Blog

Q: Dr. Eppley, I am writing this email with regards to a Jaw reduction surgery I had 8 months ago. I initially went with regards to minimal asymmetry in my chin. I asked about a genioplasty procedure to address this.  The maxillofacial surgeon proceeded to say that my chin was very broad and that I had […]

Q: Dr. Eppley, I am a young male with mild hypertelorism and this given me cosmetic pain for a long time. I heard that patients with mild hypertelorism undergo orbital wall osteotomy, not orbital box osteotomy. Box osteotomy is burdensome. The range I want to correct is about 4mm. And I don’t have the Mongolian […]

Q: Dr. Eppley, I would like my forehead slope reduced, as much as possible. I figured it would involve a bit of brow bow reduction, forehead implant and hairline advancement surgery. A: By your description maximizing the forehead slope reduction would be done by inferior brow bone reduction and forehead implant augmentation. Frontal hairline advancement […]

Q: Dr. Eppley, A person who has already had a canthoplasty (almond eyes surgery) or an infraorbital implant can have a zygomatic arch implant placed without damaging the prior canthoplasty or orbital implant?  A: The best method for placement of a zygomatic arch implant is through the lower eyelid where direct linear access to the […]

Q: Dr. Eppley, I am interested in a scrotum augmentation with XL implants of approx. 7cm. Do you have testicular implants that are 6 or better 7 cm in size or do they have to be specially made? Is it even possible to insert 7 cm implants into a normal scrotum or does a 6 […]

Q: Dr. Eppley, Hi, my head is extremely extremely small and flat. Basically like microcephaly making me look like a monkey when I expose it. Can anything be done to round it out? Also, will this procedure affect hair growth? A: Skull augmentation with custom made implants for exactly your concerns (small head) are routinuely […]

Q: Dr. Eppley, Quick question can a slanted forehead be corrected? There’s a really steam slope on my forehead more noticeable on the profile. A: An excessively sloped forehead is a very common indication for forehead augmentation surgery. This is best done by a custom made forehead implant where the degree of slope correction can […]

Q: Dr. Eppley, how long does temporal reduction surgery usually takes? And is it done with a scalpel or shaver? I´m curious because of the incision size you know, one thing is the head narrowing but on the other hand its scar after. And is it only a partial resection of temporalis muscle? Isn’t it necessary […]

Q: Dr. Eppley, I have an inquiry about custom vertical jaw lengthening implants. I have downward swung jaws that make my lower third somewhat long, my gonial angle very high, a short ramus, and very steep jaw (40 degrees). As far as the implants on the jaw go I have 2 questions.  1. Can these […]

Q: Dr. Eppley, I wanted to inquire about the Occipital Bun reduction surgery. What is the cost, recovery time, and potential scarring after the procedure. I have no hair and wear my hair bald so the scarring would be visible and wanted to know how prominent the scar would be. I have attached some photos. […]

Q: Dr. Eppley, Hi I have been looking at some your posts and although you don’t think temporal bone reduction is necessary and muscle reduction is the way to go for a more effective result I just wanted to ask how much of the temporal bone are you able to reduce. A: The key question […]

Q: Dr. Eppley, I have been researching possible issues related to my 12th rib. I have both pelvic and rib pain over the last 3 years. Is my12th rib on the right unusually long? I can easily feel it when palpitating the area. I have been struggling to find a diagnosis or treatment plan.  Thank […]

Q: Dr. Eppley, I was wondering about this for a long time.  I am 58 years old but the top of my head is a little flat and my forehead is a little high.  I am ready for a brow lift but I also wanted to check into possibly when this is done, changing that […]

Q: Dr. Eppley, My biggest concern with my hip implants is the edge bending on both sides.  A:That certainly looks like inferior implant edge bending to me. That is a difficult problem to solve in an established pocket. Its best prevention is with the initial implant placement and the placement of ingrowth holes through the […]

Q: Dr. Eppley, I have a question about eyes- my eyes look quite round, shallow set and there is scleral show. I would like my eyes to be more hooded and with “straight eyelids” if that make sense. What can be done to achieve this type of eyes? I found on your website examples of […]

