Blog

Q: Dr. Eppley, I had a genioplasty with double jaw surgery, the problem is my face is now too long I dont have the 1/3 – 1/3 – 1/3 facial proportion anymore, and my philtrum to chin ratio is off Is there a way to reduce chin height and what would be appropriate for my […]

Q: Dr. Eppley, Will having multiple sclerosis (MS) prevent me from having forehead horn reduction surgery? A: Forehead horn reduction is a bone reduction procedure done by burring through an incision either at or just above the frontal hairline. I am not aware of any contraindicatons to doing the procedure with the diagnosis of MS….but […]

Q: Dr. Eppley, I’m 23 yrs. old and I have plagiocephaly. How do you treat plagiocephaly?  The green arrow indicates that the right side of the skull is slightly advanced forward and the left side is slightly retracted at the back, and this is what is called plagiocephaly.  And I want to know what substance […]

Q: Dr. Eppley, Pics are post chest wall reconstruction.Original PE repair 2008. Dr removed all the sterno costal junctions and elevated the sternum but ribs remained inward as the bar was on top of the ribs. Very bad. 2010 bar removed, 2011 mesh and seroma removed. 2023 chest wall recon with bone graphs. Given the […]

Q: Dr. Eppley, I am interested in the waist narrowing procedure via rib osteotomy. Does Dr. Eppley perform this surgery, of so how many has he performed? A: I have done hundreds of rib removal surgeries but only a few rib osteotomies as the requests for rib fracture are far less than rib removal due […]

Q: Dr. Eppley, Will reducing the vertical chin height will automatically put the mentalis muscle higher? I Also have slight lip incompetance but i dont want any chin advancement, just height reduction so i dont know if it will help or no. A: The superior origin of the mentalis muscle to the bone has a fixed […]

Q: Dr. Eppley, I‘m very insecure about my eyes, especially the eye distance because they are just too close to each other. My interpupillary distance right now is 61mm which is not the worst I guess, but with my relatively large face width which is around 142mm and also long mid face, it just looks […]

Q: Dr. Eppley, I am interested in a custom jawline implant and I have some questions: I am not from USA but from Israel. Is that a problem in getting the surgery. What is the cost of the surgery? How soon after the consultation can I have the surgery? Do you have a lot of […]

Q: Dr. Eppley, I am curious if there is a way to make my collarbones protrude more from my chest without affecting the width of my shoulders. I am female and do not want to masculinize my shoulders at all, I just want my clavicles to stick out more. I am thin and fit, but […]

Q: Dr. Eppley, I had a LeFort I osteotomy to fix a recessed maxilla but it made the area above it recessed. Because of this, I’m interested in an extended custom midface implant for a LeFort III type augmentation, like the one in the picture attached, that I took from your blog (minus the area that […]

Q: Dr. Eppley, I’m a big fan of your work and optimistic you’ll be able to help me out. I recently had a custom jaw implant surgery on December 27th, 2022. I’m convinced the implant is the wrong shape completely, and that my doctor missed the mark on every aspect of it. Specifically, I believe […]

Q: Dr. Eppley, Five years ago, I lost 15-20 pounds rapidly (within three months) after starting crossfit. I loss facial volume in the cheeks, dark circles appeared, and my nasolabial folds became more pronounced. Since then, I have regained my weight, but my face has never returned to its previous state. I would like to […]

Q: Dr. Eppley, My question is that would you recommend augmenting the forehead with MMA bone cement to yield a very aesthetic result? Also do you  recommend leaving the brow ridge alone to keep a masculine appearance? A:It requires a large scalp incision to place a bone cement material on the forehead. This is why […]

Q: Dr. Eppley, I have the silicone/covid scrotal problem. I am currently having a bought of swollen, hard mass and fever in the sack. This problem comes and goes and usually is set off by some other health issue. In my case, common cold, food poisoning, strep throat. The swelling and discomfort last for 10-20 […]

Q: Dr. Eppley, Hello I am interested in a chin or jaw procedure to bring my chin out and jaw down so my lower face doesn’t look so short, also reduce the deep of the labiomental fold. A:With a vertically chin the mandibular plane angle is flat the labiomental fold is deepened and the lower […]

