Blog

Q: Dr. Eppley, I’m reaching out because I’m trying to understand whether increasing facial width is a realistic and established option in aesthetic facial surgery, or whether facial width is generally considered something that cannot be meaningfully changed in a natural way. My face reads as narrow in proportion, specifically in that the horizontal width […]

Q: Dr. Eppley, Hi looking for cartilage  graft removal from a prior rhinoplasty. I do not want the grafts they added in my nose making it bigger. Graft removal possibly shave down of bridge. The bridge looks super strong and unnatural. A:Thank you for your inquiry and sending your pictures. Many cartlige graphs can be […]

Q: Dr. Eppley, I have some skull augmentation questions after getting a PMMA bone cement procedure. 1) What is a solid silicone skull implant material you use ? 2) Do you have a picture i can see to have a better understanding ? 3) How can it be attached, screws or glue? 4 Is it going to be […]

Q: Dr. Eppley,  I saw your corner mouth widening, and i want to ask you if you perform a corner lip lifting (outer parts of vermillion border) combined with corner mouth lifing, i hope you do that and would like to know how much it would be, i would come from Italy, thanks in advance. […]

Q: Dr. Eppley, I’m curious about the feasibility of using larger pectoral implant sizes; potentially in the range of 800cc (preferably more )per side. I understand this may be outside typical sizing, so I would really value your professional perspective on what is anatomically achievable and safe.Aesthetically, I’m aiming for a more pronounced and slightly […]

Q: Dr. Eppley, I’ve found your work and I’d like to inquire about a consultation about a reduction genioplasty. I had double jaw surgery to correct a class 3 underbite in 2015 and since then have had no problems, except aesthetically I do not think the position of the chin highlights my improved bite. I […]

Q: Dr. Eppley, Hello sir I have scaphocephaly head problem what should I do? What surgery is possible to overcome this problem?  A:The term scaphocephaly refers to an elongated skull from front to back. By the way you have taken your pictures my assumption is that the most bothersome part is the length on the […]

Q: Dr. Eppley, I’d like to discuss a couple implants like chin implant, jaw implants and cheek implants. I’m not sure I will get all, but some, and I’d like to weigh my options. In combination with those I would really appreciate your input on double jaw surgery with bimaxillary advancement, assymetry correction (slight cant […]

Q: Dr. Eppley, I am writing to inquire about your expertise in facial contouring, specifically regarding procedures to achieve a more defined lower third. I have been researching the various defatting techniques you offer, and I am particularly interested in a combination approach including Buccinator Mucosal Myectomy, buccal lipectomy and perioral liposuction. My primary goal […]

Q: Dr. Eppley, Can my prominent bony forehead be reduced? A:The question is not whether you can have bony reduction of your forehead protrusion… as you can. The two pertinent questions are as follows: 1) Is the bone thick enough to allow for an adequate reduction? In other] words is this bump due to thicker […]

Q: Dr. Eppley, The goal is to feminize the body of course.  I will let the doctor tell me how to go about doing that.  Once I have his recommendation I can decide how to proceed.  As of now, I am leaning towards fat transfer to hips/butt/thigh rather than hip/butt implants.  That is a flip […]

Q: Dr. Eppley, “Hi, I’m interested in a procedure that isn’t available in my country and exploring options overseas. I’m looking at getting infraorbital rim implants to correct my under eye hollowing permanently. Please get in touch when you get a chance with information regarding the procedure. A:Thank you for your inquiry and sending your pictures. I […]

Q: Dr. Eppley,Thanks for taking the time to answer prospective patient questions! I have congenital prominent eyes and 1mm of inferior scleral show. Would lower lid retraction repair with a graft reduce my staring/occasional bug eye look at rest? When I smile or squint, my eyes look much better. However, I’m also wondering if I […]

Q: Dr. Eppley, I have wide side skull (wide face) and flat head. Is it possible to be corrected (change)  A:Thank you for sending your pictures. What you have is a classic type of head shape that we see and treat. When the back of the head is a bit flat (brachycephaly) the sides of […]

Q: Dr. Eppley, I am very much leaning towards keeping my existing medpor implant and adding only custom jaw angle implants. However if a custom implant can be designed to extend from the jaw angles through the chin region, adding vertical dimensions on top of the Medpor, that would be ideal. A:Trying to make custom […]

