Blog

Q: Dr. Eppley, I got iliac crest implants in Korea along with small hips implants. I now have some dents under the implants. Is there a way to solve this using silicone implants? Perhaps longer implants or change in implant contour? Or implant positioning? A Hip augmentation is challenging in that it is really a vertically […]

Q: Dr. Eppley, I had two otoplasty surgeries last year. On the first surgery the surgeon worked only with sutures and there wasn’t a big change. On the second surgery he worked on the conchal bowl and the results were more what I wanted. The issue is my ears still feel stiff and unnatural and it […]

Q: Dr. Eppley, I am considering rib removal surgery, of the floating ribs, and also shaving of the ribs, rib removal of rib #9-10 the ribs that are attached. Or I’d like to do everything I can to have my waist line slimed as small as possible. I read something about doing something to the […]

Q: Dr. Eppley, I may need to remove my silicone cheek implants placed with screw. I may need a facelift during the removal. A:I believe your concern with the removal of your cheek implants is that some cheek tissue sagging may result…which is a legitimate concern since the osteocutaneous ligaments have been detached for the […]

Q: Dr. Eppley, I’m a young man from Europe. I have a question for you if possible. My biggest insecurity arehow wide my face is wich i Think is ddtermined by how wide my cheekbones and temples are, and also my jaw. My biggest doubt is if it is possible to make it any narrower. […]

Q: Dr. Eppley, My goal is to have a more defined long term, permanent chin.  In which case my chin would align with my upper lip and or nose as it should. In most cases my side profile looks like a straight slope and no chin. The TMJ clinic believes it is not in my […]

Q: Dr. Eppley, I have recently undergone fat transfer to my under eyes as well as canthoplasty. Is there a cheek implants that targets the zygos-malar region for men that I can still use or is this not possible since I had canthoplasty and fat transfer. A:You are referring to custom cheek (zygomatic)( implants which […]

Q: Dr. Eppley, I am sure you are aware of the new craze around “hunter” masculine eyes. Is it possible to achieve this look through orbital rim implants or any surgical procedure in general or is it purely genetic? Many Thanks. A:Trying to achieve a Hunter Eye Look is a common male eye periorbital reshaping request […]

Q: Dr. Eppley, Interested in forehead reduction surgery.  A:Thank you for sending your pictures. You have bilateral prominent forehead eminences (horns) which is the obvious basis for the pursuit of forehead reduction surgery. In consideration of such surgery there are two determinations to be made. First, what is the thickness of the forehead horns and […]

Q: Dr. Eppley,  i have untreated sagittal craniosynostosis as a child. it has always bothered me greatly I’m in my early 30s now and seeking help form somebody that may be able to help me. Thanks for your time. A: Most adult sagittal craniosynostosis are treated by a custom skull implant with potentially some bone […]

Q: Dr. Eppley, Calf: I would like a muscle augmentation from knee to ankle. Forearm: Muscle augmentation from elbow to wrist. Could you please confirm if a longer implant is feasible in both areas in your clinic. A: What you are seeking can not be done. In the lower leg and forearm the upper half […]

Q: Dr. Eppley, Can I get facelift and lipectomy and necklift/lipo? Goal is tighter and thinner look. I have loose tissue cheek area after having buccal removal annd malar implants put in back in 2022.  A: As a general rule you can’t lift your way into improved facial definition, at least not in the cheek […]

Q: Dr. Eppley, I am a male patient considering lip augmentation. Given that I have identified I do not have the right shaped lip for a bullhorn lift, I am interested in the vermillion advancement procedure you have written about. My only reservation is the risk of bad scarring, such as a keloid, forming at […]

Q: Dr. Eppley, Hi, just wondering if I can send a picture so you can let me know if a brow bone implant is appropriate for my issue? I damaged my brow as a kid and have become increasingly self conscious of the indent and lack of symmetry it caused in my brow. I don’t […]

Q: Dr. Eppley, I am hoping that you can help. I have previously had Medpor Malar cheek implant surgery done through the mouth, upper/ lower eyelid blepharoplasty procedures in the past 6 months. However I am not satisfied with the results, one implant is oversized to the other. Would you be able to help correct […]

