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Q: Dr. Eppley, I’m reaching out to inquire about custom jawline implant procedures (CT-scan-based, CAD/CAM design) with Dr. Eppley. I‘d like to understand: 1. What the first step looks like — is a virtual consultation required before an in-person visit, or can I book directly for an in-person consult? 2. What imaging or records I […]

Q: Dr. Eppley, I hope you are having a good day. I was wondering whether the lip transformation shown in the attached morph would be surgically achievable in your opinion. Based on the software I used, I estimated that the changes would involve approximately a 4 mm reduction in upper lip height and around 6 […]

Q: Dr. Eppley, I’m interested in addressing inferior scleral show and limited volume/support under my eyes. Could Dr. Eppley advise: 1. Whether custom infraorbital implants would be appropriate for my case. 2. Whether he would recommend any alternative or additional procedures. Also, do you accept insurance for a virtual consultation? A: Thank you for your […]

Q: Dr. Eppley, If I had a temple and midface lift with endotines, how long should I wait before having a deep plane lower face and neck lift? A: Essentially, you are asking how to mix and match midface and lower facial rejuvenation procedures. Besides the fact that they could be done together, your question […]

Q: Dr. Eppley, Married have undescended testicle on left side since birth (of course)… Always wanted testicle implant, soft silicone version but just never felt secure with all that’s required in travel, recovery and cost, just too many unknowns. Live in Platte City, Missouri about 10 miles north of airport. Am retired now so possibly […]

Q: Dr. Eppley, Hey there, I am interested in testicle implants.I still have my current testes – they work, but they have shrunk a lot, so I would like to add silicone implants. I see that there are a few different options regarding if they are solid, or are a sort of a wrap-around of […]

Q: Dr. Eppley, Looking for corrective treatment/implant for the right side of my head following a fall I had 6 years ago. As part of the previous repairs the doctors had inserted a bone-plate which was never fully configured, right-sized, or shaped to the contours of my head. A:By your history and your picture, I […]

Q: Dr. Eppley, In considering Medpor infraorbital/malar implants for anterior cheek projection to achieve model-like high cheekbones. My concern is long-term: as facial fat atrophies and skin thins with age, do implant edges become visible or palpable by 50–60? I’d assume the infraorbital rim is the most vulnerable spot given how thin that skin already […]

Q: Dr. Eppley, I’m sure that this is probably something that most new patients say, but I am interested in getting the largest possible implants. The previous patient I mentioned said that he also had a revision where even larger ones were eventually put in, and I’d be happy to be on that pathway as […]

Q: Dr. Eppley, I have consulted with over six surgeons and am seeking a more defined, tapered, and striking facial appearance. I previously tried mid-cheek fillers to address flatness, but they added unwanted lateral width and puffiness rather than the sharp, forward projection I desired. My main goal is to permanently define the cheekbones and […]

Q: Dr. Eppley, I am inquiring about a breast implant revision. I currently have 800cc silicone over the muscle with galaflex. I would like more lower pole fullness and more volume. If possible, please let me know if this is an option as I know it’s not a typical revision. A: Thank you for your […]

Q: Dr. Eppley, Hi there I’m looking for a procedure to get a more narrow jaw. I used to get it with Botox. It treated the asywmetry as well as the wideness. But not I developed resistance. Neither Dysport or Xeomin or other brands worked. What are my surgical options? A: Thank you for your […]

Q: Dr. Eppley, I have skinny thin wrists. Is there a lower forearm implant possible for my hands. A: You are referring to lower forearm or wrist implants. Custom implants can be made to go down the inner aspect of the forearm, but they cannot cross the risk increase. They have to be placed in […]

Q: Dr. Eppley, I am interested in getting infraorbital-malar implants to address my hollow under eyes and negative orbital vector. However I am concerned with the possibility of premature midface ageing due to dissection of the subperiosteum as a common part of the procedure. What measures do you have in place to mitigate this risk?: […]

Q: Dr. Eppley, Hello, I am interested in buccal fat transposition and/or fat transfer to lateral cheeks/undereyes. I have always had a fuller lower face, more so on left side. I’ve been told buccal fat removal isn’t ideal for me so I’m interested in repositioning of the fat pads. Thanks A: Thank you for your […]

