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Q: Dr. Eppley, I am writing to you because I have an asymmetry of the jaw, the right is more developed than the left, I am 28 years old and to have more symmetry I thought of one of your customized implants on the less developed jaw, but first I would like to have an […]

Q: Dr. Eppley, I have what I think is brachycephaly with a very flat back of the head but also the sides of the back of the head are pointy and flat. My question is how much bigger and rounder can these areas become with a custom skull implant?  Also does the silicone feel soft […]

Q: Dr. Eppley, I am wondering if I am a good candidate for rib removal. I am also looking to downsize my breast  implants and was wondering how that would relate time wise to get rib removal. A:Thank you for sending your pictures. Lean patients get the best waistline results from rib removal surgery of […]

Q: Dr. Eppley, I’m sending this email as an inquiry into Aesthetic Skull Reshaping Procedures.   I’ll start with a bit of an overview of my situation and what I hope to achieve:I’m a bald male. I have a depression/groove in the top right side of my skull. As a result, the right-side profile of the […]

Q: Dr. Eppley, Hello, I am a young female 117 lbs and 5’5. I’ve always had a very round fat face despite being very skinny everywhere else. I think one of the main reasons for this is my recessed chin. I’ve been looking into genioplasty and chin implants, but i’ve read that through genioplasty it […]

Q: Dr. Eppley, I understand that a cheek implant is placed primarily on the bone, but I was wondering how far off the bone can a cheek implant hang? Especially in the submalar region?  Thank you A: Cheek implants are commonly positioned off the bone onto the masseteric muscle fascia to obtain lower cheek fullness. […]

Q: Dr. Eppley, I would like to discuss the options for a chin revision. I had a chin augmentation in January 2021 and the removal of the implant in May of 2021. Since then my facial structure has changed significantly, which the lower part of my face becoming wide along with issues regarding my smile. […]

Q: Dr. Eppley, But I saw you comment on a question forum about my exact issue so what I think I have is chin ptosis! For years I have been getting filler in my chin to correct it and was considering a sliding genioplasty or implant but what I realized I really want is for […]

Q: Dr. Eppley, thank you for your time. I know you are busy. I am an avid reader of your online content, blog, and responses on forums. I have a question I hope you can answer, as I feel you are the best expert on this.  I have long history of many intra-oral chin implant […]

Q: Dr. Eppley, I am a 27 year old trans woman and I am very interested in having rib removal surgery for waistline narrowing. I have a few questions: 1. How long must patients stay in town before flying home?  2. Is it possible for me to have this procedure on my own without a […]

Q: Dr. Eppley, I have a broken zygomatic arch that was not repaired in time which has resulted in loss of facial symmetry. What can I do to correct it now? A:To determine the best corrective approach for a displaced zygomatic arch fracture a 3D Ct scan is needed so there is a clear understanding of […]

Q: Dr. Eppley, I have a question regarding the combination of standard chin and jaw angle implants.  How do they connect? I´m aware that they are 3 separate implants, which are not connected by screws or anything like that. But will there be visible gaps between them if you wrap the skin around them very […]

Q: Dr. Eppley, Can I get an advancement sliding genioplasty if my chin is not recessed? Like its perfectly lined straight with my lips but i want to advance it for an even more forward grown look. Thank you.  A: A sliding genioplasty can be done just as easily/effectively in a chin with normal projection […]

Q: Dr. Eppley, Hi, could you tell me all of the risks involved with your post-genioplasty procedure of intra-oral release and fat graft? Also how long does recovery generally take? And can this procedure help to raise the lower lip a bit to cover the lower incisors more / reduce lip incompetence?  Thank you! A:The only real […]

Q: Dr. Eppley, Hello, I have had a Le Fort Osteotomy for sleep apnea in 2020, and am unhappy with my jaw appearance after (too narrow, undefined). I tried a jaw implant in 2021 but it became infected and had to be removed. I am wondering if a custom jaw implant would be an option […]

