Blog

Q: Dr. Eppley, I’ve ripped my tragus piercing, I think on the first or second night of getting it I must have slept on it and pulled it downwards. My piercer suggests switching the hoop to a bar but I can’t see the point if it has already been torn. I’m also concerned with how […]

Q: Dr. Eppley, Here are some more rib removal questions after our consult from last week.. Could I get hurt physically from something injuring me in the future from wrestling etc from having rib removal? Do you think that rib removal has more or less complications than a butt augmentation? How painful is it compared to […]

Q: Dr. Eppley, I am curious if I would be a good candidate for a chin implant or sliding genioplasty to improve my looks, especially my side profile.  I am in my early 20s, physically fit, and not at all overweight. It may be in my head, but I also feel that my side profile […]

Q: Dr. Eppley, I have been researching a whole lot online and I can not find anything on “midface shortening” procedures. I have a very long midface (pupils to beginning of vermilion border) that is really bothering me. Is there anything that can be done to significantly shorten it or am I just forced to […]

Q: Dr. Eppley, I’m interested in Medpor implant removal. I’ve heard many horror stories about Medpor removals, such as nerve injury. But my understanding is that Medpor implant is placed under the periosteum — shouldn’t this separate the nerve/muscle and the implant. Or is that because they are adherent, so it requires a careful dissection […]

Q: Dr. Eppley, Hello. I wanted to make some enquiries about a chin reduction/jaw reshaping. I am very self conscious about my long face and asymmetry. Im aware I have a class 3 malocclusion which has been ‘camouflaged’ by braces so im not interested in any orthognantic surgery but more so a shaving/cutting of the […]

Q: Dr. Eppley, I came across your website and found some of the results of occipital bone reduction surgeries (I could not find a case similar to mine though). As you could see in the attached picture, I have this protrusion that spans all the back of my head up to my neck. I would […]

Q: Dr. Eppley, Hi, I wish to one day undergo this procedure to correct my skull shape, mainly my flat back of the head. However, I would also like work on temporal, sagittal, and frontal (all 4 options in total). My main question was since I couldn’t find anything on your website about all 4 […]

Q: Dr. Eppley, I am interested in a consultation on earlobe reshaping/revision. I was born with a tag on my left ear and it was removed when I was an infant. As I have gotten older and lost my hair, it bothers me more now because there is no symmetry. Attached are some photos of […]

Q: Dr. Eppley, I am four months post infraorbital rim/malar implants removal, and my cheeks still feels a bit bloated. I assume swelling may be a big factor, but I feel that is an appreciable capsule that is causing fullness and an imprint of the implant. Here are my questions:  1. Will the capsule go […]

Q: Dr. Eppley, Hello, I had a Lefort 1 surgery done a month ago which left me with fuller cheeks. I want to get my slimmer face back and was wondering what could be done. Hopefully I would be able to achieve my former look. I could attach before pictures if you would like. Thank […]

Q: Dr. Eppley, I had an ear reconstruction. My last surgery was done six months ago. I would like a revision to make it look better. Please let me know if you can help with protruding, rim, hair removal. A: Thank you for your inquiry and sending your pictures. I assume you had a traumatic […]

Q: Dr. Eppley, What type of jawline reduction do I need? In my prior facial feminization surgery they did jaw reduction but the inmprovement is not enough to really make my jaw area less masculine. A: Good meeting and talking you this past weekend. As per our discussion I have attached some imaging looking at […]

Q: Dr. Eppley, I asked this question because I have had intraoral incision before for the Medpor chin implant. The intraoral scar looks no good. I was wondering if it’s possible to remove the implant and use sliding genioplasty after it completely healed? Will the intra oral incision again makes the scar worse? I heard some […]

Q: Dr. Eppley, I have a general question for you regarding PMMA for skull reshaping. Does PMMA last a lifetime? Are there ever cases where there are infections or consequences years later? A: PMMA material will last a lifetime as it can never degrade or breakdown. I have never seen any long-term medical consequences with […]

