Blog

Q: Dr. Eppley,There are numerous places where I have seen you state that safe skull reduction cannot enter the diploic space, but in the case of this patient it appears you reduced his skull all the way down to the inner table – why is the diploic space the standard stopping point, and why was […]

Q: Dr. Eppley, I hope you wouldn’t mind giving me some advice/thoughts. In 2022 I had bilateral gonial angle reduction and a bit of excess bone from middle of chin shaved off. Very happy with gonial angle reduction but the improvement in my front view wasn’t what I was hoping for. Consulted a surgeon this year […]

Q: Dr. Eppley, I hope this email finds you well. I am writing to inquire about the possibility of midface shortening surgery using the lefort principle, followed by a subnasal lip lift. I am aware that midface shortening surgery is a complex and unconventional procedure, and I understand the risks it carries.  I have been contemplating midface […]

Q: Dr. Eppley, I have a prominent supraorbital bone and I want to do supraorbital bone ( eyebrow bone shaving) Is it possible to shave or peel the excessive supraorbital bone by minimal invasive technique (endoscopic technique) because the problem that I have a baldness on the both sides of the head and I don’t want […]

Q: Dr. Eppley, my son had a poorly performed otoplasty which resulted in excessive pinning of the middle third of both ears. We have been researching the cadaver cartilage bracing reverse otoplasty procedure and are curious what the recovery for that procedure would look like. How many months would the ears need to be protected during […]

Q: Dr. Eppley, I have lost a lot of weight but i need more hips and but, and BBL is not possible. What can de doctor suggest for me with visible results.  A: In thin patients like yourself, particularly after weight loss, buttock implants are possible but not hip implants as you don’t have enough […]

Q: Dr. Eppley, I had scoliosis surgery 2.5 years ago and it was successful but still have a bit of a curve. My question is, do I qualify for the rib removal surgery? I have uneven waistline due to the curvature of the spine that I’d like to correct. A: Having prior scoliosis surgery does […]

Q: Dr. Eppley, What would you say is the biggest change that went from when I was 16 to me right now at 23 ? Is it soft tissue (skin, fat pads) or bone changes ? I feel like my midface looks especially sunken now compare to before. I’d like to look like I did […]

Q: Dr. Eppley, I’m very interested in infraorbital-malar implants, as well as potentially paranasal implants to improve my deficient midface after I have a LeFort I osteotomy and BSSO that’is scheduled later this year. So I’m writing this as I have two questions for you! First one is how long after should I wait to […]

Q: Dr. Eppley,I have for some time now been set on getting a chin implant. However, as the deadline for doing so is coming closer, I doubt whether I should opt for a custom implant or choose a standard chin implant. As you can see in the pictures attached I lack both vertical and horizontal length.The only option […]

Q: Dr. Eppley, I just came back from the dentist and have some periodontal disease (with no bone loss) due to having smoked when younger but have now quit. I was hoping to get jaw implants however I’m wondering if this could be an issue and could it increase the progression of gum disease? I have […]

Q: Dr. Eppley, I am interested in temporal artery ligations. You seem to be the surgeon that comes up repeatedly for this procedure online so I am very interested in learning more.  – is this a common procedure for you? Do people routinely fly in for this?  – what are we looking at as far […]

Q: Dr. Eppley, I previously got a lower jaw surgery as well as a sliding genioplasty for a total of 14mm of movement. I still have a weak chin, so wondering if Dr. Eppley would recommend a second genioplasty? For this second genioplasty, is it possible to do an additional say, 10mm? My initial genioplasty […]

Q: Dr. Eppley, I would like to know, is it possible to reduce the posterior zygomatic arch by 8 mm through a combination of an osteotomy and burring? Thank you! A: Maybe. But it would require a 3D CT scan with measurements of the posterior arch and its temporal attachments to know for sure. Dr. Barry […]

Q: Dr. Eppley, I have come to realize that my primary goal is to address the physical length of the area between my eyes and nose. I am dissatisfied with the elongated appearance of this specific region of my face, as it affects the overall balance and harmony of my facial features. While exploring potential […]