Q: Dr. Eppley, I was curious how much you could remove from the crest in one session or multiple sessions. es I was wondering just how much you could remove. I ask because when someone gets there ribs removed for cosmetic purposes, their. Hips can extra chunky. A: Besides the fact that those results shown […]

Q: Dr. Eppley, I am interested in learning more about adult brachycephaly skull reshaping surgery. I believe I may have brachycephaly and would like to know whether I could be a candidate for treatment. Could you please let me know what photos or scans (CT, 3D CT, etc.) you would need for an initial evaluation? […]

Q: Dr. Eppley, I’m interested in having quad implant surgery. I’m based in London so have added logistical complication as no one based here seems to do it! Would it be possible to have a consultation to discuss the procedure and logistics of it etc and get your opinion on my specific situation? Thank you! […]

Q: Dr. Eppley, m interested in an evaluation for custom infraorbital rim implants. My primary goal is improving my under-eye support and orbital rim. I’d like to know whether I’m a candidate for infraorbital implants, malar implants, a custom midface implant, or another procedure that would best achieve my goals. I’ve attached several photos of […]

Q: Dr. Eppley, I would like to get an assessment for my asymmetric jaw. Would like to know the suggested procedure. A: Thank you for your inquiry and sending your pictures. The first important step is to get a 3-D CT scan to make an assessment of the shape of the lower jaw from which […]

Q:Dr. Eppley, Is there a procedure to reduce forehead width? If such a surgery exists how much can generally be reduced per side? A: Forehead width reduction is done by reducing the temporal lines at the side of the forehead. As a general rule, one can readily reduce 4 to 5 mm at this thickened […]

Q: Dr. Eppley, I have a question if this is a procedure that you perform: utilizing dermal fat-grafts in conjunction with hardware removal to correct complications from genioplasty. These procedures target chronic chin tightness and lip stiffness. I had double jaw surgery and genioplasty six months ago  and have a lot of stiffness around where […]

Q: Dr. Eppley, My shoulder width is 44 cm female my height is 168 but people think im taller. I feel i am broad in overal.You wrote that shoulder width can be reduced up to 3 cm. Do you mean on each side ? So a total of 6 cm? Also i just want the […]

Q: Dr. Eppley, I recently got double surgery 11 days ago. However, I believe there was an operative mistake in my genioplasty with the reattchment of the mentalis muscle. I know how pronounced lower lip incompetence and chin ptosis and it is causing me severe depression. I was wondering if you had the expertise to […]

Q: Dr. Eppley, Do you offer skull reduction on the crown? I am very insecure because I find my face is too tall and it would look better if it wasn’t. A: Skull reduction of the crown area is not an uncommon request of which I have done many. The key question is whether your […]

Q: Dr. Eppley, I got a chin reduction over 1 year ago. He did a fantastic job ( this involved making an inside incision and chipping away some of my chin/jaw ) but I now have an excess of skin (soft tissue) which looks slightly “swollen” and dimples as I speak. Botox fixes this but […]

Q: Dr. Eppley, My primary concerns are close set eyes and flat midface. Is there a single surgery that can address both simultaneously or is it better to have two separate surgeries? A:Potentially inferior orbital box osteotomies and a custom-made midface mask implant could be done at the same time. However depending upon the location […]

Q: Dr. Eppley, I am interested in removing my lip implants. The problem is a lot of scar issue fhas ormed around it and now I feel like my smile is very distorted. I hate absolutely hate taking pictures because I look really bad. I feel like I used to have a really beautiful smile […]

Q: Dr. Eppley, I would like to know about head reduction surgery if my head is large and hurts my shoulders. Could you call me if this is something I could have done. A:I would doubt that any form of head reduction surgery would alleviate your shoulder pain. Skull reduction is about reshaping areas of […]

Q: Dr. Eppley, I am interested in a brow/forehead implant. I think my eye area is too feminized and believe that brow augmentation could give me eyes a more deep set hunter appearance. A:Thank you for your inquiry and sending your picture. I can certainly see your aesthetic concern in which the eye area seems […]