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Q: Dr. Eppley, just curious if you had testicular enhancement procedures. I am 34 years old and on TRT for the past 3 years and got little nuts now lol.  A: Most testicular enhancement procedures use a side by side by side techniques using custom testicle implants in the 6.0 to 7.0cm size range. While […]

Q: Dr. Eppley, How can I help my head to be smaller? A: While certain areas of the head/skull can be reduced to change its shape and make it appear a bit slimmer/smaller. How that applies to you I can not say based on your inquiry, this requires a specific description of  your head shape […]

Q: Dr. Eppley, In January I had double jaw surgery for sleep apnea along with a saddled PEEK implant to the infraorbital zygomatic region. I was wondering if it is possible to resolve my issues with the implant without removing them. While the shape of the implant seems natural enough, in certain lighting the implant shows […]

Q: Dr. Eppley, I got newer implants with a breast lift that left me with bad keloid scarring about 2 years ago. I’ve tried topicals but I’m not seeing much of a difference. The scars are worse due to the fact I was allergic to the stitches and it caused sores which took longer to […]

Q: Dr. Eppley, How can the scars from may facelift be improved? A: Thank you for sending your pictures. Your facelift scarring shows multiple issues which includes: 1) hypertrophic anterior scarring 2) trapped right earlobe skin 3) left pixie ear (pulled down scarring 4) bilateral anterior displaced preauricular scars Like all secondary problems it is […]

Q: Dr. Eppley, Hello there, so I’m trying to see waistline reduction for a specific measurements, I’ve already removed the 12th, 11th, and the 10th rib previously. Had liposuction and I still have yet to achieve the proper results that I’m looking for. I was wondering what you might suggest. A: Whether you can ever […]

Q: Dr. Eppley, Hi, can you please let me know the cost of brow bone implant? I’m trying to figure out whether it’s more cost effective to have done in the States or in Thailand. Thanks A:In reply to your inquiry I can make the following comments: 1) You can not just have a brow […]

Q: Dr. Eppley, Can’t figure out what’s going on, I think somehow my maxilla is too small or something. A:You have two fundamentally different paths to go down: 1) Treat the underlying maxillomandibular deficiency with Bimax advancements (upper and lower jaw advancement surgery – see attached imaging) 2) Leave the maxilla and mandible (jaw bones) […]

Q: Dr. Eppley, I’d be interested to know the approximate price of standard infraorbital rim implants and the price of custom ones as well. The lid retraction is genetic I’ve never had any surgery near my eyes. My goal would be to get rid of my sceleral show, improve my negative orbital vector and get […]

Q: Dr. Eppley, when I had the genioplasty in SK, there is a noticeable dent on the edge of my jaw that creates the look of a ‘jowl’. One side of my face is much more shaved down than the other, making it appear full, the same side with the genioplasty dent, and it makes […]

Q: Dr. Eppley, I would like to get an aesthetic metopic ridge reduction surgery. 39M.Can I have more details about the procedure, like cost, what to expect, etc? I think I was born with a minor form of trigocephaly (metopic craniosystosis). A:I believe your supposition is correct in that your midline ridge is a microform […]

Q: Dr. Eppley, Hello I had a facelift over a year ago with a neck lift. I have been getting injections on my scars but they still haven’t helped. Is there anyway I can get some information on possibly getting treated? A:These are significant hypertrophic scars for which injections are not going to be effective. […]

Q: Dr. Eppley, Would like to have a slimmer non round shaped face? What is your recommendation and costs associated. would like a flatter chest, smaller muscle and shoulder blades that don’t stick out so much. Head Width Reduction Temple Reduction/Bone Reduction Check bone Reduction V-shaped Jaw Surgery Chin Implant Shoulder Blade Reduction Chest Reduction […]

Q: Dr. Eppley, I’m interested in getting some custom cheek implants. I wondered if you could send through some before and after pictures of males with implants that add Malar projection with the sizes? I believe I’m looking at 5mm of projection. A:Due to patient confidentiality I don’t pass out patient pictures. (I suspect you […]

