Blog

Q: Dr. Eppley, I had bilateral testicular implants several months ago – 4.0 cm by 3.0 cm – cosmetically for atrophied testicles with testosterone replacement therapy. I stated my preference for large implant size but was not given a choice. The procedure and recovery went very well. The scrotum was pretreated with Botox for tissue […]

Q: Dr. Eppley, Hello, I was wondering I have some cartilage on one of my ears that I wish to be trimmed. It’s the portion of cartilage that in middle of helical rim and sticks out past the rest of my ear. Can you perform this under local anesthetic and use dissolvable stitches? And can […]

Q: Dr. Eppley, Hello I was diagnosed and told to seek a craniofacial surgeon in regards to facial asymmetry that’s caused a number of problem for me. I was told I have a craniofacial deformity and an under developed skull on one side. It’s apparent to see and I wonder what my options are to […]

Q: Dr. Eppley, I am a middle aged man who had cheek bone implant about surgery about 30 years ago in my early 20s . I had the implants removed about a year after the surgery as I felt they were to big. Unfortunately my face sagged when the implants were removed. I have learned […]

Q: Dr. Eppley, I am interested in a customized one piece jaw and chin implant. I have an existing chin implant which has held up very well with military activities. I am an infantryman so it’s the rough and tough exposure. I’ve gone through wrestling classes with it and it hasn’t given me any problems, […]

Q: Dr. Eppley, I am a 42 year old female who is considering doing a high smas face lift to help correct some mid face hypoplasia and cheeks that have dissented. Saw a surgeon for this and was about to book but my friend sent me your article about custom implants. I was told I […]

Q: Dr. Eppley, I am interested in your forehead implant procedure, and I had sent you photos, I forgot to clarify a doubt I have, in relation to the photos I attached, is it possible to perform such a pronounced increase without modifying the temporal area? I would not like to enlarge that area because […]

Q: Dr. Eppley, custom jaw implants – how does you go about making them? Is 3D imaging provided at your facility or you refer patients to a local imaging facility?  If so, can imaging be provided the same day as consultation or I have to prolong my stay for a few days?  What is success […]

Q: Dr. Eppley, I have a couple of questions for that I was hoping you could answer about testicle implants: 1) You mentioned an expectation that the scrotum would initially be tight following the surgery but would “relax” or “loosen” over time. Can he provide any more detail of what I should expect in that […]

Q: Dr. Eppley,I’m particularly interested in if it’s possible to reduce my skull width/size to within a cis female range. A:The answer to what is possible begs the question of what is a female skull size/shape compared to what you have now? In other words can skull reduction surgery make enough of a visible difference […]

Q: Dr. Eppley, I have a left rib flare birth defect. My 10th rib is totally twisted outwards at its tip which hurts when rotating or bending. Audible clicking sound, but no “sleeping syndrome”. I am in GE Germany and surgeons prefer conservative methods here. I wanted to know what was your point of view […]

Q: Dr. Eppley, I have deep set, low brows and small eyes. I wanted to know if there anything that could make my eyes look more open. A:There are two procedures that would open up deep set eyes in a female, brow bone reduction and a browlift. Whether an upper blepharoplasty as well would be […]

Q: Dr. Eppley, I had zygomatic bone repositioning. In the CT scan I’m wondering, why I do not see bone union in my maxillary region after zygomatic bone reposition (osteomy, delayed reposition). After surgery there is bone union on zygomatic arch, on the orbital rim, but maxillary region.  How it’s possible that gap has not reduced even […]

Q: Dr. Eppley, what the risks in temporal artery ligation in  stopping blood flow in this artery.  In other words, what is impacted by loosing blood flow (forehead/scalp skin impacts, loose of hair, risk of stroke, other)? A: This is a common concern that, fortunately, has no anatomic basis. The arteries that feed the scalp […]

Q: Dr. Eppley, Is an 8cm Clavicle Reduction feasible? Is it possible to get 2 Rounds Of Clavicle Width Reduction?  A: I am not sure whether with an 8cm reduction you are referring to one side or both sides combined. If you mean 8cm per side that would not be possible even with 2 rounds […]