Q: Dr. Eppley,  I was tested for Noonan’s syndrome and tests came back negative. I have lived with a relatively mild variation of a webbed neck since I was an infant. Judging from the pictures attached to this email. A: In cases of mild/moderate webs in a male I am less than enthusiastic about webbed […]

Q: Dr. Eppley, Upon reading your jaw augmentation page I stumbled upon the Chin wing osteotomy. I was wondering if you do this procedure yourself. A: I do perform the chin wing osteotomy provided the patient is properly qualified for it which requires two criteria: 1) That they understand that the chin wing osteotomy is […]

Q: Dr. Eppley, Seeking Chin Implant Revision, Custom Implant for a more square, symmetrical and masculine appearance. The implant was placed about 4.5 years ago. The implant was in a size ‘large’ and was a silicone material; placed sub-mental (small incision under chin). The brand of the impact was Implantech Associates, Inc. Some information: Reference: […]

Q: Dr. Eppley, I have a few questions – could you please help with these? When I smile, I have creases that form under my eyes every time. Would the under-eye implants eliminate or reduce these? Is there anything that can be done to the under-eye implants to further minimize my nasolabial folds? If not, […]

Q: Dr. Eppley, I’d like to inquire about procedures for improving narrowly spaced eyes. My narrowly spaced eyes have been a lifelong insecurity  and it increasingly negatively impacts my disposition. I understand that procedures to improve this trait are risky (orbital box osteotomy), but I am tremendously motivated. To put the extent of the trait […]

Q: Dr. Eppley, I am a 55 year old female located in Oklahoma. I recently had a small button chin implant removed after 30 years along with a neck lift. My surgeon replaced it with a large terino chin implant. I was not expecting it to be so large. It was very uncomfortable and the […]

Q: Dr. Eppley, I wrote to you a while ago that I was interested in replacing Medpor mandibular angle implants with custom implants.The thing is that after visiting a surgeon he told me that the medpor implants I have caused my masseter to tear and the area has become too skeletal. Therefore, I wanted to […]

Q: Dr. Eppley, Hey!! I have seen cheek arch implants done by dr eppley!! I just wanna know can cheek arch implants be 1 inch in size ?? As i have read on your website that it must be 5 mm in thickness, but i wanna know can it be 20 mm in thickness?? A: […]

Q: Dr. Eppley, I would like to ask, in general, what is the maximum upper jaw advancement movement in mm (Lefort 1) that will not cause discrepancy between the lower and upper midface and that will not disrupt the facial harmony? A: This is a question that would be affected by many factors most notably […]

Q: Dr. Eppley, I am interested in getting a combination of surgeries done. The surgeries I am interested in consist of shoulder narrowing plus rib removal and iliac crest implants. Could these surgeries be done at the same time? And would I require assistance from another person (ie family member) or friend to be present […]

Q: Dr. Eppley, I am curious about ribcage narrowing. Removing my floating ribs wouldn’t make much difference I don’t think. It’s my side ribs that bulge out making my back too wide for my narrow frame. I have no fat really. It’s rib 10,9,8. My floating ribs do not show much because my side ribs […]

Q: Dr. Eppley, I wan to reduce the size of my face as it is larger than a normal human being as its size is extra large. A: I don’t see any effective method for reducing the size of your face. What makes your face ‘large’ is the amount of thick soft tissue over it. There […]

Q: Dr. Eppley, Here are some pictures of my face. Based on these would it be possible to say that the lefort 1 surgery affected my facial harmony? A: Every Lefort I osteotomy alters the natural shape of the face essentially leaving what lies above it behind. (infraorbital-malar region) Your current facial pictures certainly reflects that […]

Q: Dr. Eppley, My breast implant size, I think there is 250 in one and 235 in the other. They are saline, probably close to 15 years old. Yes, I would like to go up in size. A: Thanks for the info. To see an appreciable/visible increase in breast size you should at least go […]

Q: Dr. Eppley, As you can see I have the side of the skull on the right in the photo and on the left in life larger than the other. What I would like would be to refine and reduce this side so that it is homogeneous with the other side. A really flattened skull […]