Blog

Q: Dr. Eppley,  I am a 33 year old female year old who about two or three years ago,I noticed that I started having a lot of facial pain and that my eye was sinking in on the right side of my face. My cheekbones on that side flattened as well. I have been trying […]

Q: Dr. Eppley, I need a skull graft operation (frontal cranioplasty) or frontal cranial bone reshaping. I had previously been in an accident that led to the fracture of the frontal skull bones. I had the skull patched with a 3D print (peek), but it became higher than the original skull bone, so I needed […]

Q: Dr. Eppley, I am a 32-yo male  looking for a custom jaw implant. I have a preliminary proposal from a NYC-based surgeon but am uncertain around the proposed design and his skill level. Dr. Eppley is highly experienced and I’d like to consult with him about what he thinks, including about having him do […]

Q: Dr. Eppley, I am very close to arranging appointment for mandibular implant surgery. A consultation would be very helpful. Beforehand, could you please help me understand the difference between the vertical mandibular implants and the lateral implants. I am not sure which would suit me better. As photos show, I have a narrow face. […]

Q: Dr. Eppley, The procedure I had done was facial feminization surgery. I didn’t like the jaw and chin portion. I have post (initial plastic surgeon never gave me the before scans) CT scans of sliding genioplasty and Vline jaw contouring. The iover aggressive work left me with a sagging face along with chin ptosis. […]

Q: Dr. Eppley, Dr. Epply mentioned he removes the outer third of the ribs. Is there a way to request a more aggressive resection? Half or most of the ribs?  Has he done this on trans patients?” A: 2/3s of the patients that have rib removals are transfemales in my experience. There is no aesthetic […]

Q: Dr. Eppley, – I’m also looking at doing a hair transplant will this be a problem or how long time should there be in between those procedures Noticed first time when I was about 21 now 37 it has grown a bit too much for my liking. A: Given where the occipital knob is […]

Q: Dr. Eppley, Since I have chin filler present that I opine would block placement of a chin placement, would it not then be necessary to use hyaluronidase? A: Fillers do not block placement of any implant so dissolving the filler is not an absolute necessity….and thus I don’t routinuely have it done. But there […]

Q: Dr. Eppley, I have a couple of questions regarding the torso narrowing procedure performed by Dr. Eppley. Is the surgery suitable for trans women? How many inches will the thorax lose in circumference? A: 2/3s of the patients who  undergo rib removal surgery are transfemales. (Type 2 Rib Removals) I don’t think of rib […]

Q: Dr. Eppley, does the combination of temporalis muscle reduction and forehead implant reduce the possible need for an scalp expander (compared to only doing a forehead implant)? Thanks in advance. A: If scalp expansion is really needed temporal reduction will not create enough scalp looseness to avoid it. I have never seen a situation […]

Q: Dr. Eppley, Usually, when smiling, the blue line in the image is very short and the lips appear to be in approximately the same position. However, since I am Class II, my chin is receding and the blue line is longer. Would this be possible to try genioplasty, labiomental sulcus filler, etc. to shorten […]

Q: Dr. Eppley,  have a bone spur,or piece of bone sticking out the back of my head it causes headaches , it hurt, and it stings been dealing with this most my life , and I never new there’s a alternative for this. A: The spur on the back of the head to which you […]

Q: Dr. Eppley, I need some advice from someone experienced with chin implants. I have had two failed surgeries in 7 months. Now I need a third one. I prefer if that is the last one. I have been looking at Implantech for the third surgery. The one my norwegian doctor used is sebbin:  My […]

Q: Dr. Eppley, My right eye brow bone is getting a little larger than normal I feel like the bone has grown a little and I feel pressure between my eye brows all the time so if there is a doctor or a way to help this would be a lot. A: You should have […]

Q: Dr. Eppley, I have a couple questions about my eye area: 1. The first two pictures show my current eye area completely relaxed. Do I have ptosis of the upper or lower eyelid? If not, would ptosis surgery or any other procedure work to lift my lower or upper eyelids a bit? 2. One […]

