Blog

Q: Dr. Eppley, How can the occipital implant be fixed in the head? A: The fixation any skull implant is by both screw fixation and the tightness of the tissue pocket in the short term and by tissue ingrowth through the implant in the long term. (through the created perfusion holes in the implant) Dr. […]

Q: Dr. Eppley, Hello, I am interested improving my jawline. Ideally, I would like to have a stronger and more chiseled jawline. I would like to have a wider and more angularity to the mandibular angle. I look forward to hearing from you.  A:Thank you for your inquiry. There are three methods to enhance your […]

Q: Dr. Eppley, I have a question about forehead width. I have quite prominent contours at the borders of my frontal bone which are wide at the top but then taper down to become very narrow at the bottom, where they join with my orbits. I am wondering if there is a way to build […]

Q: Dr. Eppley, Hi, I have what is referred to as a “buffalo” hump, aside from the obvious cosmetic worries it has also begun to the limit the range of motion of neck, contribute to serve neck/upper back pain, headaches, and difficulty sleeping. I have tried the more conventional methods including exercises to strengthen my […]

Q: Dr. Eppley, I recently got a chin implant along with mandible implants. I am 9 days post op and have huge swelling. My face looks like a complete square at this point and I am worried if it will stay like this. Do you have any suggestions to help with this swelling and edema. […]

Q: Dr. Eppley, Good morning. I have a question about trichophytic incisions. After a procedure, roughly how long does it take hair to grow back through a trichophytic incision back to it’s regular density?  I had surgery with a coronal incision 3 months ago, and although the hair is growing through it still is not […]

Q: Dr. Eppley, The top back of my skull is depressed due to surgery as an infant. The depression is deep, wide and long so if plastic surgery was performed it would need to stretch skin or need a skin graft. I’m not sure of your capabilities but has your practice dealt with the issue […]

Q: Dr Eppley, Thank you so much for replying to my question about v line reversal implant surgery! May I ask how high the infection rate is for a custom silicone implant as that is a problem I am scared of having. Also since I had a sliding genioplasty. to make the new custom jawline […]

Q: Dr. Eppley, I had jaw reduction surgery along with a sliding genioplasty however, the surgeon over reduced my lower jaw and I developed step-off deformity from sliding genioplasty. The lower half of my face is over reduced and smaller than the upper part making my face look off-balanced. I would like to rebuild my […]

Q: Dr. Eppley, I have mandible implants sized 11mm and chin implant sized 9mm ( all silicone) I am now3 months post op and am planning on getting them all removed. Will my face go back to the way it was? If not how close will it be? I’m 23 years old and I have […]

Q: Dr. Eppley, I have done a CT of my face and my Dr left me know that my right side of face is around 5 millimeters more retruded so the other side is 5 mm more forward. I know there are implants for that purpose but I want to try with own materials So […]

Q: Dr. Eppley, I am a young male in my 20s. My right shoulder is shorter than the left since I was born. It is genetic. My father has the same condition. No problems except cosmetic reason. My right clavicle is more curved than left.  I want my both shoulders equal and identical. Is it […]

Q: Dr. Eppley, Hi, as you can see on the images in the file I look a LOT better on the right. They were both taken today, the only difference is that I bite together on the left picture which in my opinion looks horrible. On the right I jut the jaw forward and downward. […]

Q: Dr. Eppley, I have very noticeable bumps behind both ears. I had a scan a few years ago and it is due to unusually large mastoid air cells. Can something be done about this? I’m 38 and get made fun of wherever I go.  A: Enlarged mastoid processes can be reduced. The key is […]

Q: Dr. Eppley, What I’m confused about is I also consulted with another surgeon.  He suggested a 9 mm silicone off the shelf without wings. He’s not reshaping it, implant as is so yes the implant is round.  I held it.  While your imaging suggests a 4 to 6 mm size, at least the ones that […]

Q: Dr. Eppley, Could you ask Dr. Eppley how many millimeters is added to the chin on the first set of images and the second set of images? And how many millimeters you think is perfect in my case?  I just want an idea.  I feel better with the second set of images. And whether […]