Q: Dr. Eppley, I have one eyelid that is droppy and does not open all the way in addition to excess skin around the corners of the eyes. A:When you refer to excess around the corners of the eyes I believe you are referring to temporal hooding of the upper eyelids which can be improved […]

Q: Dr. Eppley, I`m a transgender female, the wide shoulder bother me a lot at a longtime. So I`m quite interest in your shoulder reshaping surgery. Please allow me to ask you some questions. 1. How long is the postoperative recovery period. I have noticed that you have mention that some patients choose to separate […]

Q: Dr. Eppley, your blog is one of the 7 wonders of the internet. It has authoritative and concise content without ad banner spam. It’s hard to find such websites these days on the “traditional web”. Artificial intelligence agents will undoubtedly train on your blog’s content to gain some of your theoretical surgical expertise. As […]

Q: Dr. Eppley, I have a huge aesthetic issue with my excessive incisor display at rest. I do not have a gummy smile as the upper lip does not elevate when smiling much. However, at rest and while talking the front teeth show excessively which is rather unsightly. It is strenuous for me to keep my lips […]

Q: Dr. Eppley, I had a revision genioplasty about 5 months ago now. The swelling continues to dissapate and it is finally starting to look good. The only thing is the muscles look flexed and heavy when I smile and talk. I was wondering what the healing process is for a genioplasty : first the swelling […]

Q: Dr. Eppley,I wanted to ask you if I can still be able to professionally play soccer and gymnastics after removing my 10,11&12 ribs, and what are the side effects. A: I have had numerous gymnasts, dancers and even a professional weightlifter have rib removal surgery without any postoperative issues. I can not speak to […]

Q: Dr. Eppley, I am 42 years old and suffered a high impact shoulder dislocation when I was 18 years old resulting in axillary nerve damage and subsequent atrophy of my deltoid muscles. I have now lived with this deformity for more than half of my life but it has always bothered me and I […]

Q: Dr. Eppley, Sir i have an uneven protruded brow ridge, my left side brow is more protuded, i want to even them but without reducing right side brow ridge, is it possible make them symmetrical? A: The larger left brow bone can be reduced and your brow asymmetry improved for sure. How much the […]

Q: Dr. Eppley, I am writing this mail to inquire viability of surgical removal of occipital muscles. I have viewed multiple posts by Dr.eppley regarding temporalis removal for various reasons, one of which was of my interest, headache. I am wondering if the similar removal surgery can be done occipitalis. It might lead to the […]

Q: Dr. Eppley ,First of all, i would like to be very grateful on your amazing works and the comprehensive case studies you presented on your website. It is almost like a mini journal for me!I had zygoma reduction and mandibular angle reduction in Korea. I was told before by other doctors that I do […]

Q: Dr. Eppley,Hello, I am wondering if you know of any solutions to raise the hyoid bone for a more pronounced jawline. Or if you think in my case a different jaw and/or chin procedure may work. A: First and foremost you can’t raise the hyoid bone so that is not an option. A better […]

Q: Dr. Eppley, I am interested in having the temporal implant done to create more masculinity around the eye area and I just wanted to know is it possible that the surgeon can also perform a forehead reduction at  the same time? Or would this be a different incision area? Also wanted to know if each implant is […]

Q: Dr. Eppley, I have a downturned mouth and recently read about grin lifts. I actually do not want this done for aesthetics but I was wondering if this would help me with my chronic angular chelitis. For the last 5 years the corners of my mouth have cracked and it’s very painful. I’ve tried […]

Q: Dr. Eppley, I am contacting you in regards to a webbed neck as you can see from the photographs. I have met with a surgeon local to our area and discussed options with him. His recommendations left us a little concerned. He kept mentioning doing a Z-Plasty, and we had already researched and found […]

Q: Dr. Eppley, I read your articles about the chin implants settling into the bone and that bone erosion is a myth. The fear of a bone erosion is something that prevents me from having an implant. I read this article in which patient 4 had 7mm “bone erosion”. So, I would to ask you, […]