Blog

Q: Dr. Eppley, The fundamental thing I would like to resolve is the asymmetry between the two sides of the face, in particular the eyes and the jaw. I would like to understand the causes of facial asymmetry and whether it is possible to correct it, and with what procedures (for me it is a […]

Q: Dr. Eppley, I was wondering what could be done for my pointed head shape? Could the area circled in red in one of the pictures be burred down to reduce the peaked look? A: While sagittal ridge skull  reduction can be done in your case its impact on improving the peaked head shape would […]

Q: Dr. Eppley, I am struggling with lower lip incompetence. I did bsso and a sliding genio 4 months ago. Half of my lower lip and chin are still numb. The numb side of my lip is also a bit crooked. Talking and eating is fine. I dont have much tightness except from my scar […]

Q: Dr. Eppley, I read in your blog that you mention for someone with high gonials, using a widening jaw angle can make the face look heavier/ bulkier. How does that compare with adding vertical lengthening, as I imagine that also seemingly would add heaviness to the face? A:That has to be determined on an […]

Q: Dr. Eppley, i’ve always struggled with my appearance simply because of my high hairline and my wide forehead. kids used to call me an alien in middle / high school. i really want to get a forehead reduction along with a bilateral posterior temporal muscle reduction. A:  Forehead reduction in you poses some unique […]

Q: Dr. Eppley, My buccal fat pads were removed when I had my LeFort surgery was done.  I wanted to get your opinion as to whether it’s possible to restore them using a fat graft from some other part of my body.  I don’t want to use synthetic injectables as I have a lot of […]

Q: Dr. Eppley, I want to get large deltoid implants. I have attached some pictures of some results that would be my goal. A:Those are subfascial deltoid implants, you just can’t see the scar by the AC joint. The key about implant thickness, besides the concept of what will fit, is that the pocket location […]

Q: Dr. Eppley, I am looking to get my temporal muscles reduced. (see pictures) A:You have distinct pattern of temporal muscle enlargement that involves both the anterior and posterior temporal zones. The relevance of that distinction is that each zone is treated differently as the thickness of the muscle and the shape of the bone […]

Q: Dr. Eppley, I am trying to achieve a more masculine/sharper jawline/chin while not overly looking fake and getting rid of the deep crease as much as possible. A:Thank you for sending your jaw thrust pictures which is a great way to simulate how much vertical chin lengthening a patient wants. This demonstrates that you […]

Q: Dr. Eppley, I would be interested In your temporal reduction surgery and optoplasty. Would you be able to do this in one procedure? Reduction to muscle above the ears, making the head a bit thinner on both sides. Then having my ears pinned back in conjunction with this. A:Both temporal reduction and setback upper otoplasties can […]

Q: Dr. Eppley, Hello, I wanted to know if you did custom zygomatic arch implants that offer less than 3 mm of projection on each side. Perhaps 2.5 mm or 2 mm? A:In custom implant designing you make the implant have any dimensions the patient needs to achieve their objectives. The limitation in terms of […]

Q: Dr. Eppley, Last year I had a malar and premaxillary implant put in as I had a very sunken face from previous pr molar extractions. My surgeon promised me that this would not have any effect on my nose and that if I didn’t like it I could remove them and everything would eventually […]

Q: Dr. Eppley, I hope to try for 7.5cm and want the biggest size possible but see from FAQ’s it may be best to start with something a bit smaller and then replace 3-4 months later with the larger size. What would be the cost of going that way?  A few questions if I may:  […]

Q: Dr. Eppley, Hello. I have a webbed neck and im looking into what options i have for correcting, i do also have a very low hair line which i’ve read somewhere that can also be corrected. My whole life i’ve struggled with this and my self confidence so im very excited to hear back […]

Q: Dr. Eppley, I want toi get rid of my perioral fullness that occurs when I smile…but does not exist when my face is at rest. A: What you are essentially asking is to treat a dynamic problem with a static procedure. Surgery is almost always performed to correct facial tissues at rest not if […]

