Blog

Q: Dr. Eppley, According to what I have seen in several web pages the orbital box osteotomy is the only way to separate the eyes. As I have seen this operation is very complex, so I was wondering if you do it in patients with close eyes but within normal parameters, simply for cosmetic reasons. […]

Q: Dr. Eppley, I am currently suffering from sagging buttock glutes as a result from brazilian but lift surgeries, which I would like to get removed. A: Thank you for sending your pictures to which I can make the following comments: 1) I would not consider fat injections to the buttocks (aka BBL surgery) reversible…or […]

Q: Dr. Eppley, I am scheduled for my surgery and ready to go so far. A question I have is with my forehead reduction is will my hairline. Also be lowered with it, since the bony layer is being reduced? A: The frontal hairline can not be lowered when a skull implant is being placed, […]

Q: Dr. Eppley, This surgery is known as corrugator muscle lysis or frown lines removal. It is a permanent solution because the procedure will surgically “disrupt” (cut and resect) the corrugator muscle. The surgical approach can either be done endoscopically (no scar) or as part of a conventional forehead lift or brow lift procedure. However […]

Q: Dr. Eppley, My lower glutes sag & have about1-2 inches if not more of saggy loose skin that just hangs. I think I need lower glute skin removal. A: I can certainly see the infragluteal fold overhang and agree that the only improvement will come by excision. My concern would be the heavy volume […]

Q: Dr. Eppley, I am interested in a reversal jaw reduction and reversal cheekbone reduction procedure and would like to know how long I should plan to stay in Indiana before returning to my home country. Thank you for your time. A: Most jaw and cheekbone reduction reversals require custom implants made to augment back […]

Q: Dr. Eppley, I`m interested in facial asymmetry correction using hydroxyapatite(I suppose my bone structure at right and left side of eyes and under eyes area are different a bit). And also I`d love to have my brow bones augmented using the same material.  A: Hydroxyapatite cement, while having biologic appeal, would be a very […]

Q: Dr. Eppley, My right clavicle is 1 to 2 inches shorter than my left clavicle. It causes my body to slant to my left side and makes weight lifting difficult and mentally takes a huge toll on me. A: The current ‘problem’ with clavicle lengthening is that its limit is 15mm, maybe 20mms of […]

Q: Dr. Eppley, what do you think of PMMA molding technique for skull augmentation. Is it really that bad ? A; There is no redeeming qualities for PMMA Bone Cement Skull Augmentation 1) It is a plastic material so it is still an implant. What you smell in a nail salon is PMMA. It gets […]

Q: Dr. Eppley, I want my nose done fur sure… it doesn’t have a bridge going down and I have almost like pig nostrils. And I have this small mouth that droops down. I don’t have a symmetrical shape face. I never had. Plus I’m getting older. I would like to achieve a more symmetrical, […]

Q: Dr. Eppley, I’m a 35 years old man with 2 hair transplants FUE and DHI done. Cutis Verticis Gyrata condition has been reported by more than one dermatologists, where I did the transplant and in the UK.  Is it possible to remove the scalp folds and transplant the hair as beard straight after? Sort of FUT? Is […]

Q: Dr. Eppley, Was curious if high scrotal is possible compared to mid raphe for same low hanging effect, I heard high scrotal has low pain after and fast recovery. Whichever has lowest extrusion rate and least pain is preferred, other than inguinal.  Also, can you ask implantech for durability testing data? I’m curious how […]

Q: Dr. Eppley, Hello My interest is about entire midface augmentation. My wish is to avoid implants. want to try with hydroxapatite. I want to ask 3 things:1. Is it possible to use hydroxyapatite cement to augment complete midface 2. Is it possible to insert around 4 mm in thickness augmentation 3. Does it last […]

Q: Dr. Eppley, I’m interested in clavicle shortening. However, I play ice hockey at competitive levels (no checking but certainly a lot of hard contact) and would be interested to know what would be the appropriate expectation in terms of how long it would take to be able to play safely again (if at all). […]

