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, I want to get the rib removal done, I’m wondering if I’m a good candidate and if I’d be one of those patients that would have a dramatic difference or subtle difference. I’ve looked into getting a BBL but I’m hoping maybe a rib removal will slim my waist enough where I […]

Q: Dr. Eppley,I had a couple questions about my eye area: 1. The first two pictures show my current eye area completely relaxed. Do I have ptosis of the upper or lower eyelid? If not, would ptosis surgery or any other procedure work to lift my lower or upper eyelids a bit? 2. One of […]

Q: Dr. Eppley, I recently had bilateral mandibular angle implants done, and it’s been around 2 months today. However one side of my face is still extremely swollen and after reading your online forms where you state that in 3 months you should be able to see your final results. I’m getting close to that […]

Q: Dr. Eppley, I am interested in hip reduction as per the attached diagram. A:The diagram shows an incorrect approach to hip reduction. Hip reduction refers to the iliac crest which is the widest bony part of the hip/pelvis…which is possible. The diagram shows reduction of the greater trochanter of the femur…which is not possible […]

Q: Dr. Eppley, Hi would like to reduce the back of my head. Is it possible? A: Yes it is. Such an occipital protrusion is almost always the result of having thicker bone. How much it can be reduced requires an x-ray to determine. Normally I would take your side view picture and show you […]

Q: Dr. Eppley, I’m looking to get surgery to help my eye area and have more almond shaped eyes, as well as get a more defined jawline, as well as any other surgeries you would recommend to elevate my appearance. I’m just looking for what procedures you would recommend. A:It may be the way the […]

Q: Dr. Eppley, I am writing to seek your expert advice regarding a challenging situation I’ve been facing with my blepharoplasty results. I initially underwent the procedure with an American surgeon, who informed me that scarring was inevitable. However, I was not prepared for the outcome of developing atrophic scars. To address these concerns, I opted […]

Q: Dr. Eppley, Can I get a skull implant where bone grows into it and replaces the implant material? A:There is no skull or face implant material in which bone will grow into or over that becomes integrated into one’s tissue. It is a great augmentation goal but for now that remains an elusive biologic […]

Q: Dr. Eppley, If i was looking at a chin implant , jawline implant and mid face implant does that require multiple visits? Thank you A:I assume the question is whether these implant surgeries can be done together or do they have to be done separately. (jawline and midface implants) That is a personal choice., It […]

Q: Dr. Eppley, Hello, I am i 38 yo male with asymmetry on the right side, my left side mandible is fine but the right side angles away and i’d like to have it corrected. I’d need an implant only on the one side. Let me know what is possible. thx A:Such jaw asymmetries are […]

Q: Dr. Eppley,I’m MtF and I’m interested in more information on iliac implants. Thanks! A:The first place to start is to determine of you are a good candidate for this unique type of hip augmentation. (iliac crest implants) To do I would need at least a front view of your hips to do some imaging […]

Q: Dr. Eppley ,I am a male looking to improve my facial definition, so as to shape it into a more stereotypically-masculine face. I have already performed buccal fat removal and a chin implant, which I am happy with, but would like to further improve my facial definition.  A:With a lean face and prior procedures […]

Q: Dr. Eppley,Hello there I’m interested in a possible rib removal surgery. I have some questions. Can you estimate how much smaller my waist would be? I have Xrays I can provide as well so you can see ribs. I am unsure if I should just do t11/12 ribs or do t10 as well. Does […]

Q: Dr. Eppley, is temporal reduction surgery life-threatening? Is it true that after it someone has a headache forever? A:There is nothing life threatening about temporal reduction surgery. It is as safe as any other aesthetic surgery. No patient has ever experienced long term headaches after the surgery in the hundreds of patients I have […]

Q: Dr. Eppley ,Sir my brow bones have continued to grow and are very large. What is the reason and treatment of this disorder? A:You have very over developed frontal sinuses. It is the frontal sinuses that make up in the inner half of the most prominent part of the brow bones. Some men do […]

