Blog

Q: Dr. Eppley, I am a male with two enlarged bony frontal sinus and recessed forehead above it, creating a dramatic big V above my mid brow. When I was younger I would grow my hair to cover it, but now that my hairline has receded, I can no longer hide these horrible forehead bumps […]

Q: Dr. Eppley,I am interested in facial reshaping of multiple areas. I have some questions: 1)  Ideally which order should the following operations be done?  – genioplasty  – custom jaw implants  – rhinoplasty  – custom midface implant  – brow bone/forehead implant (mimic deep set eyes with lower brow)  2) Also state which procedures can be […]

Dr. Eppley, I am interested in a custom jawline implant that extends the entire vertical length of the jawline. I wanted to know if I would be a good candidate without orthographic surgery. I just want more vertical length and do you do any kind of computer generated simulations of expected results.  Also can someone […]

Q: Dr. Eppley, Do you offer tear trough implant via transconjunctival approach? If so do you still use a screw to anchor the implant? I had both lower eye lid blepharoplasty via transconjunctival approach in 2010. Now I have a moderate amount of tear trough deformity. I am considering implant not filler. Is this procedure […]

Q: Dr. Eppley, I am interested in jaw angle implant revision surgery. I had Medpor jaw angle implants put in to correct asymmetry and enhance my small jaw several years after corrective jaw surgery. After jaw surgery my plate came off on the right side and needed to be replaced and I lost some bone. […]

Q: Dr. Eppley, My question is about the possibility of ribcage expansion surgery. Would it be possible to lengthen the bone of each rib and the clavicle in order to increase the width and overall size of the chest? In a similar to fashion to Jaw advancement surgery? Aside from cosmetic reasons I would think […]

Q: Dr. Eppley,I am interested in exploring corrective surgical measures in order to minimize a facial asymmetry. I have attached a current photograph, in addition to two x-rays taken several years ago for dental work. These illustrates the cant of the maxillia & mandible. There is also a front/back asymmetry to the cheek bones as […]

Q: Dr. Eppley, I have attached a before and after computer morph of my desired rhinoplasty changes. I understand that the aim is very ambitious, my question is whether what this change is possible. I would like the following done: 1) Flattening of the dorsal hump and increasing the nasofrontal angle, 2) Decreasing tip projection […]

Q: Dr. Eppley, I am interested in Medpor chin implant removal. I had a Medpor chin implant placed over 10 years ago and I really hate it. It is too big and is not in line (literally) with my overall facial features. Moreover, the implant is visible when I smile. While my profile looks pretty […]

Q: Dr. Eppley, How can somebody surgically achieve the male model browbone look? When it comes to this type of brow ridge, it seems like it’s not the protrusion but also the low position that gives an aesthetic and masculine “vibe” to the eyebrows. You can see the effect I’m trying to achieve by looking […]

Q: Dr. Eppley, I am interested in getting Restylane fillers to improve the appearance of the bags under my eyes. But, I am not entirely certain if Restylane or other injectable fillers are suitable. In looking at my pictures do you believe that Restylane could be a solution? Thank you! A: I do not believe […]

Q: Dr. Eppley, I had a successful Medpor square chin implant put in three months ago. It gave my face better balance and a much more masculine look although my chin was not that small before the surgery. I have quite a defined jaw but not a square and as sharp/symmetric and balanced as I […]

Q: Dr. Eppley, I am interested in a pediatric cranioplasty for my young sone. You stated that bone cement would be the best option for a younger patient. Why is this the preferred choice instead of an implant? If we did this for our son would he have any issues in the future? For example- […]

Q: Dr. Eppley,  I intend to make the brow bone augmentation , but I have doubts as to what material you prefer. I want to know if there is the possibility of having contact with patients of this type of procedure? I’m curious to see how the result was , as the photos that are […]

Q: Dr. Eppley, I was looking into your procedure for fat grafting for Coccydynia. I have pain around my coccyx and sitting down is painful for me. I’m looking for a pain relief alternative to having the coccyx removed. I wanted to know exactly how the procedure is done. A: There are two methods fat […]

