Blog

Q: Dr. Eppley, I am a 28 years old and all my life I had a webbed neck and could not find a solution for it. Two years ago, I did physical therapy for a month, it helped a little bit and my neck got slimmer from the sides, but when I stopped, my neck […]

Q: Dr. Eppley, Hello Have you ever seen case where jaw implants went through skin 8 months after surgery? Intraoral placement, genioplasty before (10 mm forward 3 mm down), chin implant before all of these. After 2 months skin thinning, later scarring, scar burst, red fluid 5 days now yellow fluid no symptoms, sometimes pain […]

Q: Dr. Eppley, I really would like to see what can be done to address my undereye areas bags, perhaps with an orbital rim implant? And then finally my main concern, the upper third of my face, I don’t hate the brow prominence in and of itself however I would like for some way to ease the […]

Q: Dr. Eppley, Is it possible to shorten the nose vertically? Most rhinoplasty results I have seen is because the tip is droopy or long. But in my case the bridge bone looks long and my nostril is lower than my tip. I haven’t seen it done but is it possible to cut/reduce the septal […]

Q: Dr. Eppley, Could a surgical hairline advancement be safely preformed via an incision at the hairline in the future if I had a behind the hairline coronal incision already made? If it’s possible without a risk of necrosis or tissue ischemia please let me know how long one would have to wait to have […]

Q: Dr. Eppley, I am writing to you because of my facial asymmetry, especially of the eyes, that I am looking to correct. My right eye is positioned lower than the left one and canthal tilt is more negative. Furthermore, my right eye is more hooded and its superolateral orbital ridge sits lower. While my […]

Q: Dr. Eppley, I had Medpor jaw implants in 2012. In comparing the two sides of my face there is a marked ‘bump’ where the implant is. The goal would be to produce smoother jaw line, to the extent possible (compare with the other side of the face). My fingers show the beginning and end […]

Q: Dr. Eppley, Hello! Do you see out-of-state patients for rib removal surgery? I have a wide waist/rib cage and flared ribs. I’d like waist reduction, but I live in Omaha, NE. How would the process, operation, and post-op work for out of state patients?  A:Thank you for sending your pictures which show two issues […]

Q: Dr. Eppley, I am wondering if it is possible to reduce the length of the philtrum without increasing the size of the upper lip. I have an 18mm long philtrum combined with already really thick, full lips for a man and I am curious what can be done to shorten the length of it […]

Q: Dr. Eppley, Looking to get custom jaw angle implants, I’ve had ~1ml of filler on both of my jaw angles to increase the frontal width/angularity and it looked great. I saw some of your results and i’m liking a lot of them and would like to possibly get surgery done as soon as possible. […]

Q: Dr. Eppley,  My chin has been growing with time I feel like it might be due to weight gain as well it shrink and grows sometimes slightly with my weight and sleep I have no idea but it’s squishy and I’m always so insecure of it and I was wondering if you have answers […]

Q: Dr. Eppley, I would like to augment forehead to achieve a more full symmetrical look, and eliminate the indented like forehead. And also augment my brow bone area for a more subtle masculine look. Also considering an earlobe reduction. A:You are referring to the need for a custom forehead-brow bone implant which can effective […]

Q: Dr. Eppley, Hi, I’m interested in learning more about procedures to achieve a more youthful and feminine look, particularly in line with Asian beauty standards. I’m currently exploring my options and would love your professional opinion. Some of my concerns include narrow temples and cheekbones, lack of volume in the lower cheeks and hollows, […]

Q: Dr. Eppley, I had brow bone reduction a couple years ago via a coronal incision. The surgeon did not reduce the orbital rim on my right side the same as the left (The right side is more prominent). I do not want to go through another coronal approach. Can you fix this through an […]

Q: Dr. Eppley, I need forehead surgery as I want a nice large forehead. A:  Based on your picture this is clearly a syndromic forehead shape with a very low hairline and a recessed and flat/concave forehead shape. This needs a significant forehead augmentation which ideally iis done in two stages with a first stage […]

