Blog

Q: Dr. Eppley, I had cheekbone reduction surgery via osteotomy 2 weeks ago. The bones were reached and fractured intraorally and with exterior incisions. On my sideburns where the exterior incisions were made there are really hard lumps which are a concern to me because I don’t know if it’s swelling that will eventually dissipate […]

Q: Dr. Eppley, What are your thoughts on Vermillion Advancement and why is this better or worse than the bullhorn/gullwing? I have very thin upper lift and downturned mouth.  Thank you!! A: FYI bullhorn = subnasal lip lift, gullwing = vermilion advancement While you can have a subnasal lip lift you should not have it […]

Q: Dr. Eppley, I am wanting to fix dents in my butt cheek that I might have gotten from a steroid shot when I was younger. I’ve had this noticeable set of dents/dimples for as long as I can remember. These dents show more when I’m simply standing or wearing tight clothes. I am always […]

Q: Dr. Eppley, I’m interested into getting a few things done in your Clinic. I would like to get Hip Implants, Rib Removal and my Shoulders narrowed. Is it possible to get it done in one surgery? And how long would you recommend to stay in your clinic? About me: I’m trans (mtf) and have […]

Q: Dr. Eppley, I’m wondering if a submalar cheek implants works effectively on African-American skin for someone with facial lipodystrophy? A: I am not aware that there are any racial differences when it comes to the aesthetic effects of submalar cheek implants. If someone is a good candidate they can be effective regardless of race, […]

Q: Dr. Eppley, I had a couple quick questions regarding the posterior temple reduction surgery that I have been very interested in. I’ve been reading up on it and it says that after the surgery, the full results won’t be shown until 6 weeks after. Why is this? Is it because there’s a shrink wrap […]

Q: Dr. Eppley, I wanted to email you in regards to the cost of a chin augmentation using either an implant or sliding genioplasty. I have a slightly recessed chin I would like to bring forward. I can provide photos. I would like some more information about the custom implant process and how that would […]

Q: Dr. Eppley, Looking to correct previous gynecomastia surgery. I have bilateral surface irregularities/depressions and scar tethering during flexion. Original surgery completed one year ago with fat grafting completed six months later. Pre and post pictures included. A: Thank you for your inquiry and sending your pictures. As I understand your history you had an […]

Q: Dr. Eppley, I like the first chin augmentation imaging that you did the best, I believe that is the smallest correct? For some reason though I just think I may Iook too masculine. I mean I know I have a boyish face but sometimes I feel like my recessed chin is the only feminine […]

Q: Dr. Eppley, Has you ever had patients post-operation suffer from weakness in chewing or keeping the jaw closed after having done the posterior and/or anterior temporalis muscle removal/reduction?  -What sort of feeling should I expect post-operation and during the healing process when Dr Barry performs bone burring on my enlarged temporal line?  -Just to […]

Q: Dr. Eppley, How many centimeters can you extend your shoulder reduction surgery? There are many places where triangular muscles, seolsang muscles, and chest are connected. What are the side effects? Please explain this in detail.  A: The amount of clavicle bone removed in shoulder narrowing surgery is 2.5cms per side. This has consistently shown […]

Q: Dr. Eppley, What are the chances of getting brain infections or any other risks during the cranioplasty? A: There is a zero chance of brain infections with cranioplasy. All aesthetic skull reshaping procedures are performed on the outside of the skull not the inside. We do not come close to the dura mater let […]

Q: Dr. Eppley, I’m thinking about getting a skull reduction surgery sometime in the future. I’m thinking about specifically getting a temporal reduction surgery, mainly because my head appears overly wide. And I’m hoping to have my head appear more narrow after the surgery is done. I just had one question about the procedure. I […]

Q: Dr. Eppley, I had cheekbone reduction surgery last week. Upon having my post op CT scan — I noticed my right cheekbone was slightly separated. My doctor said this will heal fine, but I’m still concerned because every time I open my mouth or touch my right cheek—I can feel my cheekbone moving slightly […]