Q: Dr. Eppley, I am interested in getting XL silicone implants. I currently have  800cc UHP Mentor silicone implants.. I am 5’4” tall and weight 116lbs. I am looking to get at least 1200cc silicone through the areolas. A: When it comes to XL breast augmentation it is very common to see a patient with […]

Q: Dr. Eppley,  Can my head shape be fixed? How long does it take for the healing process on the skull to come to fruition after procedure? A:This appears to be an overgrown frontal bone with a protrusion in front of the coronal skull suture line. This is treated by a frontal bone burring reduction […]

Q: Dr. Eppley, Can My too large chin implant be replaced with a sliding genioplasty keeping the natural shape of my chin? A:Certainly a sliding genioplasty can be a good substitute for a chin implant as it will also help narrow the chin. On a  technical note you have to realize that a sliding genioplasty […]

Q: Dr. Eppley, I’ve noticed that with many wraparound jaw implants (implants that extend along the mandibular body), the final visible contour often doesn’t match the implant design because the soft tissue doesn’t drape tightly enough over the new hard-tissue shape. For an aesthetic lower third, I think soft-tissue tightness and angularity from the antegonial […]

Q: Dr. Eppley, Hello. My overall goals are to figure out the actual cause of my concerns with my face and figure out the best possible path forward for a natural healthier look and my best overall self but not to a point where I look like a completely different person. I wish to correct poor under eye […]

Q: Dr. Eppley, I’ve noticed that with many wraparound jaw implants (implants that extend along the mandibular body), the final visible contour often doesn’t match the implant design because the soft tissue doesn’t drape tightly enough over the new hard-tissue shape. For an aesthetic lower third, I think soft-tissue tightness and angularity from the antegonial […]

Q: Dr. Eppley, What materials do you use for custom facial implants? Some surgeons I’ve spoken to use mirror polished titanium, some use PCL? Thank you. A: There are four materials available for custom facial implants, solid silicone, PEEK, porous polyethylene and titanium, which all differ in cost.  But it is also relevant that they […]

Q: Dr. Eppley, I’d like to schedule a virtual consultation to discuss options to revise or replace a PEEK wraparound mandibular implant that’s malpisitioned by 3-6mm vertically and 2mm laterally. In the attached pictures, the rough, yellow implant is the 3D render from CT scan of the implant that’s implanted in my head and the […]

Q: Dr. Eppley, So I was thinking of endoscopic brow lift, with pinch blepharoplasty. I don’t like the wrinkles in my forehead, and I would like it to be less heavy. My eyes have quite a bit of crinkling on the sides. I’m also interested in some other procedures, but I’d like to start there. […]

Q: Dr. Eppley, I’m most concerned about the thickness of the orbital rims. I’ve always felt my eyes looked sunken and I never really understood why, but now that I’ve been researching it seems to be that I have very thick orbital rims. I feel the center area, at the glabella, is not nearly as […]

Q: Dr. Eppley, Does fat transfer to the brow bone area work? A:Fat injections as a method of brow augmentation can be effective depending upon what your brow augmentation goals are and whether you can accept the variability in terms of take and persistence of the injected at. Like injectable synthetic fillers it can be viewed […]

Q: Dr. Eppley, My current alar width is approximately 43.5 mm, and my intercanthal distance is 33 mm. Using a combination of procedures—such as alar base cinch, wedge excision, weir incision, and sill excision—how much reduction in alar width could realistically be achieved? I understand I have thick skin, so I just want to get […]

Q: Dr. Eppley, I wanted to inquire about deep neck lift procedure.  Here are the photos of the loose platysma/neck muscles Heres a desired result. 95-105° cervicomental angle Current cervicomental angle  is roughly 130-135° A:Thank you for your inquiry and sending your pictures. First and foremost you are approaching your neck concerns from an incomplete concept. […]

Q: Dr. Eppley, I’m interested in a consultation with for custom midface implants. Background: I am of SAsian descent. I had a LeFort I advancement ten years that successfully corrected my malocclusion, but my upper midface remains noticeably recessed. The LeFort I advanced the dentoalveolar segment, but everything above the osteotomy line — the infraorbital […]

Q: Dr. Eppley, I want to know what implants would have the highest ROI and would improve me the most. Really looking into getting bigonial implants and potentially chin, infraorbital & malar. A:In the male seeking facial masculinization there is no question that the two most powerful methods of doing so with the best value […]