Q: Dr. Eppley, Hi – I am interested in getting a sliding genioplasty to address my weak chin. At this point, I really don’t want Jaw Surgery. I want to understand if I am a good candidate for a genioplasty. I can also send some scans if needed as well.Thanks A:Anyone can have a sliding […]

Q: Dr. Eppley, Is it possible to order just the design of the implants from you? I would like a design similar to the one you featured in your article (https://exploreplasticsurgery.com/plastic-surgery-case-study-large-custom-infraorbital-malar-implants-in-a-male/), but customized to my dimensions. How much would this cost? A: I believe your question may be can I get implants designed and made by you and […]

Q: Dr. Eppley, I was born with a disproportionate facial structure where my head size overall is rather small but my forehead on the larger side. Complimentary to the larger vertical size, i think that, because my forehead sticks out (vertical slope, no incline) it amplifies the forehead too much. My desired look would be […]

Q: Dr. Eppley,  I have Perioral mounds corner of my mouth on both sides. It really effect my confidence and self esteem I would like to know more about this treatment and would like to proceed further A: While micro liposuction is an effective and only treatment for perioral mounds this is not a surgery […]

Q: Dr. Eppley,  I am a 33 year old female year old who about two or three years ago,I noticed that I started having a lot of facial pain and that my eye was sinking in on the right side of my face. My cheekbones on that side flattened as well. I have been trying […]

Q: Dr. Eppley, I need a skull graft operation (frontal cranioplasty) or frontal cranial bone reshaping. I had previously been in an accident that led to the fracture of the frontal skull bones. I had the skull patched with a 3D print (peek), but it became higher than the original skull bone, so I needed […]

Q: Dr. Eppley, I am a 32-yo male  looking for a custom jaw implant. I have a preliminary proposal from a NYC-based surgeon but am uncertain around the proposed design and his skill level. Dr. Eppley is highly experienced and I’d like to consult with him about what he thinks, including about having him do […]

Q: Dr. Eppley, I am very close to arranging appointment for mandibular implant surgery. A consultation would be very helpful. Beforehand, could you please help me understand the difference between the vertical mandibular implants and the lateral implants. I am not sure which would suit me better. As photos show, I have a narrow face. […]

Q: Dr. Eppley, The procedure I had done was facial feminization surgery. I didn’t like the jaw and chin portion. I have post (initial plastic surgeon never gave me the before scans) CT scans of sliding genioplasty and Vline jaw contouring. The iover aggressive work left me with a sagging face along with chin ptosis. […]

Q: Dr. Eppley, Dr. Epply mentioned he removes the outer third of the ribs. Is there a way to request a more aggressive resection? Half or most of the ribs?  Has he done this on trans patients?” A: 2/3s of the patients that have rib removals are transfemales in my experience. There is no aesthetic […]

Q: Dr. Eppley, – I’m also looking at doing a hair transplant will this be a problem or how long time should there be in between those procedures Noticed first time when I was about 21 now 37 it has grown a bit too much for my liking. A: Given where the occipital knob is […]

Q: Dr. Eppley, Since I have chin filler present that I opine would block placement of a chin placement, would it not then be necessary to use hyaluronidase? A: Fillers do not block placement of any implant so dissolving the filler is not an absolute necessity….and thus I don’t routinuely have it done. But there […]

Q: Dr. Eppley, I have a couple of questions regarding the torso narrowing procedure performed by Dr. Eppley. Is the surgery suitable for trans women? How many inches will the thorax lose in circumference? A: 2/3s of the patients who  undergo rib removal surgery are transfemales. (Type 2 Rib Removals) I don’t think of rib […]

Q: Dr. Eppley, does the combination of temporalis muscle reduction and forehead implant reduce the possible need for an scalp expander (compared to only doing a forehead implant)? Thanks in advance. A: If scalp expansion is really needed temporal reduction will not create enough scalp looseness to avoid it. I have never seen a situation […]