Blog

Q: Dr. Eppley, I am a huge fan of your work. No other surgeon seems to actually listen to what his clients actually request – and also thinks out if the box. I wonder whether you may be able to comment on my recent chin implant that I had performed. I really wanted a very square […]

Q: Dr. Eppley, How is it possible to to lengthen the clavicles without expanding the upper ribcage? How does postoperative functionality and biomechanics compare to people with naturally long clavicles? A: When the clavicles are lengthened the ribcage is unaffected. The ribs are connected to the spine and the sternum and are not influenced by […]

Q: Dr. Eppley, I have a couple of questions regarding correction of Plagiocephaly.  1. What deformities are able/not able to be corrected.  2. How often are people unhappy with the corrections that have been made  3. What is a general cost estimate for a Custom skull implant, along with reduction of the forehead if there […]

Q: Dr. Eppley, what are the of outer limits of iliac implants projection from the iliac? how wide, long and thick can they be? (excuse me if my language is imprecise), what is the maximum longitudinal/axal/transverse length an implant can go from the iliac crest, and what is the maximum sagittal/ longitudinal width one can make […]

Q: Dr. Eppley, Hello! I currently have fillers in my chin and jawline. I am considering geting a permanent custom chin/jawline implant but I was wondering how long I would need to wait since my last treatment of fillers before i am eligible for implant, or, if there is a certain protocol (dissolving, waiting a […]

Q: Dr. Eppley, With the addition of a peek implant to only the forehead to increase bone thickness and prominence of the forehead, will it automatically cause the top of the head to also look slightly fuller? This is because I imagine that the skin would have to stretched over an extra area over the […]

Q: Dr. Eppley, 1. I am an Asian, but can you make my eyes go deep like Westerners with orbital box osteotomy?  2. Is this surgery as dangerous as the Lefort3 surgery?  3. If it is possible to operate deeper, I wonder if the size of the eyes will decrease or increase . A: The only […]

Q: Dr. Eppley, Hello, I’m interested in a genioplasty revision. To give you context, I had a genioplasty a couple of years ago where my chin was moved forward 8mm and down 3mm, about 8 months later I went in for a revision to have it reversed. The surgeon used the burring method, it’s been […]

Q: Dr. Eppley, I don’t have syndrome, but I’m stressed because my mid-eye area is very flat. I know that Lefort3 surgery is very dangerous, but I wonder if Lefort2 is also a very dangerous operation to receive for cosmetic purposes.I know there is a prosthesis in the mid-face, but I really want to have […]

Q: Dr. Eppley, Is it possible to extend the collarbone 3 or 4 times for a total of 12cm or 16cm? I want to get an extension effect of 12cm or more through at least 3 surgeries. Is it possible if there is enough time and rehabilitation?  A: Such a degree of clavicle lengthening (12 […]

Q: Dr. Eppley, I am looking to get a consultation on a BBL – reconstructive surgery. Reaching out to you based on your previous experience in handling similar surgery (Plastic Surgery Case Study – Buttock Reconstruction with Dermal-Fat Grafts). To give more context, I had a childhood trauma which resulted in a deep scar on […]

Q: Dr. Eppley, I am reaching out as I would like to investigate the possibility of getting a forehead implant and a jaw and chin implant. My main concern is the shape of my forehead, which gives me a bit of an egg-shaped look and ages me somewhat. There are 4 main problems I have […]

Q: Dr. Eppley, I was just curious if a silicone implant place could success push out a moderate labiomental fold. I read in one of your studies that cadaver material such as gortex could be used but would make only a modest difference. For someone who wants the fold more straight and pushed out, could […]

Q: Dr. Eppley, I lack confidence because of my thin and narrow face, I think I look feminine which is not so good. I have a long bottom jaw which is steep. Can mewing work or should I get surgery for implants? A: The only predictable and sustained method for jaw augmentation is implants. Mewing […]

Q: Dr. Eppley, I need some information about hollowness between eye and brow. Is it possible to use bone graft to fill the hollowness and lowering the supraorbital area. What do you prefer to use on that case. But remember please, only permanent result. Is it better using implant or bone grafts. Usually plastic surgeons […]

