Blog

Q: Dr. Eppley, I have a large bulge on my forehead and this causes me depression and I do not love myself. I have thought about committing suicide for this reason. A:What you have is a not uncommon excessive over development of your frontal sinuses which is a very treatable condition. Such brow bone protrusions […]

Q: Dr. Eppley, I’d like to get your thoughts on whether I’d benefit more from a genioplasty or chin implant with scar release and fat transfer. I’ve spoken to another surgeon because I want a revision rhino but he said he thinks the biggest improvement would come from the chin/fat transfer combo. The other surgeon […]

Q: Dr. Eppley, I plan on having my pectoral implants performed by Dr. Eppley.  I will likely want to go with custom implants.  Since receiving my consultation, I had a blood clot in my leg which as of yet is unexplained and I am waiting on my hematologist to get some answers, which I want to […]

Q: Dr. Eppley, I am looking to get custom jaw and chin implants. I can send you my 3D CT scan. I have an asymmetrical jaw, but I am not able to come to USA for the operation. So I was wondering if I can get the transplants customized to my needs and sent to […]

Q: Dr. Eppley, I am interested in getting a brow bone reduction. A:Thank you for your inquiry and sending your pictures. While it is true that our brow bones are over developed you have a significant backward slope to your forehead which contributes to the protruding brow bone appearance. The relationship between the two is […]

Q: Dr. Eppley, I have a fairly prominent occipital knob on the back of my head, and came across your website. I noticed some documentation of you performing these procedures all the way back in 2017. Could you tell me how many you have done to date? And also, have your patients reported any long term […]

Q: Dr. Eppley, Hello. I really appreciate your write-ups about various plastic-surgery topics. For curiosity, have you posted or published anything regarding the risk of facial implants causing foreign-body granulomas or getting encapsulated? I read you text stating that the risk of infection is low, but what about granulomas? I am interested in infraorbital implants. […]

Q: Dr. Eppley, I have a cheek implant booked for March. However, I am finding that the standard implants dont enhance to the zygomatic region. Is this something you have experience in? Thank you A: I believe that you mean standard cheek implants do not provide any augmentation to the zygomatic arch and you would […]

Q: Dr. Eppley, Hello just wondering do you have any surgeries to remove or reduce the hourglass shape because I’m a trans man and I have always wanted a rectangle torso shape but even with being on testosterone for 8 years whenever I try to lose weight it just makes my waist smaller without reducing […]

Q: Dr. Eppley, I would like to know a bit more of the testicular augmentation. My testicles are small and my sack is a bit loose.Can I go for xl implants? Do you removed my testicles or placed them inside of the implant? How long is recovery time? Thank you in advance A: While their […]

Q: Dr. Eppley, I had a sliding genioplasty 4mm forward about 6 weeks ago. The swelling has gone down and now I am seeing my mentalis muscle become asymmetry and bulging whenever I talk. The muscle looks overly hyperactive and detach from the bone especially prominent on the left side of my chin that looks […]

Q: Dr. Eppley, Hi- on 2/14/23, you wrote a case study on soft tissue pad excess removal after chin implant removal and I’m curious if you know the results of her healing. The case study said results were TBD if it affected her smile and/or speech. I have the same issue as your patient and […]

Q: Dr. Eppley, I am interested in skull reshaping. In particular skull reduction on the top of my head, and maybe some implant on the back of my head.I do however have prior history of hairline lowering through an incision in the hairline, and a coronal incision from ear to ear, which has been opened […]

Q: Dr. Eppley,  I lost both my testicles due to a chronic pain condition and just recently had Torosa implants inserted. Unfortunately, the largest they have is only 4.5cm. I was a 5, but I’m looking to go up to an 8. I need a revision surgery for the implants and was wondering if you […]

Q: Dr. Eppley, Hello, I was just enquiring for if i’d be a candidate for Buccal fat reduction and/or perioral liposuction. Thanks A: You have the type of face that should NEVER have any form of defatting done. You have a significant infraorbital-malar skeletal deficiency. (flat cheekbones, no infraorbital rim projection and a negative orbital […]

