Blog

Q: Dr. Eppley, I have attached the facial pictures you have requested for assessment for my facial surgery. I did my own Photoshop of the desired changes. A: When a patient does their own imaging they are showing me what they would like to visually accomplish so that is tremendously helpful in two ways: 1) […]

Q: Dr. Eppley, While doing the skull reductio n bone burring, Dr. Eppley mentioned that he can tell when he needs to stop. How exactly can he tell? I understand there are 3 layers in the skull, and only the outer layer (outer table) can be reduced. Is the entire outer table removed during a […]

Q: Dr. Eppley, Thank you so much for taking the time to educate us… i am forever grateful to come across your wisdom and knowledge. I noticed there are a few articles in regards to knee lift surgery procedures which i am currently considering but would like to educate myself more about this topic prior to […]

Q: Dr. Eppley, With this approach of the orbital decompression and 180 degree/inferior orbital box osteotomy, does the whole eye go down along with the upper/lower eyelids? Because I saw Dr Eppley mention before that the eyelids don’t move down with the eye if the orbital floor is lowered alone. Thanks! A:That is correct, the […]

Q: Dr. Eppley, I am wrapping up the research and design thoughts, I had two questions beforehand in regard to placement of the max projection area and rim coverage of the custom cheek implants. When researching the cheekbone I see the typical “max projection” area sits parallel at or in the middle of the infraorbital […]

Q: Dr. Eppley,I am interested in the skull reshaping procedure and have a few follow-up questions: – 1) What is the estimated size/position of the scarring for the parietal reduction (third image from previous email)? Is there a reference photo or another visual depiction I can look at to get an idea? Would it be […]

Q: Dr. Eppley, Hello, I am in Australia and saw some of your occipital bone reduction work online. Do you know any surgeons in Australia who do similar work to you? I’ve never heard of such surgery here and I have an occipital bone which is quite pronounced which I feel I would like to […]

Q: Dr. Eppley, I’m interested in a skull reshaping surgery. I was wondering that could it be done before Face lift surgery or after? I’m 42 years old. A:Whether you should do skull reshaping surgery before or after a facelift depends on what type of skull reshaping surgery you need. The term ‘skull reshaping’ is a […]

Q: Dr. Eppley, I know it has been a long time since I have reached out with any comments about my implants I had gotten done with Dr. Eppley, and there are no complaints or issues whatsoever. Everything is stabled and seems to have been well integrated. My only question for Dr. Eppley would be about […]

Q: Dr. Eppley, My right eye brow has uneven bone little bit prominent could you please help me correct it. A:For brow bone asymmetry due to a greater prominent on one side this is often a reflection of an overgrown frontal sinus on one side. The key question is whether its reduction can be done by […]

Q: Dr. Eppley, I sent a few photos that you analyzed and you indicated that one side of the face droops lower than the other. Can this be corrected by a face lift or any other measures. A:It is not that one side of the face droops, it is that one side of the face […]

Q: Dr. Eppley, I have some questions about two stage skull augmentation: 1. How do the scalp expanders work? 2. Does it hurt to have them? 3. How long do they last until permanent implant? 4. Can the scalp expanders be placed anywhere on the skull? 5. Will the scalp expanders alter the appearance of […]

Q: Dr. Eppley, I have a question about otoplasty reversal. Before meeting you, I consulted another doctor experienced in reversal otoplasty who suggested using a tissue-banked rib graft. After consulting with you, I returned to this doctor for a second opinion, and here is what he said: “Alloderm is a very soft material that has […]

Q: Dr. Eppley, I had a consultation with another doctor who also does facial implants. He told me that I have a flat jaw and that through the x ray he can improve on this and I think make it sharper, not sure…..Can you do this too? Heres a pic I just took now. I […]

Q: Dr. Eppley,What would the estimated cost to remove this occipital protuberance from the back of my head? I’m growing my hair out more these days but I’ve always been self conscious about it and it is still very visible. Also, is there anyone who can do this procedure closer to Texas? A:This appears to […]