Q: Dr. Eppley, I have questions on rib narrowing. I saw you on the Doctor’s Show and you said u can take out #11 and #12 and 10# and 9#. If  you take me on as a patient is it possible for you  to remove #12 #11 #10 #9 ribs? A: In rib removal surgery […]

Q: Dr. Eppley, I think I do have the same case mentioned in this article. My brow bones did grow naturally but I think it has a trauma history that there was once a broken branch that hit my head near my eyebrow that caused that side to grow more.  I’m wondering what could I […]

Q: Dr. Eppley, I’m a 29 year old male interested in getting a surgery for skull reshaping + temporal reduction. The shape of my head has bothered me for over 15+ years now. I’m aware the trade off for such a procedure includes scarring and I’m perfectly fine with that. The width (shaped like a […]

Q: Dr. Eppley, Would a lateral commissuroplasty give me a better smile? I believe I have a forced smile because of my small mouth. A:  A lateral commissuroplasty or mouth widening procedure would certainly increase your mouth width which, when the dynamic action of smiling occurs, will give it a wider or more evident smile. It […]

Q: Dr. Eppley, I have had a flat head my whole life. It is really bad on the right side profile but on the left side it is a little bit better. Do you think that can get fixed? And if you put an implant will there be a scar on my head? Does the scar […]

Q: Dr. Eppley, I would like to have a consultation to reverse my genioplasty. I believe my face is too long now.  A: Your sliding genioplasty can certainly be partially or totally reversed. My questions would be: 1) How long ago was your genioplasty procedure? 2) What type of movements were done? (e.g., how far […]

Q: Dr. Eppley, I have a question about the sliding genioplasty. For a patient with no lower lip incompetence, can a large sliding genioplasty (12+mm and a few millimeters vertical) cause lip incompetence? Would a movement like that not stretch the skin and pull the lower lip down? A: Such potential lip incompetence (lower lip […]

Q: Dr. Eppley, Do silicone implants for skull reshaping need to be replaced at some point? What is their longevity and advantages over using PMMA? thank you. A: Silicone skull implants are permanent, do not fail and never need to be replaced due to any material problem. Bone cements for aesthetic skull augmentation as far […]

Q: Dr. Eppley, Hello I wanted to ask you about a procedure and if you could do it. A reduction in the red marked areas of the pictures I will send. I want to achieve a very small correction and reduction and to make them even. I read about zygomatic reduction but I dont want the […]

Q: Dr. Eppley,  Are there any damages of skull implants, do they make the hair sparse, this is very important to me. A: I am assuming becaiuse you have provided side view pictures that your skull asymmetry is isolated to the back of your head?? Skull implants do not have any adverse effects on the […]

Q: Dr. Eppley, my forehead looks overly wide, compared to the bigonial width and the outer lateral orbital walls. From your experience (and I know it might differ for every human) what is the maximum safe reduction that can be done? Also, from the side profile my forehead looks straight, from brows to the beginning […]

Q: Dr. Eppley, a general question possibly be answered before hand? Ive seen that you have performed  submental chin tucks, but are you only able to achieve making the chin shorter, or can he also make it slightly more narrow? (Perhaps by extending out the incision?) I havent seen very many frontal views of these […]

Q: Dr. Eppley, When do u put the device to hold the bone together in clavicle reductions for shoulder reshaping?  Does it need to be removed or can it stay in for life? A: The only reason to ever remove clavicle fixation hardware is if it becomes too visible over time (most common reason) or […]

Q: Dr. Eppley, Hello, do you offer custom pectoral implants? A: For your left Poland’s chest deformity you would need a custom implant design which I have done many times. Most such implants are made from an external moulage technique which is done in the office. The other technique is to use a 3D CT […]

Q: Dr. Eppley, I’m interested in a knee lift. Can the scar be hidden really well and made super fine? Do you have any photos of knee lifts after a year, after the scars fade? I always see pics with the scars red and the tissue swollen, I’ve never seen an actual year later or […]

Q: Dr. Eppley, I have recently received submalar implants in aim of more defined cheekbones, after which I recognized that a submalar implant would not achieve what I was looking for, after hearing about your work, I am looking to replace the submalar implant with a custom implant, I believe what I am looking for […]