Q: Dr. Eppley, I am a cis woman and I have a very wide torso, my ribcage is very large, I would like to know if there is a way to remove ribs 11, 10, 9 and shave the ribs above without interfering with the subcostal nerve. A: There are two surgical methods of torso […]

Q: Dr. Eppley, my face is asymmetrical, the right side of my face is lower than the left and my right eye is lower than my left eye. I’m uncomfortable with this situation.I went to 3 plastic surgeons in my country and they said there is no solution .I found you after my research.Is there […]

Q: Dr. Eppley,  I’ve had two past skull implantation surgeries with you in the past few years. I would like to find out if a third implant is possible and set up a virtual consultation. I hope to hear from you soon. Thank you. A: Good to hear from you. It has been two years since […]

Q: Dr. Eppley, I have been looking for information about this operation for a very long time, but there is so little of it on the Internet. As a result, I made a correction of the ribs, my ribs were broken and I wore a corset for 3 months, 24/7. The first 2 weeks it […]

Q: Dr. Eppley, Is there a visual of some kind I could see to understand how the implants “wrap around” the bone? Do they fold around the bone or actually wrap around, like rope?  Are they permanent?  Can the surgery be done under local anesthesia? What are the risks involved?  Thanks so much. A: Clavicle […]

Q: Dr. Eppley, What is the projection angle of iliac crest in reference to the spine? Would you say 45 degrees? The reason for my question is that I am trying to understand how much the iliac implant will add lateral prominence and height to the pelvic bones. Will the implant narrow the gap between the iliac crest and rib cage? […]

Q: Dr. Eppley, I considered getting custom silicone jawline implant but in the end I got the medpor implants in my home country. I got RZ mandibular angle 11mm, and RZ extended square chin implant (5mm) The op took place 7 mounths ago. The implants were fixated with titanium screws. Choose of the implants was […]

Q: Dr. Eppley, Is it possible to add bone to the orbital rim, with something like hydroxyapatite? I’m talking about the upper orbital rim, rather than something like infraorbital rim implants. A: Hydroxapatite, a synthetic ceramic material and not bone, can certainly be added to the brow bones or superior orbital rims…but it would require […]

Q: Dr. Eppley, I am a 24 year old male with a vertical lengthening chin implant (size medium). Unfortunately, I have visible ridges from the implant and I still desire more vertical augmentation. I had a few questions about genioplasty and scheduling surgery. 1. Does Eppley still perform vertical lengthening genioplasty of 10-14mms?  2. Does […]

Q: Dr. Eppley, My goals are distal brow enhancement, eye socket depth is a little shallow, so eyeballs bulge out a little on distal end of eye socket, so need distal brow augmentation for eye protection during sports, etc. PD is only 59mm, so cannot add too much jaw width augmentation or will lose aesthetic […]

Q: Dr. Eppley, Hi, is alar base lowering on one side a possibility? My left nostril is fine, but my right nostril shows a lot. A: While nostril lowering can be done that will affect the base of the nose primarily…..it may not necessarily decrease nostril show which is more of an issue with the […]

Q: Dr. Eppley, Can I get an existing chin implant removed and genioplasty done in the same procedure? Or do I need to wait in between? My previous surgeon told me I need to wait if I ever want to replace my implant with a different size. A: Whether you are replacing a chin implant […]

Q: Dr. Eppley, I have a large depressed scar on my right cheek from acne. I have a smaller one on my left cheek. Two plastic surgeons have tried fillers over 2 decades ago with minimal improvement. The second surgeon, who thought injecting Restalyn deeper would work better, showed me the fluid coming out of […]

Q: Dr. Eppley, Im interested in getting clavicle lengthening. Im 6’3 175 pounds (naturally slim. No health issues/drug problems etc) with very narrow shoulders.. way out of proportion for my height!  And the narrowness affects my posture and reach. Im pretty sure my shoulders are under developed due to smoking cigarretes during my teen years […]

Q: Dr. Eppley, Hi I hit my head 10 years ago, since then the swollen area never went away, I went for dozens of scans, they said that no focal abnormality was seen at the region of interest, there is no soft tissue mass, fluid collection or lymph node, I was told that my skull […]