr. Eppley, I am interested in jaw augmentation surgery but I don’t know what type of procedures I need. I believe my face really suffers from a weak lower third and I need to reshape it somehow. Could you please advise me on what type of surgeries I should get? I have attached some […]

Q: Dr. Eppley, I have a very deep forehead line and am wondering what treatment options there are. I have attached pictures for you to see how deep this forehead lines is. Thanks in advance. A: You have a very deep glabellar furrow. While there are a variety of synthetic fillers, implants and Botox injections […]

Q: Dr. Eppley, I am interested in thigh scar revision. I had fat transfer done a year ago and the fat was harvested from my thighs. This means that I have two incisions along both sides of the pelvic area. The issue is, I was a couple of weeks late in removing the stitches, and […]

Q: Dr. Eppley, Do you think the vertical maxillary excess surgery would change my face a lot or would I still mostly look like me still? And is this something you practice? A: The answer to your critical questions can be summed up like this. You have a ‘modest’ vertical maxillary excess problem from which all […]

Q: Dr. Eppley, In regards to my custom facial implants (midface and jawline) I have soe design questions. 1) how much forwardness do you think my midface/premaxillary implant would need? 2) Would it look like the example photograph I sent you through Skype? 3) And how much vertical length would you think I’ll be getting […]

Q: Dr. Eppley, I wanted to share these pictures to check if they would match the custom midface implant design. His face shares similar orbital vector and eye shape to mine. These faces are projected directly below the eyes. I prefer the look where the projection is high in the midface and hollows in the […]

Q: Dr. Eppley, i have been concerned with my big forehead. I did a hair transplant six month ago but the problem is that I still have a large forehead. I now know that it is because my forehead bone is so prominent.(forward) I was wondering if you do forehead reduction surgery where the bone […]

Q: Dr. Eppley, I have moderate vertical maxillary excess which causes me to have a gummy smile when laughing, a long lower/mid face and slight lip incompetence that causes slight chin dimpling/strain when I close my mouth. My chin is also slightly recessed. I dislike my downwards angled jawline which I think is the cause […]

Q: Dr. Eppley, I have read through you pectoral implants case studies and wondering what your thoughts are on 230cc implants on a 60kg male with low body fat. I went and saw a surgeon for a consult today. However I am still confused as to which one is best for me. My surgeon did […]

Q: Dr. Eppley, Will inserting maxillary implants on the maxilla (the entire maxilla, including the bits around the nose and up to the under eye sockets) be an effective solution to get rid of mild nasolabial folds? My folds are very present at even the slightest facial expression and the smile lines stay for a […]

Q: Dr. Eppley, I had a fat transfer to my arms/wrists area twice in the past and the fat did not survive – the result was very good at first but after nearly 4 months the fat has gone away. My concern is my small wrists and arms but especially the wrists. I would like […]

Q: Dr. Eppley, So I don’t have a severe deformity, but the top of my head is basically flat. I have a big head but it’s very flat, it looks Cro-magnonish and it gives me a primitive look which I don’t like. Is there any option to add height to my skull? Just a few […]

Q: Dr. Eppley, I am a male and I’m interested in a lip lift procedure. I say this because I feel as if the distance between the base of my nose and my upper lip is too long for my face and throws my facial balance out or proportion. As you know, a lip lift […]

Q: Dr. Eppley, I have a strange aesthetic problem that has to do with my eyes, more specifically with my eyeballs. I feel that they’re too deep set into my skull and that makes them look tiny. The problem, however, is that not only I don’t have “heavy” or protruding brow bones but my whole […]

Q: Dr. Eppley, I’m about 5’4 and roughly 115-120 pounds maybe a tad heavier. I’m considering buttock implants. I’m 23 soon to be 24 so I didn’t know what the options were? Time of surgery? Healing process ? Risks ? I’m hoping to hear from you very soon! A: While I don’t know exactly what […]

Q: Dr. Eppley, Several years ago, I developed bulging temple veins and I had the superficial temporal artery ligation in my right temple with a single point ligation.I’ve had some potential complications and I’m looking for a second opinion. For the most part, the surgery was a success. The bulging vessel is gone and any […]

Q: Dr. Eppley, Wouldn’t a jaw implant have the same issues as chin implants where eventually the bone starts to become reabsorbed? A: The belief that chin implants cause ‘bone erosion’ is both inaccurate and biologically misinterpreted. Some, but not all, chin implants develop passive settling into the bone as a biologic response to the […]

Q: Dr. Eppley, My primary cosmetic concern is actually very dark skin in the upper and lower lids as well as the sides of the nose. Unfortunately, without make-up this feature dominates my face. However, I am also aware of some structural issues that make this darkness look worse. My prominent brow bone casts a […]

Q: Dr. Eppley, I’ve underwent a male breast reduction surgery five years ago. Everything went well. Months after my surgery,I had slight scar tissue build-up in my chest—nothing too concerning, absolutely livable. I massaged when I could but it was always so sore and I was too scared of messing up my results. I noticed […]

Q: Dr. Eppley, I have had a Medpor chin implant placed last year.  I am ok with the look although it is a bit big for my feminine small face and my chin looks a bit big and asymmetric when I smile. However my big problem is when I woke up after surgery with excrutinating […]

Q: Dr. Eppley, I am interested in masseter muscle reduction via electrocautery for a permanent solution. I would also like to know if this method can be used for the upper trapezius muscle as well? Mine is way over developeddue to genetics as well as being top heavy…thank you. A: Masseter muscle reduction is surgically […]

Q: Dr. Eppley, I have some questions about custom facial implants. I have attached a frontal shot of my face in harsh bright lighting. I have also attached a side profile shot along with an adjusted “goal” image of what I would like my profile to resemble. I have also attached a picture of a […]

Q: Dr. Eppley, With my custom midface implant I hope to be able to meet with the engineers to tell them how I want my implant designed in detail. I also wonder if I can have a midface lift at the same time as the placement of the custom midface implant. A: In terms of […]

Q: Dr. Eppley, I have a question about what can be done with the sliding genioplasty technique without any implants. I am not to keen on implants as it’s not natural and I have read that it can lead to atrophy and infection and I am still young. I have attached photos – I don’t […]

Q: Dr. Eppley, So I don’t have a severe deformity, but the top of my head is basically flat. I have a big head but it’s very flat, it looks Cro-magnonish and it gives me a primitive look which I don’t like. Is there any option to add height to my skull? Just a few […]