Q: Dr. Eppley, I’ve got a quick question today (am planning to come back to you later for a thorough evaluation). Regarding the chin implant, you have written about how the submental incision scar usually heals up quite nicely. Will this remain true for darker skinned patients as well? A: Skin color makes no difference […]

Q: Dr. Eppley, ‘m considering a jaw implant on my right jaw. My situation might be a little untypical compared to a typical jaw angle implant patient, so let me explain my situation.  Several years ago I had a cyst removal from my right jaw. This removal surgery changed the way my right jaw angle […]

Q: Dr. Eppley, Several years ago I had a sliding genioplasty and my jaw augmented with hydroxyapatite paste. I was unhappy with both as I still lacked horizontal and vertical chin projection and the HA paste on the jaw area was uneven. I tried to have it removed later but he was unable to remove […]

Q: Dr. Eppley, I am looking for v line reversal surgery. V line results are not good. I didn’t ask to shave my jaw like that. My face looks shorter and narrow and uneven jawbone cut.  I had fuller face. I want to get my face back. Please let me know if this is something […]

Q: Dr. Eppley, My jaw stopped growing at a young age due to Juvenile Rheumatoid arthritis. I would really like to get my chin and jaw to look more normal. I am not sure what procedure or procedures I will need. Thank you for answering back with the cost of the custom jaw wrap implant. […]

Q: Dr. Eppley, I had a sliding genioplasty surgery about 4 weeks ago, advancing my chin 8mm and 4mm vertically. However, I’m really unhappy about the result as my face is too long and my chin looks pointy whevever I open my mouth. I am 19 years old (male) and would like to know if the procedure […]

Q: Dr. Eppley, I have a question about my eye area. My eyes look quite feminine and weak despite good palpebral fissure length. My lower eyelid look quite round. I noticed that I have bad upper eyelid hooding and my upper eyelid looks round. I show examples of masculine,alert eyes I wish I could achieve. […]

Q: Dr. Eppley, I have linear scleroderma of the chin. I have been seen by rheumatologists and dermatologists who recommended methotrexate or a biopsy; neither of which I was keen on. I believe I’ve had this since I was about 15, perhaps younger. I’m currently 19 years old. I was wondering what you would recommend […]

Q: Dr. Eppley, Hello, with a sliding genioplasty and a chin implant, what’s the most amount of vertical length you could reasonably add to someone’s face? A: My experience has been that 10 to 12mms per vertical opening wedge bony genioplasty can be achieved in a single surgery.  This leads to uncomplicated bone healing.  I […]

Q: Dr. Eppley, Four years ago I had a soft tissue reduction performed on my soft tissue chin pad. It was an intraoral thinning reduction. I was unaware at the time and the doctor did not communicate to me the level of potential for soft tissue contour deformities. The soft tissue took a long time […]

Q: Dr. Eppley, I attached photos some of myself from different angles, a morph of myself in the profile view with a possible rhinoplasty and a few “desired aesthetic” photos.  Thank you! Background: •I believe I have a weak chin from the profile view and I am unsure if my chin is too short from the front view •I […]

Q: Dr. Eppley, I had lower jaw surgery at 17 to correct my overbite. My orthodontist said since I grew up with an overbite it cause the deep labiomental crease. It makes me very insecure and I am interested in solutions to fix it, without making my chin bigger since I am scared of it […]

Q: Dr. Eppley, I’ve always found my forehead to be very irregular, and last month I visited a maxillofacial surgeon in Brazil. He diagnosed me with non-treated Trigonocephaly (although a very soft one). My forehead is indeed a bit triangular, and I have a ridge on the very top of the forehead, in the hairline, […]

Q: Dr. Eppley, I also have a really slanted forehead so the top of my head looks very Neanderthal-like. Throughout my high school I’d get called a Neanderthal or homosapien and I’m looking at pictures of me from when I barely started high school and I didn’t have that huge brow bone and my forehead […]