Blog

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 […]

Q: Dr. Eppley, what are the side affects of skull reshaping surgery? A: This patient failed to provide what procedure to which he refers. Skull reshaping is not a procedure, it is a broad term related to a collection of over 30 procedures done to augment or reduce parts of the skull/head. In other words […]

Q: Dr. Eppley, I am interested in hip implants. I am tall and lean with little fat. A:Thank you for sending your pictures. With a very lean body and with decent thigh musculature despite the lean frame  I can certainly see why the interest in hip implants. My initial general comments in hip implants based […]

Q: Dr. Eppley, I’m just wondering in clavicle reduction (shoulder narrowing) surgery will this cause long term side effects like hunched back or muscle pain or upper body motion restriction? A: No it will not.Such effects would only occur in longer segments of clavicle bone removal than the procedure is capable of doing. Dr. Barry […]

Q: Dr. Eppley, I have some other follow up questions relating to a skull implant. I’m trying to get a better idea of how this will impact me in the long term if any medical issues arise that I would need testing or imaging for. Would this affect my ability to get an EEG, especially […]

Q: Dr. Eppley, Hi can you guys do a male to female head/ skull reshaping to make my head more like a female shaped head, if so how much would that cost? A:Feminizing the head is largely a function of reducing prominent areas such as the bony temporal and particularly the forehead since it is […]

Q: Dr. Eppley, as you can see in the photos i have an irregular shaped forehead. I’ve gotten CT and MRI scans and they say nothing is wrong. But I’ve always had discomfort in this area, all my life. Unfortunately I’m not located in Indiana, but I can’t find anyone that can do this. I […]

Q: Dr. Eppley, I have questions/concerns about my facial implants which were placed six months ago and have healed fine. 1)Are there still risks of infection? 2)If so, what precautions can I take to minimize the risk of an infection occurring? 3)Can a general infection cause an infection in my facial implant? 4)For instance, is […]

Q: Dr. Eppley, I had a chin implant with terino style 1 back in February. The issue is that the chin looks pretty different from the front and the mental crease has drastically increased; the bottom part sticks out more than a normal chin should. What can be done, if anything at all to fix […]

Q: Dr. Eppley, In attempting to find a solution for my columella show (image included below) I recently read a paper “Alar Batten Cartilage Graft: Treatment of Internal and External Nasal Valve Collapse” published in Aesthetic Plastic Surgery (paper attached). My photo below shows my current situation – my previous surgeon seems to have conducted an alar […]

Q: Dr. Eppley, I have found your website a fantastic source of information. I hope you don’t think I’m taking a liberty by contacting you but I wonder if you would kindly answer a question for me as I can’t find the information elsewhere. My daughter had injectable HA based filler (2ml I think) in […]

Q: Dr. Eppley ,10mm chin implant removal and replaced with a 8mm sliding genioplasty… 8 weeks ago. Having discomfort in area under the lip which I try ought was just the scar healing but it seems to be a bit lower than the scar and only on the left side. It is so sensitive that […]

Q: Dr. Eppley,, I underwent bimaxillary surgery which in my opinion was unsuccessful and after removing the titanium plates I found myself with holes in the central part of my face… I removed the maxillary plates because they gave me a strange appearance but now I find myself worse than before… I see my midface […]

Q: Dr. Eppley, is there a way to correct nasolabial folds caused by my deep canine fossa ideally something more permanent and not filler. Thanks for your time, have a nice day. A:Nasolabial folds are largely created soft tissue ptosis. In the upper part of a nasolabial fold near the nose (and over the canine […]

Q: Dr. Eppley, Is it possible for a head to be too big for reshaping? A:I think the question you are really asking is whether a skull reduction at certain head sizes would not be particularly effective. (aka nit make much of a difference) Abd that answer would be yes that is possible. Which is […]

Q: Dr. Eppley ,I was wondering if the skull augmentation procedure that will be done will also change my hairline. I was hoping that it would by default as the whole skull would be widened but I wasn’t sure. My hairline is quite feminine due to my narrow skull. I used to shave my hairline to make it […]

Q: Dr. Eppley, I read the piece by Dr Barry Eppley concerning removal of a pulsatile facial artery near the mouth. I have had this for about 15 years following an injection of facial filler into the area. It is always visible and it would be a real blessing to me if it could be […]