Q: Dr. Eppley, I have a small round bony protrusion on the middle of my forehead paired with a browridge. I was wondering if it would be technically possible to shave this bone and add this excess of bone to the browridge ? Thank you very much for your time. A:While the mid-forehead bony protrusion can […]

Q: Dr. Eppley, I wanted your medical opinion on the potential approaches to rib removal surgery. Regarding the rib removal, we discussed the big impact of having the 10, 11, and 12 ribs resected. I would like to hear your thoughts on the following and I have included images (attached) to aid in clarification of […]

Q: Dr. Eppley, I have scheduled for paranasal implant surgery in  September. Now I would like to ask you a few more questions about it: Do you think it will be advisable to stay in Carmel for 1 or 2 weeks after the surgery in case some complications may occur?    Can I eat normally the […]

Q: Dr. Eppley, I want a wider head shape with a temple implant. What shape should the implant be?  A: Thank you for your inquiry and sending your pictures. Because it really involves the side of the entire head a wrap around or extended temporal implant style (head widening implant) is needed to create an […]

Q: Dr. Eppley, Am I candidate for eyelid surgery that can help with my droopy outer eyelids, which give me a tired and depressed look.  A: Thank you for your inquiry. You would be a candidate for outer corner eye reshaping (lateral canthoplasty with lower eyelid spacer grafts) but that would not be most effective […]

Q: Dr. Eppley, Good afternoon, is there a procedure that can be done to protect the facial bones? A protective face mask but permanent? To reduce injury,Thank You. A: I assume your question is about an internal layer of protection for the facial bones. That can be done and would consist of making a thin […]

Q: Dr. Eppley, I have lip incompetence and chin ptosis after chin implant removal and soft tissue reduction surgery, all via a submental approach. Can a mentalis muscle resuspension help in my case? A: Mentalis muscle resuspensions rarely work when done alone. They have a better chance of success when combined with a small implant […]

Q: Dr. Eppley, Hello, I believe that I have hyperdynamic chin ptosis. My chin appears normal at rest, it is prominent when talking or smiling. It bothers me, especially while talking. I never had any surgery done. What would be my options to correct the appearance of my chin?  Thanks in advance. A: Hyperdynamic chin […]

Q: Dr. Eppley, Had a chin implant last year, unhappy with results. It looks too square and I have jowling. I also had buccal fat removal and FaceTite. Would like your expert opinion on what is best for me. Thanks! A:While I don’t know what you looked like before the chin implant and what style/size […]

Q: Dr. Eppley, After I had my son I had fat leftover on my chin pad. I didn’t feel like myself. I didn’t know if I needed bone reduction or chin pad reduction. I had bone reduction but now looking back i think I just needed minimal chin pad reduction without causing a witches chin […]

Q: Dr. Eppley, I had an endoscopic brow lift 9 weeks ago. I absolutely hate it and it is causing me pain. It actually put so much pressure on my nose that it did damage. I consulted with an ENT today and found out it is true. Can the brow lift be reversed using the […]

Q: Dr. Eppley,Hello I lost my intergluteal cleft because of two times sinus pilondal surgery Is it possible to recreation mine? And how is this surgery ? Is it hard? A:Intergluteal cleftplasty is most commonly done after pilonidal surgery or the placement of buttock implants that uses a midline incision. In either the sacrocutaneous ligamentous […]

Q: Dr. Eppley, I contacted you several years ago about a temporal reduction surgery for both sides of my head. I have now time and money to make this operation possible. I have several questions: – Are there visible scars after the surgery ?  – How much time to go back home after the surgery […]

Q: Dr. Eppley, I am a young man who is three months out from a genioplasty (8mm advancement) and suffering with severe lip and upper chin tightness / tissue tugging when I raise my lower lip or move it sideways. It impacts speech and any slight lip movement.  The genioplasty was a revision after two […]

Q: Dr. Eppley, Hi, I want a consultation for waist reduction please. I have flared protruded rib on the left side and short torso. Thank you. A: Thank you for your inquiry and sending your pictures. Waist reduction is a general term that includes conventional primary procedures of ljposuction and tummy tucks as well as […]