Blog

Q: Dr. Eppley, Hello. My overall goals are to figure out the actual cause of my concerns with my face and figure out the best possible path forward for a natural healthier look and my best overall self but not to a point where I look like a completely different person. I wish to correct poor under eye […]

Q: Dr. Eppley, I’ve noticed that with many wraparound jaw implants (implants that extend along the mandibular body), the final visible contour often doesn’t match the implant design because the soft tissue doesn’t drape tightly enough over the new hard-tissue shape. For an aesthetic lower third, I think soft-tissue tightness and angularity from the antegonial […]

Q: Dr. Eppley, What materials do you use for custom facial implants? Some surgeons I’ve spoken to use mirror polished titanium, some use PCL? Thank you. A: There are four materials available for custom facial implants, solid silicone, PEEK, porous polyethylene and titanium, which all differ in cost.  But it is also relevant that they […]

Q: Dr. Eppley, I’d like to schedule a virtual consultation to discuss options to revise or replace a PEEK wraparound mandibular implant that’s malpisitioned by 3-6mm vertically and 2mm laterally. In the attached pictures, the rough, yellow implant is the 3D render from CT scan of the implant that’s implanted in my head and the […]

Q: Dr. Eppley, So I was thinking of endoscopic brow lift, with pinch blepharoplasty. I don’t like the wrinkles in my forehead, and I would like it to be less heavy. My eyes have quite a bit of crinkling on the sides. I’m also interested in some other procedures, but I’d like to start there. […]

Q: Dr. Eppley, I’m most concerned about the thickness of the orbital rims. I’ve always felt my eyes looked sunken and I never really understood why, but now that I’ve been researching it seems to be that I have very thick orbital rims. I feel the center area, at the glabella, is not nearly as […]

Q: Dr. Eppley, Does fat transfer to the brow bone area work? A:Fat injections as a method of brow augmentation can be effective depending upon what your brow augmentation goals are and whether you can accept the variability in terms of take and persistence of the injected at. Like injectable synthetic fillers it can be viewed […]

Q: Dr. Eppley, My current alar width is approximately 43.5 mm, and my intercanthal distance is 33 mm. Using a combination of procedures—such as alar base cinch, wedge excision, weir incision, and sill excision—how much reduction in alar width could realistically be achieved? I understand I have thick skin, so I just want to get […]

Q: Dr. Eppley, I wanted to inquire about deep neck lift procedure.  Here are the photos of the loose platysma/neck muscles Heres a desired result. 95-105° cervicomental angle Current cervicomental angle  is roughly 130-135° A:Thank you for your inquiry and sending your pictures. First and foremost you are approaching your neck concerns from an incomplete concept. […]

Q: Dr. Eppley, I’m interested in a consultation with for custom midface implants. Background: I am of SAsian descent. I had a LeFort I advancement ten years that successfully corrected my malocclusion, but my upper midface remains noticeably recessed. The LeFort I advanced the dentoalveolar segment, but everything above the osteotomy line — the infraorbital […]

Q: Dr. Eppley, I want to know what implants would have the highest ROI and would improve me the most. Really looking into getting bigonial implants and potentially chin, infraorbital & malar. A:In the male seeking facial masculinization there is no question that the two most powerful methods of doing so with the best value […]

Q: Dr. Eppley, My goal is to have an implant that is identical to my other testicle. Something that is soft (hollowed eppley version), feels as natural as possible, sits and hangs and moves as a normal testicle would. I’m very active, so want to have as short of a recovery time as possible preferably. […]

Q: Dr. Eppley, Are there emerging technological advances that may improve post-operative outcomes, recovery time, and overall success rates in the near future? For patients considering orbital box osteotomy for cosmetic reasons, what is the likelihood of visible scarring or unintended aesthetic changes to other facial areas following the procedure? A:The following answers your two […]

Q: Dr. Eppley, I am interested in brow bone augmentation with bone cement. A:Be aware that in doing brow bone augmentation with bone cement this is going to require a full bicoronal scalp incision with turndown of the forehead flap. Also depending upon the aesthetic brow bone augmentation objectives bone cement may not be appropriate […]

