Blog

Q: Dr. Eppley, I am a 27 year old intersex xxy trans woman who is 5’2, and around 110-120lbs. my growth was stunted as a child, because of adhd treatment and malnourishment. This has resulted in short stature, but my ribs dig into my hips and have caused significant postural issues for me as my […]

Q: Dr. Eppley, . I’m 33yo female. Prior rhino. My nostrils were fairly normal but now peaked…n nose is small and cut out looking overall.. likely due to Morpheus 8. It wiped out my facial fat and gave my nose a weird shape n my forehead has bone ridges. When my forehead was swollen after […]

Q: Dr. Eppley, am seeking advice regarding a longstanding concern about the appearance of my shoulders and clavicles. I have attached photographs that clearly show the issue. My left clavicle appears noticeably shorter than my right, and my left shoulder seems to sit further underneath the clavicle rather than extending outward in the same way […]

Q: Dr. Eppley, One more question I know you said 2.5 cm is the max but I seen on the website that the doctor will do 3 cm on each side. Would that still be safe? A: The safe amount of bone removed in clavicle reduction surgery is ultimately determined during the procedure. However, based […]

Q: Dr. Eppley, I am writing to you regarding an issue that has troubled me for a very long time; I have a very pronounced skeletal facial asymmetry, visible mainly around the eyes, eyebrows, and cheekbones (zygomatic bones), but also affecting the ears and jaw. In fact, almost all the bony structures show a vertical and […]

Q: Dr. Eppley, I want an expert’s opinion on what procedures would be the highest ROI for me to improve my overall harmony/facial attractiveness.” A: In a male, and you are no exception, the chin and jawline is always one of the most significant changers of the face, in terms of both attractiveness and proportion. […]

Q: Dr. Eppley, I had a question in regards to cheekbone reduction. I am male looking to seek a more narrow, elongated face shape to look more appropriately masculine (rectangle face shape) 1. How much reduction is possible, particularly in those with very wide bizygomatic width (165+mm) and a hypereuryproscopic facial indexa? I wanted a […]

Dr. Eppley, I am East Asian. About 3 years ago I had bone contouring in Korea: cheekbone (zygoma) reduction, jaw angle / V-line, chin reduction, and a rhinoplasty, plus a small facelift at the same time. There are titanium screws in place. Since then my cheekbones look flat and the soft tissue seems to have […]

Q: Dr. Eppley, I don’t like the broad and high-set look of my pelvis. The floating ribs lie close to the iliac crests. This result in a “short and rectangular” torso seen from the front. I am more satisfied with the apperance of my torso in profile. I had abdominal liposuction 2 years ago. Desired […]

Q: Dr. Eppley, I am interested in achieving a larger scrotum. I’m on testosteroneI recently did Scrofiller. But i need a lot and its expensive.  So im wondering if implants are the way to go. A: I don’t think the question is whether you can get extra large testicle implants which would provide permanent scrotal […]

Q: Dr. Eppley, I am a 25 y/o cisgender male with a very prominent brow ridge and I am interested in brow bone reduction as a solution. I want to retain a masculine appearance and keep my eyebrows where they are currently at. I was also wondering if a brow lift would be required to […]

Q: Dr. Eppley, My head shape dips and then peaks upward again, most notably visible on a profile view seen in the included image. I’m not happy with the resulting contours and was wondering if a bone burring could have any success at reducing the severity of the slope, and I would rather avoid any […]

Q: Dr. Eppley, I am reaching out with a serious enquiry around temporal removal and skull reshaping. I have been dissatisfied my entire lifetime with the size of my head (width, depth and height). Circumference at its widest is 62cm and its appearance is completely out of proportion with the rest of my body. Of […]

Q: Dr. Eppley, Hello! I suffer from the common east-asian recessed upper maxilla. The bone under my nose sinks in, creating a flat look and protruding appearing mouth. My occlusion is normal and this is mainly an aesthetic concern. I’ve attached photos for angles & measurement. I am also planning a Korean rhinoplasty a few […]

Q: Dr. Eppley, I am interested in getting temporal augmentation and brow ridge augmentation implants. I’m also planning to get hair transplant surgery after the implants surgery. When can I get the hair transplant surgery done after the first surgery? A:You only need to wait about three months after the implant surgery before having hair […]