Q: Dr. Eppley, I do my neck exercises regularly everyday with my neck harness. I load with weights between 50 pounds and upwards to 100+ pounds. I have included a video to better describe my neck exercises.  I need to know if these exercises will damage my custom implant or not. Because I really, really […]

Q: Dr. Eppley, To indicate the type of cheek changes I am looking to make I can only really represent those changes using photos other people that have the features. Essentially, I want to be able to have an ogee curve with the high angular cheekbone look directly underneath the eye which is associated more […]

Q: Dr. Eppley, I have some questions about custom skull implants: 1. How big will the scar be and how noticeable will it be? Since I will constantly shave my head. 2. When we reach our goal with the implant, will the result be permanent? Can my skull change over the course of my life […]

Q: Dr. Eppley, I have a question regarding the relationship between hips and obliques and the appearance of hip narrowing/making tiny differences in width of the one oblique on my body. Obviously I know illac crest shaving is a potential option which will slightly pull in the hip which is last resort for me, but […]

Q: Dr. Eppley, Photos and goals were requested for Hip Augmentation.I really need Lipo and hip implants as well as breast implants. A: The main concept to grasp about hip implants is that they have the highest complication/removal rate of any aesthetic body implant. There are numerous reasons why that is so but awareness of […]

Q: Dr. Eppley, 7 months ago, I had a chin implant and it looks very boxy. I’m not sure what exactly needs to be done to help it. It also makes my mouth move like a ventriloquist dummy and makes the folks around my mouth now prominent.  A:Without even knowing what style and size chin […]

Q: Dr. Eppley, I am contacting you because I would like to know if it is technically possible to effectively treat a mild orbital dystopia at this time. I can only find very little satisfactory information on this subject on the Internet. I have a general facial asymmetry, my face is globally asymmetrical, and even […]

Q: Dr. Eppley, I am reaching out about a few implants. I am looking to create a more masculine and symmetrical appearance on my face.  From what I can gather myself (I’m no expert of course) I would guess that the infraorbital implants would be the most helpful to my overall face structure, and I […]

Q: Dr. Eppley, Thank you for the knowledge you publish on your work. I’m a 24 year old male from Washington DC. I’ve read your answers regarding paranasal implants and premaxillary implants closely to determine what could be the best procedure for my sunken in midface, protruding mouth, acute nasolabial angle, and an upper lip […]

Q: Dr. Eppley, you did such a wonderful job informing me of all the options during my initial consultation and taking time to explain details.  Here are a few additional questions for you.  1. How would we determine if I would need vertical lengthening as well as horizontal movement with chin implant in place?  Imaging? I […]

Q: Dr. Eppley, I’m 43 y.o.and all my life I’ve got complex about my deep set small eyes. I’ve seen your answer on your website about it and that make me write to you Dr.  When it comes to trying to improve deep set eyes, there are few options. You can not move the eyeball […]

Q: Dr. Eppley, I’m considering a custom jawline implant and have a few questions. I live in Montana so could the initial consultation be virtual? I also have a short to medium length beard and would really rather not shave before the surgery so would I need to shave or trim my beard for the consultation? How […]

Q: Dr. Eppley, I had custom jaw/mandibular angle implants installed by another surgeon. My right and left sides naturally had some asymmetry, the left a fair bit more deficient. The right implant worked out well, but the left came loose and shifted forward. The surgeon performed a revision on the left. He shaved it down […]

Q: Dr. Eppley, I’m a 32 years old male. Since a long time I’d like to reduce my temporal head breadth a bit and I was also never satisfied with my too wide cheekbones.  As for this matter, I had a cheekbone reduction in January 2020 in South Korea, and I’m not 100% satisfied with […]

Q: Dr. Eppley, 2 questions for you how much would a mouth widening procedure cost? Also, would you have any idea what’s “wrong” with my smile? I’ve scoured the internet looking for similar smiles and answers to what could be causing it too no avail. My smile looks kind of “forced” and wonky. Could it […]