Q: Dr. Eppley, I have questions about custom facial implants, specifically about a jawline implant? Do you typically use standard implants or custom (3D-designed) implants?  What is the earliest availability for consultation, surgery? Do you offer virtual consultations initially? How many in-person visits are required (pre-op / surgery / post-op)? How long should I plan […]

Q: Dr. Eppley, I am interested in improving my chin implant result as it is too wide. I was also wondering if a lip lift can be done at the same time. A:Thank you for your inquiry and sending your pictures. This is a classic example of an extended wing chin implant placed in a […]

Q: Dr. Eppley, Hello, I had silicone infraorbiatl implants which i would like removed. After removal I was wondering does it look worse than before ? I had lower eyelid retraction surgery as well, so how would it look compared to my original? Thanks A:There are numerous variables are unknown to me in trying to […]

Q: Dr. Eppley, i would like to understand how skull implants are adhered to the bone. is the implants. Are they glued? Bolted? And s it easy to damage material and does it loose shape over time? Can it cave and loose shape? Thank you A: Skull implants are placed directly on top of the […]

Q: Dr. Eppley, I am writing to inquire about infraorbital hollowness and under-eye discoloration.I have moderate under-eye hollowness with dark circles that has been present since my mid-teens. I have a lean build with thin periorbital skin. I recently consulted with a surgeon about fat grafting to the infraorbital area (placed on the bone), and […]

Q: Dr. Eppley, I had lambdoidal craniosynostosis. I had surgery to re-open the suture at one year old. I have a noticeable scar in the region. My hope is to correct the asymmetry from the condition as best as possible. I have a depression on the left side where that suture is. And the scar […]

Q: Dr. Eppley, Am I a good candidate for hip implants? A:Thank you for sending your pictures. Hip implants compared to all other aesthetic body implants have the highest rate of complications. The key to lowering those risks is to keep the augmentation between the iliac crest and the greater trochanter of the femur as […]

Q: Dr. Eppley, I was wondering if it possible to augment the zygomatic arch with PEEK? I know its possible with silicone since its flexible and easier to get it onto the arch, I have seen many of your design do that. But what about PEEK? I assume that’s not really possible from intra-oral or […]

Q: Dr. Eppley My main concern is that my forehead sticks outward, even though the rest of my head size is normal. Will the surgery make it flatter and more proportionate to my face? A:With bony forehead reduction the objective is to make it less protrusive and in better proportion to the rest of your […]

Q; Dr. Eppley, I am interested in your rib removal procedure combined with buttock implants. I’m wondering if the rib removal procedure is only really effective if you are already pretty thin, or is liposuction done alongside the procedure to maximize the results? A:The subcutaneous fat layer is another anatomic barrier in waist line and […]

Q: Dr. Eppley, I have read many of your online responses and would greatly appreciate your opinion on my situation. Four months ago, I underwent placement of malar/infraorbital implants via an intraoral approach. The implants were removed two months later, also through the intraoral route, meaning they were in place for approximately two months. Since their removal, […]

Q: Dr. Eppley, I am interested in facial augmentation to achieve a more defined, masculine, and symmetric lower and midface. I’m attaching two photos for your review: The first is my current/original photo (front-facing selfie). The second is an AI-generated reference image showing the look I’m aiming for – a sharper jawline with better angularity […]

Q: Dr. Eppley, I am writing to inquire about possible revision options for chin ptosis. I have undergone two prior chin reduction surgeries with the most recent procedure performed in South Korea. Prior to the second surgery, I was under the impression that the chin ptosis would be fully addressed. However, upon arrival, the surgical […]

Q: Dr. Eppley,  would be interested in what you would suggest to maximally feminize my face and make it more attractive. I have included frontal and profile views. Thank you A:Thank you for your inquiry and sending your pictures. While you do have an attractive face there are some more masculine features to it which […]

Q: Dr. Eppley, I previously had a brow lift, and unfortunately the surgeon lowered my hairline in the center at the same time, which has created a more masculine appearance. I understand that my options for correcting this may be limited, but I am very motivated to restore a more natural look and am willing […]

Q: Dr. Eppley, I have existing testicle implants of 36ccs and am interested in getting much larger ones like 8.5 to 10.5cms. Is it possible? A:Thank you for your inquiry and sending your pictures. With existing testicle implants of 36 mL that tells me that the size of these implants are on the 4.75 to […]