Q: Dr. Eppley, Will I eventually need to replace buttock implants down the road as I get older?  Meaning am I going to need new ones like breast implants or can I keep these forever?  I wouldn’t want to go larger down the road and I just wanna make sure that they’re OK if I […]

Q: Dr. Epple, Hi doctor , thank you for your work!! What happened to me was that in my younger years I experienced a traumatic event . Now as an adult I’m still living with past trauma from my past . I’m highly self conscious of my head , in the back right side , […]

Q: Dr. Eppley, For fat transfer to the forearms and hands, how long is the surviving fat expected to stay permanently? Would a retouch be necessary after a certain amount of time, or can we avoid this by transferring a significant amount of fat in one session? How much fat will be needed? Since the donation site […]

Q: Dr. Eppley, I’m very interested in the rib removal process, can I get more information, 62 M2F 5ft 8 in 170lb in good condition. A:In rib removal surgery the question is not whether one can have it done but how much of a difference would it make if it was done. To try and make […]

Q: Dr. Eppley, I am interested in the PARANASAL AND PREMAXILLARY IMPLANTS. I have pictures of the before and after (photoshopped). I hope your procedure is a good solution, as it is a pretty specific/niche procedure. A:What you have imaged is nasal base augmentation with increased nasal tip projection. Such changes are very realistic from […]

Q: Dr. Eppley, I got a buccal fat removal 2 years ago. I am very unhappy with my results and very insecure. A: When it comes to buccal lipectomy reversal there are two methods of fat volume restoration, fat injections placed more superficially than the buccal lipectomy space or an enbloc fat graft put back […]

Q: Dr. Eppley, I would like to know the cost of the skull reduction surgery and if you need to cut your hair for the procedure. A: Cost depends on the location (extent) of the skull reduction surgery of which the name alone does not answer that question. Hair is NOT cut for the surgery. Dr. […]

Q: Dr. Eppley, I had a BBL in 2021 but have lost around 35 pounds since then and now have no butt. I also have a very prominent tailbone that causes me a lot of pain. The tailbone shape is an inherited trait, also worse since losing weight. Interested in discussing options for augmentation. A:Thank […]

Q: Dr. Eppley, is it possible to make a skull 1.5x or 2x bigger? I feel like my body rapidly outgrew my face. I feel so down and insecure to the point where I don’t leave my house unless I have to. My head is super tiny, like microcephaly tiny. A: I can’t speak to […]

Q: Dr. Eppley, I have a few questions about some concerns I have with my skull. I have a large occipital bone. I have a peaked shaped head and it is also very wide. I measured my head circumference and it is 63cm. If I was to get a surgery to reduce my occipital bone […]

Q: Dr. Eppley, Would I benefit from buccal fat removal during this? Would this fix my midface deficiency all together? A: As a general rule you want to be cautious about buccal fat removal in midface deficiencies. You may benefit by buccal fat transposition into the midface to help with the implant augmentation. Dr. Barry […]

Q: Dr. Eppley, I am interested in macrotia ear reduction surgery, in order to vertically reduce the size of my ears, meaning a reduction in both the upper third and the earlobe. (I am not interested in the traditional ear pinning procedure.) However, I believe I have Red Ear Syndrome (RES), a rare condition where, […]

Q: Dr. Eppley, I am interested in a mouth widening procedure + corner lip lift. I’ve always had a small lips. I’ve had a lip lift and lip filler done. In 2018 I had lip implants put in and loved how they made my lips wider (photo with green shirt and pony tail). But unfortunately […]

Q: Dr. Eppley, I had a hair transplant over 20 yrs ago that I extremely regret. I have just had four sessions of micro scalp pigmentation that I am very happy with how it turned out. Except for covering the scar up. I want to make an appointment ASAP to see how I can diminish the […]

Q: Dr. Eppley, I have vertical orbital dystopia and I was hoping to receive resources for scheduling a head CT scan. I’ve read your “Outcome from Comprehensive Six Step Approach to Vertical Orbital Dystopia Correction” case study, and I found it fascinating. Are there any other available resources out there regarding your VOD treatment? I […]