Blog

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 […]

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 […]