Blog

Q: Dr. Eppley, I have a theoretical question about a subcostal rib cage implant for one side of my body. I was born with underdeveloped and thinner ribs on one side of my body (a rare variation of poland syndrome). IT is not from anything, they are actually thinner on my right side as my […]

Q: Dr. Eppley, I’m very interested in hip implants. Is after hip implants is a bbl possible. But I want also transfer the bbl fat in my hips. Is this possible too? Or should I make first the bbl? Is the doctor also doing bbl? If yes, is it possible make a bbl when I have […]

Q: Dr. Eppley, Can you reduce a high spot the skull to make it level with rest? A: That would depend on the thickness of the bone and how much it will permit the high spot to be lowered. How they applies to you requires a picture of the high spot at a minimum and […]

Q: Dr. Eppley, I have had coup de Sabre since I have been in 5th grade (10 years old ) mainly affecting my forehead and part of my scalp. I have been looking for doctors that are willing to do cosmetic surgery on my forehead to bring it back to its normal state but none […]

Q: Dr. Eppley, I read your website about waist narrowing/ribs removal surgery, and would like some more info. I have had a lot of surgeries so far, including 3 breast implant surgeries to take me to my current size of 2200cc. Also have butt implants and bbl, and want the extreme hourglass figure. I am totally […]

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’m currently considering forehead augmentation surgery to make my forehead less sloped, more symmetrical on each side and more prominent at the front. I wanted to ask whether adding additional PEEK material or bone cement will automatically change the top of my head shape slightly, as this is connected to my forehead. […]

Q: Dr. Eppley, I have had a full-chin-wing procedure about 1.5 years ago. The chin was forwarded by 4mm, giving me a harmonious side-view. However, the front view is unpleasant, since the jaw angles were blunted, leaving me with a U-shaped jaw line.  I am very interested in reversing this procedure. I have heard from […]

Q: Dr. Eppley, I am interested in surgery to help fix my facial / cranial appearance and to help me feel like i can easily have a good neck posture. I have a weak chin, jaw, and cheek bones. My orthodontist agreed with me and has x-rays but said she couldn’t do anything to help. […]

Q: Dr. Eppley, I was curious would a being on bone canthoplasty increase pfl? Also do you think raising my cabthal tilt would benefit me? I had a canthoplasty 3ish years ago. I’m not completely happy with it. I think my right eye is definitely better than my left, ( but I think both of […]

Q: Dr. Eppley, Hello, as I am getting older my hair is thinning and my hairline is receding, and I am now noticing a strange and seemingly out of place shape on my head. It resembles the shape of a half egg and it is awkwardly planted in the center, just above my forehead. When […]

Q: Dr. Eppley, Been looking around for the time of healing for the procedure of occipital knob reduction. A: The time of healing after occipital knob skull reduction surgery depends on how you choose to define ‘healing’. I suspect you actually mean recovery as that is more relevant. True 100% healing of the tissues is […]

Q: Dr. Eppley, I am interested in Iliac crest implants and rib removal. Is it possible to do both of these procedures in the US? A: Both rib removal waistline narrowing and iliac crest implant surgery can be done at the same time. Here in the U.S., unlike Korea where the original titanium iliac crest […]

Q: Dr. Eppley, I’m considering undergoing V-line surgery but I’m afraid if I do I’ll get an overly oval/egg shaped face with a jaw that is too narrow. Is it possible to get V-line surgery just to change the height of the ramus and with some overall narrowing but not too much?  In particular, I […]

Q: Dr. Eppley, 1. How wide can a skull implant possibly ? Considering one does a scalp extender and does anything necessary to achieve that. I’ve seen it be 7mm at the widest point and then another 1cm or more if im not mistaken. How much further can it exceed? 2. I’ve read that you never […]

Q: Dr. Eppley, Is it possible to do anterior, posterior, lateral, and above skull implants together, but not on the same day? A: That is technically possible but would not usually be a good aesthetic choice. The skull is a large connected set of convex surfaces so augmenting all five skull surfaces independently would not […]

Q: Dr. Eppley, Hello. I want to reshape my head with bone cement. The first image is before and the 2nd is what I would like (used photoshop). Is this possible? A: You are not going to get that skull augmentation result (or even close) with bone cements for the following reasons: 1) The most common […]

Q: Dr. Eppley, At the moment I am undecided as to whether I want bone burring to be done due to the bi-coronal incision (incision that travels over the scalp) so I just want you to assist me in weighing up the risk to benefits by answering some enquiries. I also say this based off […]

Q: Dr. Eppley, i have consulted with a surgeon about the procedure modified lefort 3. My question is why is the implant route the way to go instead of surgery? A: The midface implant route is the superior aesthetic approach to midface augmentation IF there is no compelling need to change the occlusion. (one’s bite) […]

Q: Dr. Eppley, I have a question regarding facial outline and skull shape. I have looked through your question archives but couldn’t find anything on the exact topic. Is it possible to change the facial outline of your face to make it less round and more straight. I am including a picture as an example. […]

Q: Dr. Eppley, Hello! I believe my jaw is not symmetrical and feel one side is longer.. if I sent a variety of photos that it is very visible could you possibly tel if it can be solved/ corrected my by just a custom jawline implant or chin implant or if I would have to […]

Q: Dr. Eppley, I wanted to ask for your thoughts on what you believe would be the best treatment option for me. I have always had a very ‘flat’ face with lack of forward projection. I am 26 now and previously had braces aged 16 to correct a slight crossbite, and also my upper and […]

Q: Dr. Eppley, I have a dent in my nose and I find it extremely hard to breathe out of my nose over the years I’ve tried multiple different nasal sprays, home remedies, I’m sure I’ve tried every single suggestion on the internet not only is it extremely difficult for me to breathe I absolutely […]

Q: Dr. Eppley, I currently have large posterior PEEK jaw angle implants (~12mm width; no vertical augmentation). My presentation is complicated by significant bilateral masseter dehiscence, as I have history of prior jaw surgeries. The appearance is the classic skeletonized angles + the muscle bulge superiorly.  I have read your various posts on masseter muscle […]

Q: Dr. Eppley, My little boy is soon to be 6 years old. He has a wide head with flattening mainly to one side and his ear is slightly pushed forward on that side. I would like to try and get this sorted for him before at this age. Is this something you can help […]

Q: Dr. Eppley, Hello, I would like to ask about the customized skull, how hard is it and is it safe and almost as hard as the original bone? A: A custom skull implant will feel just like bone and when implanted you can not tell the difference between it and your natural skull….even though […]

Q: Dr. Eppley, in terms of the occipital procedure, what kind of swelling can I expect and will any hair be shaved to make the incision? Or in other words, will I be able to go back to work pretty soon afterward without worry about the scar being seen as it’s healing and any swelling […]

Q: Dr. Eppley, I’m curious are there any surgeries to make the eyes look further apart? I know an orbital box osteotomy actually moves the eyes further apart but that’s a obviously a very invasive surgery for a couple of mms. A: Whether it is 2mm or 10mms the only way to physically move the […]

Q: Dr. Eppley, Hey I’m a transgender female patient who is interested in getting hip implants cause I have hip dips and they make me feel like I look boyish. A: Of all body contouring procedures, hip implants have the highest rate of postoperative problems. I have learned to choose patients carefully for this procedure […]

Q: Dr. Eppley, I had an endoscopic brow lift 3 years ago and I am left with 4 vertical lumps on my forehead (pictures). The surgeon who did the brow lift believes it is scar tissue.  Do you think you could treat those scars by any means ? Would it require surgery or maybe just […]