Q: Dr. Eppley, I am wondering if you could kindly advise at what age is it possible to have treatment for a brachycephalic head shape? Is it possible to treat younger patients or is it advisable to wait until adulthood? A: Anytime after puberty would be fine for aesthetic skull reshaping procedures as the skull […]

Q: Dr. Eppley, Are skull implants permanent ? Any problems after the surgery and any precautions in one’s lifetime with them? A: Skull implants are permanent and never need to be replaced. As long as one is happy with the initial aesthetic result there is no need to do anything with the implant for the rest […]

Q: Dr. Eppley, Is it possible to reshape  a skull that is affected from Pagets disease? A: I assume you are referring to reducing the exostoses or overgrowths that occur on the outer surface off the skull. Such exostoses are usually softer bone that is more vascular but they can be reduced. The more pertinent […]

Q: Dr. Eppley, I am planning to have an approximately 2000 graft FUE scalp to beard transplant, covering basically the entire classic beard area.  With you, we have met and planned for several facial cosmetic surgeries some day later this year TBD. (e.g including IOM implants and sliding genio etc) For scheduling purposes, I am […]

Q: Dr. Eppley, I am interested in undergoing reversal V-line surgery and would like to know the best approach for achieving a natural-looking jawline while still being able to participate in activities such as sparring in the future. I aware that custom jawline surgery is a common option, but I am curious if custom bone […]

Q: Dr. Eppley, My question is therefore whether submental placement of jaw and chin implants is to be preferred over intraoral in terms of safety and infection risk?  I know Dr. Eppley has done both of these, but what are the pros and cons of going submental vs. intraoral? A: In custom jawline implant placements, […]

Q: Dr. Eppley, I am going to “study” the custom facial implant design and get back to you on it. But I have two questions: 1) I see different measurements between the two sides, should I chose one of them or do I have an asymmetrical face? 2) Is it possible to get a computer […]

Q: Dr. Eppley, I am currently considering getting a temporal reduction surgery, but I am wondering what the recovery process may be like for this procedure. I understand that for some surgeries, the recovery process can be quite long (a few weeks to months) and require certain types of diets, while for other surgeries, the […]

Q: Dr. Eppley, I was considering getting implants for my bone brow. However i am a boxer, will these implants interfere with my boxing career and if so what can i do to prevent any damage. A: While I have never put forehead or brow bone implants into a patient that boxes, I do not […]

Q: Dr. Eppley, When would I have enough mobility to resume massage therapy work after clavicle reduction surgery? Could you also explain to me in more detail, how the recovery in mobility will evolve? A: As a massage therapist I would think 6 to 8 weeks would be the soonest. That is fairly strenuous arm work. Whether […]

Q: Dr. Eppley, I plan to get orthognathic surgery in the near future which will change my jaw most notably so I didn’t include a side profile but I still have some concerns with some frontal features that seem like they cause poor facial harmony. My first concern that I wanted to bring up is […]

Q: Dr. Eppley, I had otoplasty 6 months ago. Cartilage was removed from my conchal bowl and the antihelix was created by mustarde sutures (3 sutures per ear). I was very unsatisfied with the results since it was pinned too much to my head. 4 weeks ago i had a revision, and im still not […]

Q: Dr. Eppley, do you perform subcranial modified orbital box osteotomies? A: You are referring to a lower 180 degree orbital box osteotomy done through a combined lower eyelid and intraoral incisional approaches, an operation of which I am familiar and have done. It is certainly far less invasive than the transcranial 360 degree orbital […]

Q: Dr. Eppley, I’m a 23 yo female. I am actually quite satisfied with how I look from head on (I’ve no prior procedures). I’m dissatisfied with the slight nasal hump and nasal tip drooping, but am more concerned with the weakness of the profile of my chin.  I have considered going to local, domestic, […]

Q: Dr. Eppley, I have microcephaly. My head circumference is 21cm although i have normal intelligence, this condition is psychologically distressing and has negatively impacted my self-esteem. I often stuff my wigs with clothe just to add volume to my head and give off an illusion of a semi normal sized head. Is a reconstruction […]