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Q: Dr. Eppley, I want to reduce the jaws and chin and expose the face with Malar Shell filling to make the face square. A:The procedure that you have described, specifically chin and jaw reduction, is not going to help make your face more square. You can never do a reduction procedure to get that […]

Q: Dr. Eppley, i have a bit of lower eyelid retraction on my right side and was considering getting custom zygoma/cheek implants anyways (placed intraorally). If i extended the implant onto the infraorbital rim, increasing its vertical height by 1-2mm, could this eliminate or improve the retraction and sclera show without any canthoplasty, ect? Thanks […]

Q: Dr. Eppley, i have a bit of lower eyelid retraction on my right side and was considering getting custom zygoma/cheek implants anyways (placed intraorally). If i extended the implant onto the infraorbital rim, increasing its vertical height by 1-2mm, could this eliminate or improve the retraction and sclera show without any canthoplasty, etc? Thanks […]

Q: Dr. Eppley, I am interested in an estimate for a back lift. I would also like to know if a vertical back lift would work for me A:Based on just this one static back picture I suspect that you would be a good candidate for a vertical back lift. The real indication is the […]

Q: Dr. Eppley, At 3 months post infraorbital malar implant surgery is it safe to get under eye/cheek filler? I never had a lot of fat in that area so I need the soft tissue augmentation. Also is getting botox, microneedling (at home or in clinic) etc pose any infection risk to the implants? A:With […]

Q: Dr. Eppley, I had a chin reduction (0verdone) and now have chin ptosis when I smile. Will a chin implant help correct it? A:You have correctly surmised that augmentation of the chin, in essence a reversal of the chin reduction, will treat the dynamic chin ptosis through the addition of structural support. How it […]

Q: Dr. Eppley, The procedures I’m considering are: Zygomatic Reduction Osteotomy, Supraorbital Implants, Custom Jaw Angle Implants, Infraorbital Rim Implants, Bilateral Lateral Canthoplasty, Rhinoplasty, and a Bullhorn Lip Lift. I am also planning a trimax (bimax + genioplasty) separately. Some of these are major, others more subtle. What matters most to me is figuring out […]

Q: Dr. Eppley, But was curious about the 180* orbital box osteotomy for orbital widening/interpupilar distance increase. A:For the patient who has decreased interpupillary distance 360° orbital box osteotomies will make a significant difference (8 to 10mms). The question is not whether that would be the correct operation but whether the patient’s level of motivation […]

Q: Dr. Eppley, I’m a transwoman, and due to some mix of genetics and terrible luck, I’ve had little to no fat redistribution or bone changes even though I started HRT at 15 and have been on it for 10+ years 🙁 My figure has broad shoulders and extremely narrow hips, both of which have […]

Q: Dr. Eppley ,I’m interested in a consultation regarding structural jawline enhancement using custom implants. I have mandibular retrusion with an overbite and I’m looking for a patient-specific solution rather than a standard chin implant. Specifically, I’m interested in a custom wraparound mandibular implant (chin + mandibular body) to improve projection and jawline definition in […]

Q: Dr. Eppley, My biggest insecurity is my bulging and asymmetrical eyes and excessively round face shape, and right now I am looking for professional opinions from different experts to decide what procedures will be the most optimal for me. A:Thank you for sending your pictures. You have a negative orbital vector which is why […]

Q: Dr. Eppley, Hello, I’m interested in a custom 3D-printed implant focused specifically on enhancing my chin projection and mandibular angles only, rather than a full wraparound jaw implant. I’m looking for a natural, balanced result with improved definition in the chin and jaw angles without adding bulk along the entire jawline. Do you offer […]

Q: Dr. Eppley, Here are the X-rays . You should be able to view my front, side and 3/4 view from my earlier email but lmk if not. Overall I find my face is quite long, flat and a bit droopy. I believe my resting face looks a bit sad and I don’t have many “features” I’d […]

Q: Dr. Eppley, Of the custom facial implant material options, PEEK makes the most sense to me. Could you tell me the long-term advantages and risks of PEEK compared to Medpor? Is the implant custom-made using a 3D printer? A: All custom implants are made by 3-D design and printing. The main advantage of PEEK […]