Q: Dr. Eppley, i want my midface to be shorter and closer if possible. My current facial measurement are: brow to chin leght is around 12-13cm, nose is around 5.8cm leght to the tip,face width is around 13.5cm. My desire are to make the face more striking and stronger bones but also shorter. Also I would like […]

Q: Dr. Eppley, I just had a sliding genioplasty and I have a contracted lip and a step off. How long after the genioplasty do I have to wait until getting the procedure to fix the shortening of the lip? A: I would wait a full six months to be sure that the initial tightness […]

Q: Dr. Eppley, Hi, I am a Canadian citizen that is interested in getting rib remouval surgery, which is not possible in my country. Do you accept international clients for your procedures or can you only perform you cosmetic procedures on American citizens? Thank you kindly for your time. A: My practice has patients from […]

Q: Dr. Eppley, Hello, I’ve been interested in custom jaw implants for a long time and actually had non custom angle implants put in years back and one of them popped off when I yawned which eventually led to a hematoma in my cheek. We ended up just removing them to avoid that happening again […]

Q: Dr. Eppley, hi!! i am a 25 year old female with mild to severe plagiocephaly. my frontal right side of my skull is protruding, along with the occipital right side of my skull being flat. i live in Montana but i am willing to travel to have this part of my skull shaven down […]

Q: Dr. Eppley, I’m a transsexual female and I am wondering if you are able to reduce skull and face width. I have already had a cheekbone reduction so I am not sure if any more can be taken off. A: I am not sure whether your cheekbone reduction was by shaving osteotomy which would […]

Q: Dr. Eppley, When considering skull reduction surgery, is the removing include  outer cortex of skull, the periosteum and the thin muscle above or just the bony part of the skull ? And if only the bony part , is its possible to remove the muscles fiber that are covering the whole skull in seeking […]

Q: Dr. Eppley,  I am not overweight/ but no matter how much weight i lose, i can’t seem to gain a prominent collarbone. I’m looking to change that and am open to suggestions. A: Having done hundreds of aesthetic clavicle reshaping surgeries I have obsreved there is great variability in the thickness of the soft tissues […]

Q: Dr. Eppley, If I change up the midface implant for just cheek implants that are smaller and more designed like the first design as attached (but still with the brow ridge section), will there be sagging in the cheeks and if yes, where?I’m mainly concerned with the area in between my nose and cheeks. […]

Q: Dr. Eppley, What will happen when I grow older and my mandible shrinks but the implant will stay the same size. Wouldn’t that be an issue to have custom implant for my whole jawline? Sorry I am ignorant about this. Thanks A: Your mandible does not shrink with age…unless you lose most or all of […]

Q: Dr. Eppley, If I have a step off and my lower lip is thinner and tight after a recent genioplasty, is this a fault on the doctor’s side? Do I have the right to ask him for a revision or at least a partial refund. A: These are known risks of the surgery, not […]

Q: Dr. Eppley, Hello i have a question about this surgery. I don’t have any injuries in my face but i just want higher cheekbones and i would like to know if this is possible? I know cheek implants might seem like a good option for this but thats not really rhe look i want. […]

Q: Dr. Eppley, I had an Intraoral chin reduction in 2023 and am seeking a second opinion. I’m still unhappy with the aesthetic look of my chin after having it burred down 6mm. It totally changed the appearance from the front and side making it more pointy and projected. I’m not sure if I have […]

Q: Dr. Eppley, I had silicone jaw implants done by another doctor which were subsequently removed during a jaw revision surgery. I have included the original design for your reference. Certain aspects of it, such as the subtle notch, outward gonians, and the ratio of bigonial width to bizygomatic width being 1:1, appealed to me. […]

Q: Dr. Eppley, I would like to proceed with the “Special Design Back of Head Skull Implant” option. However, I do have a follow-up question: How would this pre-designed implant be adjusted to fit the unique shape of my head, considering that it was not created based on my specific CT data? Additionally, would my […]