Blog

Q: Dr. Eppley, I was wondering if you could check if, based on my scans after my clavicle reduction surgery, Dr. Eppley thinks it’s possible to reduce them further now that I’m all healed and stable? A: That is a good question and I will preface my answer by saying I have never yet done […]

Q: Dr. Eppley,I would like to inquire about options for fixing my mental crease/deep labiomental fold. My chin is further back but I have a deep chin crease and I e read it can make the crease worse. I would be happy if I could at least smooth out my chin My chin is further back […]

Q: Dr. Eppley, I want to lessen the occipital ridge area to where it’s not as prominent.  A:Thank you for sending your picture and describing your concerns. You have correctly identified a prominent nuchal ridge. There are two ways to treat it depending upon one’s aesthetic objectives. The first is the one of which you […]

Q: Dr. Eppley, I’d like to discuss whether a sagittal crest reduction is possible. I have a small bump on the top center of my head that gives it a slightly elongated “egg” shape. I’m generally happy with the overall shape and am only interested in a subtle reduction to create a more rounded appearance. […]

Q: Dr. Eppley, I am interested in facial feminization with bone work. My issues are:  brow bone, orbit bone, recessed mandible, uneven face/jaw, flat midface/maxilla, low ears, floppy skin under chin, hollow temporal area, hairline, low brow, chin recess short, Skin texture/pores. Suggestions? Really look forward to hearing back. A:Thank you for your inquiry and sending all of […]

Q: Dr. Eppley, I had 20cc testicoe implants put in a year ago but would like to have larger implants put in as these feel too small. A: At a 20cc testicle implant size that is 4.0 implants. If one is interested in a visible size increased the general rule is that it needs to be […]

Q: Dr. Eppley, I am very interested in the temporal bone reduction surgery that Dr. Eppley performs. I would like to ask a few questions before scheduling a consultation: 1. Is it possible to combine bone reduction with a partial reduction/removal of the temporal muscle if needed for a slimmer head shape? If yes, what […]

Q: Dr. Eppley,I’m interested in exploring a revision for my genioplasty. I had the procedure five years ago and I feel like I’m not completely happy with the results. Specifically, I feel like my chin looks a bit too projected and masculine, and I especially notice it when I smile. I’d like to understand what […]

Q: Dr. Eppley, I saw Dr Eppley respond to a question regarding muscle displacement after a jaw jaw implant and I’ve been told that might have been what happened to me, so perhaps Dr Eppley can help me!  I had surgery with an oral surgeon and he placed two gore-tex gonial implants in the back […]

Q: Dr. Eppley, I would like to discuss the benefit and risk involved with shaving down an existing Medpor chin implant. I’ve been informed that removing it to replace with a custom implant, can cause tissue damage. The implant has been in place for about 1 year. I’ve also been informed that shaving down the […]

Q: Dr. Eppley, I’m just reaching out to see if there will ever be the possibility of such a surgery being done on a FTM transsexual, since from what I can tell most surgeons would be against it as it’s usually unadvisable to meddle with the hip joint for “cosmetic” purposes. Would it be possible […]

Q: Dr. Eppley, Hi. I am a 21 year old male. I have a small head of 51cm as I recently shaved my head. I am perfectly healthy. My father also had a small head. I wanted to ask If there is a way to increase it and if so to how much extent? Can […]

Q: Dr. Eppley,I’m interested in the thigh implant procedure. I have a small frame and have always hated my small thighs. I have a big but and my small legs make it look very unnatural. The last two images are what I am looking to achieve.  A:Thank you for your inquiry and sending your pictures. […]

Q: Dr. Eppley, I’m wondering if you are able to reduce the width of my hard upper ribs? Particularly the 10-7. Would shortening those through bone cuts be adequate in not just narrowing the sides but also reducing front to back width? Are you able to reduce the width of the from to back? I […]

Q: Dr. Eppley, my head is bigger and wider than it looks  in a picture and it is square. I want it to be oval. Is it possible to make a skull oval and reduce the head width? A:Thank you for your inquiry and sending your pictures. If I am interpreting your objective of making […]