Q: Dr. Eppley, I recently came across your work regarding frontal bossing reduction and found your approach very informative. I would like to inquire about the procedure, particularly in my case as a 27-year-old male considering this surgery. Could you please advise on the following points: 1. How safe is frontal bossing reduction surgery for […]

Q: Dr. Eppley, My face is marginal and atypical, and it harms my life because people think I am stupid because of my close eyes and very narrow face. I heard that you are the only expert capable of making cranioplasty (heavy surgery) an aesthetic goal. My question: is it possible to reshape my face […]

Q: Dr. Eppley, I had cheek implants placed years ago and believe their positioning is off — they create an unnatural, harsh look rather than enhancing my natural bone structure. My primary goal is removal or repositioning to restore a more natural, balanced midface. Clinically relevant: I can palpate the implants both intra-orally and externally […]

Q: Dr. Eppley,Do you use MMA skull reshaping method for plagiocephaly (one side back head flat correcting method ) ? if yes most of my skull is corrected but I have a dent small area on back left which is the edge part connects with the left side part the previous Dr left to fill […]

Q: Dr. Eppley, I have a bit of a flat face and the outer ends of my eyes hang lower than they should for sure. So I’m wanting to get them lifted a little as shown by my finger in the second picture. I think a lot of people go crazy over wanting cat eyes […]

Q: Dr. Eppley, I currently have pectoral implants which are Hansons ACP 2-3 large. I would like to go bigger with new implants. A:Thank you supplying the information on their existing pectoral implants. Your existing pectoral implant dimensions are 16.5 cm in height by 13.5 cm in width and 2.5 cm in projection and an […]

Q: Dr. Eppley, I am interested in improving my facial structure and am looking into surgical procedures for that. I have a good amount of facial fat even though I weigh 155 lbs at 5’11” height (age 28). I want to have a defined jaw line and cheeks instead of the oval shape right now. […]

Q: Dr. Eppley, I saw on Dr. Eppley’s website the different types of implants he uses and I’m also wondering if there’s any connection with the implants and structure of the face over time? Will the implants have to be adjusted over time? Will they be more obvious if skin loses laxity? A: In answer […]

Q: Dr. Eppley, I’m looking to correct a negative orbital vector and lack of anterior projection and what I suspect is a lack of anterior projection of my cheeks. I understand that in other cases such as these you’ve recommended custom infraorbital malar implants. I would also like to know if paranasal implants would be […]

Q: Dr. Eppley, I have long face syndrome and also have a gummy smile (with some gum showing when I smile). I would like to ask whether there is any surgery that can significantly shorten the length of my nasal bone and maxilla. Ideally, I want to shorten it by 2 cm. I am willing […]

Q: Dr. Eppley, Am I too old for a facial chemical peel? A:Age is nothing to do with whether one can have a chemical peel or laser resurfacing. The question is not age but effectiveness for what one wants to achieve. Will the procedure and older person be effective or do they really need another […]

Q: Dr. Eppley, Is it possible to create a truly “high-set prominent cheekbones” appearance in someone whose cheekbones are both flat and positioned low—and who, despite having very low fat levels, lacks sharp facial contours? I don’t think custom cheek implants can truly solve this problem because the attachment point of the masseter muscle doesn’t […]

Q: Dr. Eppley, I have lack of longitudinal growth of the maxilla that makes my face look sunken. I would like to know if these implants could fix the skeletal discrepancy or are good only for people as they age. A:Thank you for sending your better quality pictures. When it comes to a midface deficiency […]

Q: Dr. Eppley, I hope you are well. I am writing to inquire about the aesthetic testicular augmentation procedure described on your website, specifically the technique in which an implant encapsulates the existing testicle to increase volume. While researching this topic, I have noticed that several clinics appear to offer enlargement by placing implants beside […]

Q: Dr. Eppley, Can the forehead part above but in between the eye brows be made even. A:You are referring to the glabella or glabellar valley I assume which in some patients can be quite deep and can be filled in. But without seeing pictures of your forehead concerns I can not how this may […]

Q: Dr. Eppley, I am wondering if you’ve ever done iliac crest augmentation with medpor implants. I don’t really know if the shape of the titanium implant would look natural – even in the photo of the implant on the pelvic bone, on your page titled “Pelvic Plasty for Upper Hip Widening – Iliac Crest […]