Q: Dr. Eppley, I’ve looked over the imaging pictures of my sliding genioplasty chin augmentation and I like the medium and large chin projection changes for my side profile. I wouldn’t want any larger than the large so if youhad to go bigger or smaller from that id prefer smaller. In between medium and large […]

Q: Dr. Eppley, Last year I had bilateral testicular wrap around implants. Overall I am pleased, the left one is perfect. The right one however has a strange “pointed” shape at the bottom that is bizarre and sometimes causes pain, I was wondering if this could be rounded? A: I would assume that this is […]

Q: Dr. Eppley, I have had two sets of hip implants and both were plagued by bulging on the lower end of the implants. How can this be fixed? A: I have pulled and looked at both your 1st and current hip implant designs. I would suspect that the first lower bulge occurred because the […]

Q: Dr. Eppley, On Real Self I saw a few answers of yours to questions with regards to vertical augmentation of the chin. You were saying that using chin implants the chin can be vertically augmented up to about 7 mm (but no more) whereas with a vertical bony genioplasty the chin can be vertically […]

Q: Dr. Eppley, I have always been curious to know if it is possible to increase the pupillary distance between the eyes? I feel it gives a more feminine look and I just wanted to know if this surgery is possible? If not, is it possible in the near future with new technological advancements? Thank […]

Q: Dr. Eppley, Can temple implants and tear trough implants make my face more symmetrical? I had BSSO advancement which made the jaw angles more obtuse and desire jaw angle implants too. Would like to know your views via a possible consultation. A:Thank you for your inquiry and sending your picture. The aesthetic benefits of […]

Q: Dr. Eppley, Am I a good candidate for reverse abdominoplasty and what’s the approximate cost of this procedure that only addresses the upper abdomen? A: A reverse or superior-based tummy tuck is indicated in the following: 1) Loose abdominal skin is located above the umbilicus while there is no excess/loose abdominal skin below the […]

Q: Dr. Eppley, I had a trauma to the scrotum and testicles secondary to an assault where an effort to “pop” the testicles through the scrotum occurred. This eventually resulted in the loss of one testicle and caused the posterior skin behind the scrotum to become very stretched out and thinned. Now the remaining testicle […]

Q: Dr. Eppley, I wanted to know if you’re able to do a tummy tuck on a kidney transplant patient?  A:Yes I have done it before. (twice) You just have to know that the transplanted kidney is in the abdominal area so it may not involve rectus muscle plication depending upon where the transplanted kidney […]

Q: Dr. Eppley, I was born with a congenital mishaped head. Do you do craniotomy’s? Do you work on adults? I had a forehead implant in 2009, it held up for nearly 3 yrs then started sliding. I let it go, saw a surgeon and he was going to take out implant & in 6 […]

Q: Dr. Eppley, I had a skull implant surgery which was performed using 50CC of PMMA bone cement at the back of my head. There is now also a sizeable dent at the top of my head at the site of the incision ( its very hard to see in these photos due to my […]

Q: Dr. Eppley, Could the crease in the back of my head be removed? A: You have a common horizontal deep scalp crease at the bottom of the occipital bone on the back of your head which is not rare in thicker scalps. Because of its v-shaped indentation it must be treated just as if […]

Q: Dr. Eppley, I am emailing you to ask a very particular question. In the times you have performed the Temporal Artery Ligation Surgery, have you ever witnessed hair loss occurring in any of your patients? In fact, have you ever witnessed hair loss occurring in ANY procedure that relates to any procedure or ligation […]

Q: Dr. Eppley, I appreciate if you can provide feedback to my inquiry for ear surgery. Basically I have large size ear which requires upper pole and earlobe surgery and at the same time I am concern that if I do ear reduction surgery (upper pole + ear lobe) my ears might look lower from […]

Q: Dr. Eppley,  I’m a young trans person who has extremely bad dysphoria, especially around the shoulder and hips area. I have searched online and even asked on forums to no avail, I even called surgeons in my country but no one is doing anything that can help. Then I found you.  I have some questions […]

Q: Dr. Eppley, I have had a silicone testicle implant for many many years I had it implanted when I was 25. I’m now 50.. I have been told that they should be replaced after a time. Is this true ? Also the implant is rock hard and  I’d prefer something more natural is that […]