Q: Dr. Eppley, I think that the most prominent issue is the lower eye however I think that the right cheek is also “flatter” because the right malar bone is not as prominent or is smaller or “set back”.  I also think that the hypoplastic bone structure extends to the top right of the skull. […]

Q: Dr. Eppley, Here in my country plastic surgery almost not developed and I hear people dying at hands of inexperienced surgeons. Yes really it happens here. I don’t know how it happens even with plastic surgery but sadly it happens. So I have only choice to go abroad. I have forehead asymmetry as you […]

Q: Dr. Eppley, Exactly, like if we were to look at each other face to face i don’t want my face horizontally wider.(making me look more masculine) I want the difference when you look at me from the side “vertically” going lower near my back jaw to make everything a little smoother. I’ve gotten my […]

Q: Dr. Eppley, I am writing regarding your expertise on mentalis resuspensions, chin fat pad resuspensions, interoral shortening vestibuloplasty & sliding genioplasties.  Two years ago I had a free gingival gum graft performed. The periodontist also did an extensive and complete mandibular vestibuloplasty as part of the gum graft that included the intentional detachment of […]

Q: Dr. Eppley, I’m interested in infraorbital implants with high vertical augmentation (approx. 6mm). I was wondering if that is possible for everyone or if there’s a risk of the implants touching the eyeballs if they implant rim border is too high?  Many thanks  A: Thank you for your inquiry and describing your objectives. A […]

Q: Dr. Eppley, I am interested in custom jawline and custom bilateral infraorbital malar implants. How are the implants placed? Would they all be through the inside of the mouth or would the infraorbital implants be done through the lower eyelid? I don’t want my eye shape to change or for there to be an increase […]

Q: Dr. Eppley, earlier this year I had a forward-sliding Genioplasty. Myself and the surgeon had agreed on a projection of 8mm, but during the operation the surgeon decided that 6mm would be better. I wasn’t convinced by this decision at the time of leaving the hospital and I’m still not convinced now.  To be […]

Q: Dr. Eppley, I am a thin/athletic female, but due to very high hip bones have severe hip dips where I essentially have two hip curves. I am aware that there is hip and bbl surgeries, but my worry is that because of my very high hip bones and wide ribcage, I wont have much […]

Q: Dr. Eppley, You said that it was impossible or not recommended to bring the eyes closer in those suffering from hypertelorism 1. But could it be possible to increase the distance between the eyes for those who suffer mild hypotelorism?  A: Orbital box osteotomies in adults, whether it is to bring the eyes closer […]

Dr. Eppley, is it possible to eliminate or mitigate scleral show by cheek augmentation and infra orbital rim implants? I would like to avoid eyelid surgery and when I “push up” the soft tissue on my cheeks under my eyes, I achieve the “hunter eyes” look I am after😄 But it seems to me the […]

Q: Dr. Eppley, Part of my problem with my profile is my lower lip is too recessed as well.  Can the sliding genioplasty address the lower lip recession as well?  The attached pictures show what could be accomplished with only a modest amount of vertical lengthening.  The lower lip advancement should be considered when deciding […]

Q: Dr. Eppley, Hi, I am here to see if jaw implants will work to achieve the specified looks I desire. My greatest concern is exactly how I will look like after the surgeries. I am fearful that the implants needed to achieve the ideal looks which I desire will somehow not look proper or […]

Q: Dr. Eppley, Hi! I am interested in the 2 step occipital skull augmentation and was wondering if it would be possible to have this procedure done under local/sedation rather than general anesthesia. Thanks! A: Thank you for your inquiry. Larger skull augmentation procedures are not operations that lend themselves to a pleasant experience or […]

Q: Dr. Eppley, I have had two lumps on my forehead for about 7 years now. They don’t bother me on normal lighting but when there’s a bright/sharp lighting, they are very visible. This has really been distressing and I’m very keen to get rid of these. What are the treatment procedures available for them?  […]

Q: Dr. Eppley, Hi Dr. Eppley, I’m interested in chin implant removal and then a sliding genioplasty. I would like to use a submental incision, and I was wondering if this is possible? A:Thank you for your inquiry. The question as to whether a sliding genioplasty can be done externally from a below (submental incision) […]