Q: Dr. Eppley, I am writing to you because I recently had a chin implant infection, after a chin implant and mandible implant surgery. I am  now3 months post op, my surgeon had to remove the chin implant and the infection was resolved for a bit, then it seemed to have returned. I’d like to […]

Q: Dr. Eppley, To confirm my understanding: there is no significantly increased facial trauma risk with titanium or PEEK facial implants, with respects to combat sports, as the “stress-shield” effect is irrelevant? I am considering this procedure and want to ensure I understand whether I would need to give up boxing afterward with either titanium […]

Q: Dr. Eppley,  I am researching the best options for facial implants and have a couple of questions regarding material suitability and safety: Given that PEEK has a smaller elastic modulus mismatch compared to bone than titanium, does this make PEEK implants a better choice for reducing risks associated with stress shielding? If I were […]

Q: Dr. Eppley, ! I’m 59 years old and considering getting a face/neck lift, but don’t really like the idea of hairline scars. My question is, if I got a 3D printer skull implant to correct my flat head and tissue expanders weren’t used would that also give me a neck and face lift? I’m […]

Q: Dr. Eppley, Hi, I was wondering if a genioplasty could be be performed shortly (I.e. a week) after Hyaluronidase had been injected in the chin area to dissolve filler – would any soft tissue inflammation affect the outcome of surgery? A: Hyaluronidase is an enzyme injectate that it placed into the soft tissues while […]

Q: Dr. Eppley, I am inquiring about testicular implants. I take TRT as I am 61 years old and have also had penile enlargement surgery. My testicles now feel small as a result – smaller than before – and this bothers me badly. I am looking to increase their size through implants to the maximum level […]

Q: Dr. Eppley, I am 44 year old female. I don’t like how my face asymmetry is noticeable. I want to aquire more symmetrical features on my face, eyebrow, eyes, cheeks. I want to look normal. Can you help me? A: Like all facial asymmetries the first step is to determine the most important facial […]

Q: Dr. Eppley, Is there anywhere to see more before and after pictures of angles of the patients with the jaw implants and which type were used besides the website? A: How do other patient’s results help you understand what you may need when every patient’s jaw shape, soft tissue thicknesses and aesthetic goals are […]

Q: Dr. Eppley, Are malar implants only done with synthetic material? Can you use an autologous graft like cartilage as I am prone to inflammation. A:While one can use autologous and allogenic tissues for cheek augmentation the amount and size of the graft material that is available (by harvest ot tissue bank acquistion) limits their […]

Q: Dr. Eppley, I had genioplasty + bone graft for chin advancement and lengthening and jawbone osteotomy done in Korea about 11 months ago.I saw some improvements but there were a couple of unsatisfactory results: In terms of the chin: 1. there is a bony gap now in the chin from the genioplasty 2. there is […]

Q: Dr. Eppley, I believe I had plagiocephaly as a kid on one side of my head is a little pushed in which pushes half of my entire face forward. Teeth slanted, Jaw asymmetry, chin asymmetry, one eye bulging, uneven ears, one side of head sticking out kore, nose asymmetry. How bad do u think […]

Q: Dr. Eppley, I had a sliding genioplasty about 4 months ago, and have become increasingly certain that I have lower lip contraction, as I have to use force to push my lips together and there is a lot of tightness in my lower lip area. It has also become significantly smaller than it was […]

Q: Dr. Eppley, I’m interested in getting testicular implants. My main reason is I am not currently happy with size of my natural testicles and if I’m to be honest I have yet to see an implant size that I am happy with. That is why I come here, in theory what is the largest […]

Q: Dr. Eppley, can you remove Bellafill from the cheeks? I had Bellafill injected and the injector put it in the cheeks which I didn’t ask for. I wanted tear troughs only. They look really off, it was put in my medial and lateral cheek. One doctor said it can’t be removed from these areas, […]

Q: Dr. Eppley, I’ve seen your pelvic plasty and shoulder width reduction results and think they’re quite impressive, but I’m trying to achieve the inverse as I am female to male transgender, primarily a narrowing of the hips. I’m aware that the logistics of reconstructing the pelvis would differ significantly from simply adding an implant […]