Q: Dr. Eppley, I want to get the rib removal done, I’m wondering if I’m a good candidate and if I’d be one of those patients that would have a dramatic difference or subtle difference. I’ve looked into getting a BBL but I’m hoping maybe a rib removal will slim my waist enough where I […]

Q: Dr. Eppley, I’m a 42yo Male to Female Transgender Person. Im intrested in your Scrotoplasty. Do you also offer Orchiectomy Surgery ? As atm im using Androcur as a Testosteron Blocker. A:Testicle removal can be done with scrotoplasty although if the eventual goal is to have SRS (sexual reassignment surgery) then this procedure would be […]

Q: Dr. Eppley, My head big size 61 sm. Can it be reduced? A: The question is not whether it can be reduced but whether it can be done enough to justify your efforts and goal. In reality skull reduction is best suited for spot area reductions rather than a major overall head size reduction. […]

Q: Dr. Eppley, Hello. I have a flat spot located at the parietal area. It is very noticeable to my hairstylists and although it also is not appealing cosmetically I would like to get this looked at by someone as I believe it could be a cause of my migraines. Does your office have the […]

Q: Dr. Eppley, I had orthognathic surgery in April to correct jaw misalignment and a pretty serious overbite. I now have hollowness in my midface and some asymmetry of soft tissue between my left and right side of my face, and I am looking to get opinions on which midface implants would be the best option […]

Q: Dr. Eppley, How safe is the rib removal surgery? I’d it safe to have those ribs removed and gone? A: Despite its name and misconceptions about the surgery. it is a very safe procedure in experienced hands and very few complications or side effects. (an occasional self-resolving seroma is the only ‘complication’ I have […]

Q: Dr. Eppley, Is it possible to tell just based on the photos I sent earlier alongside these pics of my design if the implant can be totally camouflaged with those techniques as well as perhaps with a midface lift? I notice when I simulate one it improves not only my nasolabial folds (which seem […]

Q: Dr. Eppley, Hello is there a procedure to make the chin less prominent and not make the smile look so “forced”? I don’t want that under bite look. I got cheek filler and it looked how I wanted. A: I could see how cheek implants would make the chin look less prominent as it […]

Q: Dr. Eppley, Looking for solutions to eyebags and darkness under the eye at 18 years old. A: I can appreciate the undereye hollows, the darkness not as much. Undereye hollows can be treated by synthetic fillers, fat injections or implants. As a very young person the first step is to try fillers to be […]

Q: Dr. Eppley, I have very large temporal muscles that I want reduced. They stick out significantly from the side of my head after yawning as well as chewing when I haven’t for a long time. It is not normal to look like this with such bulges. What is involved in reducing the temporal muscles. […]

Q: Dr. Eppley, . I’m interested in hip augmentation and I have the following questions: 1- I know that you advise having fat injections first on the hips but, is it possible to augment the hips with custom implants first and, if implant edge reveal becomes an issue, to come back and fix it with […]

Q: Dr. Eppley,  I am assisting in research for my girlfriend regarding a breast lift. She wants her breasts to be higher profile (more northern pole mass). We kind of understand that a normal breast lift will not achieve what she wants really. She has 500cc silicon implants already. I was researching the REFINE tissue anchor […]

Q: Dr. Eppley, Looking to get six ribs removed to get smallest waist possible. Wondering if this is something you would consider doing or if it’s too dangerous. Thanks so much! A: You are referring to Type 2 rib removal which I do frequently. The question with any form of rib removal is not whether […]

Q: Dr. Eppley, I am a pretty healthy and lean person overall with a low body fat percentage. However my face holds a lot of face that isn’t proportionate to how much overall body fat I have. As a result, my cheeks are chubbier then they should be and I have received buccal fat removal […]

Q: Dr. Eppley,  Can I get orbital box osteotomies if I have had prior orbital decompressions? A:As for the close set eyes the only effective procedure in an adult would be a subcranial 180 degree orbital box osteotomy. But having had orbital decompression with bone removals, both medially and laterally that is a procedure that […]