Q: Dr. Eppley, I had a question regarding my two stage skull augmentation procedures. Let’s say I later wanted to have a larger implant, would it be possible to change the implant?  I’m sure I’ll come back to you later for more volume. A:I believe you are asking if one gets a 275cc skull implant can […]

Q: Dr. Eppley, I was wondering about a reduction of dark circles and under eye hollowing.  I am desiring a more uninterrupted eye cheek junction.  I am wondering if a custom malar infraorbital rim implant would have an anti aging effect on my face. A:Custom infraorbital implants (not standard infraorbital implants as they don’t saddle the […]

Q: Dr. Eppley, Hello, I’d like to know more about your services. I have a flat head and I know there are different ways to correct it. A:here is only one definitive method for augmenting the back of the head, a custom skull implant, in which the amount of augmentation is controlled by the stretch […]

Q: Dr. Eppley, I have included additional photos to determine if only the hairline advancement procedure would be beneficial in my case and I would not need the frontal bossing reduction as well.  I have drawn two distances on my forehead.  Ideally, I am looking to move my hairline forward so it reduces or eliminates […]

Q: Dr. Eppley, I came across some of your answers regarding the modified subcranial 180 degree orbital osteotomy used to widen the eye distance by 3-4mm. My question about this is it possible to move the eye lower using this technique as well? To correct orbital/eye asymmetry if one eye is higher than the other […]

Q: Dr. Eppley, Interested in a consultation for JAW IMPLANT. I already have a chin implant from a previous 2016 surgery. A:Many custom jawline implant patients have a prior history of a chin implant. The question is not whether the conversion to a full jaw augmentation can be done but what type of lower facial […]

Q: Dr. Eppley, I would be open to discussing the wrap around jawline implant further. Is it possible to see the impact of this on the front profile? A:You are probably not properly interpreting what the role of facial imaging is. It is NOT done to show what you are going to looking like as […]

Q: Dr. Eppley,I have cheek asymmetry after a cheekbone reduction fracture repair and I assume it is due to how the fracture was repaired. A:I have reviewed your 3D CT scan which shows the cheek asymmetry between the two sides. (see attached) While the left ZMC fracture repair was decent it is underrotated a bit […]

Q: Dr. Eppley, How can I reduce this ridge in the top of my head? Do I need sagittal crest reduction. I have attached my skull CT scan for you to review. A:I have reviewed your CT scan which has been enormously in determining both the origin of your sagittal crest, its thickness and surgical […]

Q: Dr. Eppley,  I discovered Dr Eppley after I was diagnosed with midface hypoplasia due to receiving cranial radiotherapy by mistake when I had Leukaemia aged 5. I did have a malocclusion Class III but that was corrected with upper jaw surgery. Under our health system in the UK the plan was to treat the […]

Q: Dr. Eppley,  I’m experiencing complications following DJS and genioplasty – specifically extreme tightness in my chin at rest (gets worse when smiling or talking) my lower lip is curled in and the outside corners are being pulled down, new lip incompetence (did not have prior to surgery) I’m exploring genioplasty revision options but I’m […]

Q: Dr. Eppley, Hello, I am interested in speaking to someone regarding front bossing procedure and forehead lowering. A: Thank you for your inquiry and sending your pictures. The combination of a high (long) forehead and frontal bossing are aesthetically synergestic….and not in a beneficial way. A long forehead can make the bone appear more […]

Q: Dr. Eppley, Hello. I am a transgender woman from England. i previously have had two jaw surgery and also mandible shaving as part of a few facial feminization procedures however they removed too much bone so i have a very weak mandible angle. would you be able to tell me if you do custom […]

Q: Dr. Eppley, Hello! I want to have rib removal for a smaller waist & I’ve previously enquired about shoulder narrowing surgery. I am set on having 2.5cm removed on each side. As for rib removal, I have a couple of questions. Would it be possible to remove both the 11th & 12th ribs during […]

Q: Dr. Eppley, Hi, I would like to inquire about a consultation for chin ptosis treatment. It’s congenital, I’ve had it all my life and never had any facial surgery. I tried Botox for the first time a couple weeks ago for it and I feel like it made it even worse. A: I am […]