Q: Dr. Eppley,Would a genioplasty/sliding genioplasty have different look affect or roughly the same? A:If you are referring to how it looks horizontally or in the side view an implant and sliding genioplasty will look the same as long as they are in the under 10mm movement range. It is in the front view where […]

Q: Dr. Eppley, I am writing this email to share my concerns about a craniofacial asymmetry that has been bothering me. I was born as a preterm baby and I was hospitalised for over two months due to low birth weight and complications from hydrocephaly. Since my childhood, I have been extremely conscious about my prominent […]

Q: Dr. Eppley For webbed neck correction apart from the aesthetic aspect, I wonder if I would be more flexible in terms of mobility? Also, is such an operation performed under general anesthesia or twilight sleep?How long does it take to fully recover and when would I be allowed to do sports again? What are the risks […]

Q: Dr. Eppley,So  I have a drawing here of pretty much what I want for my custom testicle implants. I also included a picture of what I look like on a normal day as well as me stretching my sack with a saline infusion to show that I think I can handle a larger size […]

Q: Dr. Eppley, I have a very important question for you. I have a flat forehead, but slightly sloped, and my brow ridges are underdeveloped, can you augment my brow ridges, and with implants, make my forehead more sloped? Is this possible? On the first photo, the person has a sloping forehead and well-developed brow ridges, while on the […]

Q: Dr. Eppley, I have a question regarding your testicular enhancement methods with solid implants to see whether it makes sense to schedule a virtual appointment. My testicles are not small but rather regular (almost 5cm in length) and I would have normally opted for the wraaparound technique to have them enhanced. From one of […]

Q: Dr. Eppley, Here are the attached before, after, and hip implant outline pictures. To reiterate, I feel the hip implants designed help address the goals mentioned but might fall short of making this desired silhouette change. To outline the goals in order of importance to least important: 1) To look as natural as possible if […]

Q: Dr. Eppley, Hello i want to ask i have 25yo and i see on my skull asymetry. one side is more flat than other side soo if its possible to make more symetrie skull thx!:) A: All skull asymmetries can be improved using a 3D CT scan to accurately identify the flat asymmetric area […]

Q: Dr. Eppley, Hi, I was wondering if I could get a consultation from you re a recent sliding genioplasty I just had. I did a google search after the surgery and saw your comments about lip droop. I measured my facial dimensions and it appears my chin was shortened by about 10 mm after […]

Q: Dr. Eppley,  Are the titanium hip implants hard when someone touches you? Can I see some before & after pictures please? A: They are metal so they are hard to the touch, just like your natural iliac crest bone. We are just starting implantation of these implants here in the U.S. so we don’t […]

Q: Dr. Eppley, Would  hydroxypatite implants be an option for skull implants? A: Unless it is a very small area that is located on the bony skull (not the sides)  in which a long scalp scar can be used to access it….no. While hydroxyapatite is biologically appealing it is a poor aesthetic augmentation material whether it […]

Q: Dr. Eppley, hello I have ptosis of the chin. A surgeon put sutures for an elevation of the vestibule, no anchorage,  and it did not work.I know that now you make facial implants but how to fix this please? what technique? help me A: Ptosis of the chin can be very difficult to significantly […]

Q: Dr. Eppley, Could he also do a midface lift from inside the mouth incision to combat any sagging from removal. A: A midface lift requires a superior point of pull, thus an inferior intraoral approach will not work. But I would doubt that would ever be necessary from nasal base implant removals. Dr. Barry […]

Q: Dr. Eppley, is there a way to make rib removal results more extreme? like removing more ribs? A: The reason I present the imaging in the way it is shown is because you make a decision for surgery based on the LEAST amount of change that is known to occur NOT on the most […]

Q: Dr. Eppley, In your case study titled “Plastic Surgery Case Study – Buccal Lipectomy Reversal with Dermal-Fat Grafts” you write “With the suture placement through the graft the dermis surface of the graft into the pocket on the opposite side of the incisional closure.” I have 2 questions about the Dermal Fat Grafts (DFG) orientation  […]

Q: Dr. Eppley, I have a problem with flat back head and have few question about skull reshaping surgery. How long does recovery take after surgery? Can I travel by plain after surgery? Do the implants need to be replaced or do they last for life? A:In answer to your flat back of head questions: […]