Q: Dr. Eppley, Hello, I’m interested in clavicle shortening. However, I’m wondering if this would make my collarbone a lot less visible. I already have not really visible collarbones and I’m worried they will fully disappear.  A:Good question and actually the reverse of your concern, becoming more visible, is more likely to occur due to […]

Q: Dr. Eppley, I recently had custom peek jaw implants in Europe, they look great and have healed well. The only issue is that the right hand side implant was ever so slightly malpositioned, such that at the point of contact along the mandible (about half way between gonion and chin) the implant edge is […]

Q: Dr. Eppley, I have an initial video consultation scheduled with you already. My question is, can all the procedures I am wanting be performed on a single day? Tentatively, I am planning to get infraorbital-malar implants, nasal tip rhinoplasty, buccal lipectomy, and sliding genioplasty (bilateral where applicable). Of course, I won’t finalize plans for […]

Q: Dr. Eppley, Hello, I had a chin burring procedure intraoral approach in November 2020 but when the swelling went down my chin was noticeably long and flatter, my main concern is that the tissues are now drooped and filler has made it less unsightly but still drooped and long, smiling makes it worse. I […]

Q: Dr. Eppley, I have untreated plagiocephaly which has caused several asymmetrical features of my face and head And I’ve only started to notice as I got older.  The right side of my face is pushed forward and the left side is pushed back affecting my eyes, cheekbones, ears, jaw and head. The right side […]

Q: Dr. Eppley, I have had a testicular implant since 13. There is a large size disparity between my real testicle and the implant.  I am about to have a urologist insert a larger implant. In researching the Coloplast, the largest size is not even close.  What are my options? A: The beet approach would […]

Q: Dr. Eppley, I had a botched genioplasty and I am wondering if you could fix it? My doctor said I had to wait 6 months for a revision but 1) I really do not trust him to do the revision and 2) I have seen other people have revisions/reversals before 6 months. Thank you. […]

Q: Dr. Eppley, Hello, i want to know after a surgery like skull reshape how do you feel your head because I’ve had some surgeries and all the zones of the cut feels like electricity and numbness. It is the same for the head? A: In my experience skull reshaping patients will experience some temporary […]

Q: Dr. Eppley ,I am writing to you because 3 years ago I had Lefort 1, BSSO and a cheekbone augmentation with hydroxyapatite granules. Since this year, I have noticed the cheekbone (implant/granules) grew much larger, mainly on the left side. It has been getting bigger still and it protrudes much more from the side. […]

Q: Dr. Eppley, thank you for all your information about skull reshaping surgery that you provide which is very useful for us. I would like to know if it is possible to reduce the width of a human skull by reducing the thickness of the parietal bone by about 3 to 5 mm on each […]

Q: Dr. Eppley, I had a sliding genioplasty to advance my chin 6mm forward 7 weeks ago. I know that I am still early in the healing phase but I hate my chin so far and I feel like it’s not so swollen anymore. It makes my face seems a lot longer and narrower. From […]

Q: Dr. Eppley, I am very interested in the procedure that I see you are an expert in, forehead augmentation with custom implants.  My question is the following, I have a very backward sloping forehead, and I want to increase considerably in volume that area, I have read that in the case that it is […]

Q: Dr. Eppley, My head is flat on the back and underdeveloped on sagittal and frontal, and it’s been troubling me and cause I h me depression just being aware of it 24/7. I got a few questions about the procedure. 1. Is it bone cement you’ll be using for skull reshaping surgery, or silicone […]

Q: Dr. Eppley, Does the burring method, which, from what I gathered, removes the outer layer of the skull, result in a weaker, more vulnerable skull which can increase the risk of hurting one’s head and brain (cracking, piercing skull, etc)? A: Removal of the outer layer of the skull as is done in skull […]

Q: Dr. Eppley, I have a question about your stance on the ability of infraorbital rim implants to marginally effect scleral show on the lower lids.  I’ve researched this topic quite a lot, and your name always pops up within discussions surrounding it. I’m a bit confused, though, as in some posts — whether it […]