Q: Dr. Eppley, I had a custom jawline implant placed four years ago in Beverly Hills. Besides implant malpositioning I also got ripped masseter muscles. The surgeon stated he could do revision and fix the issues with the implant as well as decrease visibility of ripped masseter muscles so I had the revision two years […]

Q: Dr. Eppley, Regarding head width reduction, would Botox be capable of achieving the specific results I’m looking for? A:I would try Botox first and see what happens as you have nothing to lose by doing so. While it is not a permanent solution in most patients you will find out if muscle reduction alone […]

Q: Dr. Eppley, I had a Deso face (deoxycholic acid) fat dissolving injection, how long should I wait before deep plane midface and neck lift to same areas? A:The effects of any lipolytic agent are largely complete by six weeks after injection. But most by three months the entire degradatory reaction is finalized. Dr. Barry […]

Q: Dr. Eppley,  I am reaching out because I have been researching options to address significant under-eye hollowness and dark circles, and I was very encouraged to find your work with infraorbital (lower orbital rim) implants. Seeing the results you have achieved for other patients has given me hope that there may finally be a […]

Q: Dr. Eppley, I had a facelift performed in Korea last year that I have been unsatisfied with, particularly around the ear and tragus area. I am seeking your expertise because I believe I have loss of the natural tragus–cheek border / pretragal hollow, with the cheek skin appearing to blend into the tragus rather […]

Q: Dr. Eppley, I’m wondering if I would benefit from paranasal implants with an additional nasal spine implant and if I should combine it with a rhinoplasty. I have some hollowing in my midface and a very small columella I understand paranasal implants would only push the nasal base forward and not the tip and […]

Q: Dr. Eppley, Hello. I am very happy with my nose when completely static. However, it spreads laterally when speaking or with even the slightest smile. It is very dynamic, more so on the right side. I had upper and lower jaw advancement 25 years ago, at a time before an alar base cinch was […]

Q: Dr. Eppley, I am interested in head widening procedure. My head is very narrow compare to my zygomatic area. Temples are also narrow and this create oval look. I can show you my photo. I want this to make zygomatic area little bit narrow and straight vertical lines and head make wider. A:The key […]

Q: Dr. Eppley, I am a trans women interested In clavicle reduction. My shoulder width is 17.5 is it possible to drop to 15? A:In clavicle reduction surgery 1 inch or 2.5 cm of bone is reduced from each side. It it’s hard to go past that amount given the curvature of the bone and […]

Q: Dr. Eppley, I was wondering if Dr. Eppley believes I would be a good candidate for a custom wrap-around jaw and chin implant. I currently have a silicone chin implant that was placed two years ago. My primary goal is to achieve greater jawline definition and improve overall facial balance. I feel that my […]

Q: Dr. Eppley, I am looking for a clinic to carry out a custom, patient-specific mandibular/facial implant (PSI) — a personalized prosthesis in titanium or PEEK, designed by CAD-CAM from a CT scan — in order to correct a facial asymmetry. I am not looking for dental implants. I would like to ask: 1. Do […]

Q: Dr. Eppley, Hello doctor! I had hairline surgery 6 months ago and I feel my hairline is too low and doesn’t match my facial proportions. I’ve read your answers about using tissue expanders to reverse a hairline that’s been lowered too much. However, I’ve also read some studies that say that after the tissue […]

Q: Dr. Eppley, I hope you may help me as I have been trying to find an answer for my situation for months now. As you can see by my attached photo, at the corner of my eye I had a raisedbump. Over a period of time I had scratched it to try and remove, […]

Q: Dr. Eppley, I have high and wide cheekbones and the zygomatic arch flares out to the side. I am a Caucasian male and noticed this is a very uncommon surgery for my demographic to have done, as this is typically done on Asian patients with a different skull type than what Caucasians have. I […]

Q: Dr. Eppley, My maxillary atrophy was evaluated with an overlay technique using a 3D Ct scans ten years apart. The overlay came back as orbital-malar and midface bone koss. One plastic surgeon recommends fat grafting because I  have thin skin undereyes yet another surgeon said only after implant augmentation if I feel needed and […]