Q: Dr. Eppley, I’ve also been looking into custom jaw implants to add some vertical length to my ramus and chin. However I’ve noticed that in the vast majority of these cases the results tend to look unnatural and often times asymmetric. Whilst I was confused about seeing the asymmetry in several of these custom […]

Q: Dr. Eppley, I am interested in Permalip implant removal. I had 4mm Permalip implants put in my upper and lower lips this past year. It has not even been a year but I would like to get the upper implant removed. It causes a crease when I smile and my smile looks restricted and […]

Q: Dr. Eppley, I am interested in skull augmentation. I have a depression on the back of my skull which has bothered me for numerous years. I have had it since birth so it has not been caused by an accident. I would be interested in injecting PMMA to fill the area or inserting an […]

Q: Dr. Eppley, I am interested in lip reduction. I had persistent dryness and swelling on my lower lip. A biopsy was performed the report of which is below. Since considerable amount of tissue was removed during biopsy my symptoms have improved somewhat. However the problem is still not resolved completely. My lower lip is […]

Q: Dr. Eppley, I am interested in the temporal artery ligation. I have previously had a treatment for this from a vascular surgeon about 1 month ago and I am not happy with the results. I believe this is because I only had a single point ligation on either side and from reading through it […]

Q: Dr. Eppley, I had written to you earlier regarding defining my waist (my original email is attached with my pictures below). As you can see from my pictures, my ribcage is quite wide in frontal view.  I would like to decrease the width of my ribcage to give more femininity (narrowness) to my upper […]

Q: Dr. Eppley, Hi there! I have a few questions as I start thinking about the procedures: 1. I want to do back of the head augmentation, top of the head augmentation, and also forehead augmentation – will this make my head too heavy? 2. What are common side effects of the materials used (I […]

Q: Dr. Eppley, I wanted to ask you a question about a transgender patient that I have scheduled for a rhinoplasty and chin reshaping. She would like a more rounded anterior chin to give a more feminine appearance. I was planning to make a submental incision and just drill down the parasymphyseal inferior edge to reduce the […]

Q: Dr. Eppley, I am interested in an injectable rhinoplasty procedure. I’ve been researching injectable fillers and I constantly see them being advertised as being able to last up to a certain number of months. From what I’ve read though, these fillers are resorbed over time. If I get 1 syringe of Radiesse, how much […]

Q: Dr. Eppley, I am interested in custom cheek implants. Last year I got a custom wrap around jaw implant which produced a nice flare towards the back part of the jaw.  I like the beefed up jaw, but now feel my cheekbones could be a little wider to balance my face out a bit. […]

Q: Dr. Eppley, I’m interested in having a large skull reduction done, running from all the way back to midfront and all between the temporal lines. I know that this sd a rather large area. How long time does it take before the final result is apparent? I guess that depends on how much bone […]

Q: Dr. Eppley, I had cheek implants placed last year and it has given the region much needed volume. However, I still notice that there’s still some mid-face sag that I would like to correct. I’ve researched various options like mid-face lifts, but the one thing that really intrigued me was thread lifting. Can I just […]

Q: Dr. Eppley, My main discomfort right now after my rhinoplasty is a frontal headache. It is quite severe and persistent since I got out of surgery. Do you think it would be relieved by taking off my nose guard? Is this common following rhinoplasty? Thanks for any thoughts you have. A: Having a frontal […]

Q: Dr. Eppley,I would like your opinion on what procedures might help me achieve a more chiseled, rugged and defined face. (aka facial masculinization) I have chubby cheeks, my chin I feel is weak, and I would like more definition in my jaw. In my picture I have had filler inserted into my chin about […]

Q: Dr. Eppley, I am looking to create the male model cheekbone look, and I know that cheek implants would be the best way of doing this. However, as I understand it, an overly large facial implant can tend to look unnatural. My thoughts here are in terms of increasing the lateral projection of the […]