Q: Dr. Eppley, I have a question. A different procedure I’m interested in is rib remodeling as opposed to rib removal. I believe it is known colloquially as ribxcar. I’m specifically interested in going up to the 8th rib, but I know this requires expertise with this kind of procedure. Does Dr. Eppley perform this kind of […]

Q: Dr. Eppley, I had cheek implant surgery with Dr Eppley many years ago, and I have a question if the Dr used any metal or screws in my face during the surgery to hold the implants in place. Im writing because im going to have a MRI Scan soon and i need to know […]

Q: Dr. Eppley, I was wondering if it’s possible, and safe (low risk for botching/complications), to widen the alar base of the nose. It really adds a strong touch of masculinity that my face is missing. In particular by trying out morphs in a photo editing program, the alar base alone being made wider makes […]

Q: Dr. Eppley, I have a mild case of Cutis Verticis Gyrata and, while researching possible treatments, I found your article “Plastic Surgery Case Study – The Treatment of Scalp Cutis Verticis Gyrata with Subgaleal Release and Fat Grafting” on the website exploreplasticsurgery. I believe my situation is similar to the patient presented in your […]

Q: Dr. Eppley, big fan of your work. Im looking to get custom jaw and cheek implants, and was looking to replicate this jaw/cheek structure from this male model. Have you designed one that closely resembles his features before? Same cheekbones and that same type of sharp jaw angle. I’ve seen many custom cheek and […]

Q: Dr. Eppley, How long does it take to get custom facial implants made? A: The rate limiting step in any surgical procedure that includes custom designed implants is the time it takes to go through the design and manufacturing process of them. This is usually around two to three months from when the 3-D […]

Q: Dr. Eppley, I have been struggling with what i think is Parry Romberg on both sides of my face for the past year. It has been mentally and emotionally draining and is affecting my everyday life. nPlease help!! A: Thank you for sending your pictures. While you do have a grade III or IV […]

Q: Dr. Eppley, I got custom infraorbital implants to correct my undereye hollowing which it did not do. I have attached the implant design file. A:Just because implants were made custom does not mean they are going to create the desired effect. Besides accurate placement the other major component of an aesthetic outcome with custom […]

Q: Dr. Eppley, I underwent a chin implant five weeks ago and am unhappy with the result. It is too wide and blocky in appearance. I think I should switch to a sliding genioplasty. I am also concerned about long term bone erosion with a chin implant. What do you think? A:Thank you for your […]

Q: Dr. Eppley, Based on the photos I sent, I am concerned about the overall width of my head, particularly the prominent temporal areas and the flat back (occiput). I would like to know if my case could be addressed through temporal reduction (muscle or bone) and/or an occipital implant to balance the proportions. Could […]

Q: Dr. Eppley,I’ve heard a lot of great things about your work, and I wanted to reach out to you since I believe you are the best professional to assist me in this matter. On the top left side of my head, I have a medium-sized indentation. It’s not a large area, but it makes […]

Q; Dr. Eppley, I am very interested in learning more about the Iliac Crest Reduction procedure that your clinic offers. I would greatly appreciate it if you could provide me with information regarding the following: The approximate cost of the surgery. What is typically included in the quoted price (surgeon’s fee, anesthesia, hospital stay, post-operative […]

Q: Dr. Eppley, Thank you very much for your detailed explanation and for clarifying the situation with my current Medpor cheek implants. Based on this information, I would like to kindly ask: Given the specific models, what options would you recommend in my case? Do you think it is possible to design and place new, better-fitting […]

Q: Dr. Eppley, I understand Dr. Eppley has performed dermal fat injections to treat coccydynia. I recently had this procedure done and for about 4 weeks it completely eliminated my tailbone pain. But the pain returned not long afterwards and now my pain is the same as it was before surgery. My plastic surgeon is […]

Q: Dr. Eppley,Is subcostal rib margin shaving/reduction completely put of question for a kidney pancreas transplant patient who is 5 years in and has never had an episode of rejection? I imagine rib remodeling is because the patient needs to wear a corset for months which i would think probably puts pressure on the transplanted […]