Blog

Q: Dr. Eppley, For my sliding genioplasty post concerns am I correct in understanding that the best options  for me are (1) a submental chin tuck with ePTFE implants or (2) total reversal of the genioplasty and placement of a new implant? Would one or the other yield better results?  Do you have any before/after […]

Q: Dr. Eppley, I read what you wrote about the bone on the chin. “The alveolar  bone is less thick than the lower cortical bone and is more prone to see deeper implant settling. This can look very dramatic and ominous in x-rays and there probably have been a handful of such chin implant cases […]

Q: Dr. Eppley, I am a middle aged female with facial asymmetry that is worsening with aging. Left mid face flattening, left dropping nasal tip, uneven nostrils, split columella, weak chin and jaw. Interested in options. Facial implants vs orthognathic surgery? Rhinoplasty? Ideas for staged approach. A: Thank you for your inquiry and sending all […]

Q: Dr. Eppley, I have two questions, one relating to the custom midface implant and one about the custom wraparound jaw implant.  1. When I put my fingers in my nostrils and pull my nose forward, I really like the “tightening” effect of the area around my nose, and I presume the implant will permanently […]

Q: Dr. Eppley, Since our last email, I have definitely been thinking about the custom jawline implant, swaying back and forth and honestly, I would like to have the implant, I believe it will give me a great result.  Like any patient, I am nervous particularly of the outcome of how it will look and just […]

Q: Dr. Eppley, I had a sliding genioplasty six weeks ago in order to correct my microgenia. My main concern was that I always got a double chin when I put my head down slightly (I am not overweight), and the fact that I did not have a lot of definition in my chin/jaw line […]

Q: Dr. Eppley, I am interested in learning more about shoulder augmentation. I am 24 year female old and the shape of my shoulders have always bothered me. I have pretty narrow shoulders and wide hips, which makes my hips look wider and I want to know what options there are for widening my shoulders […]

Q: Dr. Eppley, Could you clarify a few more things for me? I may look to move forward with a consultation soon. 1) is 8-10mm on the large side for an implant? I’ve heard over 7mm can look unnatural and this is my biggest concern.  2) I notice the implant is significantly more affordable. Is […]

Q: Dr. Eppley, I’ve always been self conscious of my eyes, I think I have a mild ptosis and a somewhat negative canthal tilt. If I open my eyes all the way I look crazy, but everyone thinks I’m always high if I just let my eyes do their own thing. I was wondering if […]

Q: Dr. Eppley, Hello dear doctor, I hope everything is all right .  So, I attach an image taken from your instagram profile . This implant interests me greatly .  I think it goes to modify the upper orbitals , lateral and inferior .  Now I ask you, kindly if you could answer these questions […]

Q: Dr. Eppley, I had a question regarding a potential facial fracture I was hoping you could answer. So back in January I took a couple falls after drinking a little too much. There wasn’t any terrible pain or obvious swelling, however I did have a lingering feeling in the mid face for several months. […]

Q: Dr. Eppley, I’m a young student thinking of getting a genioplasty for my weak lower jaw. I’ve spoken to an orthodontist who recommended either a genioplasty, or more extensive lower jaw surgery. I’ve attached the diagnostic records from my orthodontist’s office. I’d welcome any recommendations for improving my appearance as I don’t have very […]

Q: Dr. Eppley, Hey I really like the custom implants you have available. I’m looking for something to augment my jaw angles, and change my chin in three dimensions. I’m also looking to obtain high cheekbones that are prominent in terms of width and length along with some type of under eye support like an […]

Q: Dr. Eppley, Is it possible to look half ~ fully caucasian with a custom brow bone and nasal ( possibly chin ) implant and a blepharoplasty with the goal of making the eyes look as white as possible? My cheekbones are relatively high and wide and I have little to no facial recession. A: […]

Q: Dr. Eppley, I would like to inquire about scar revision in chin implant revision problems. I’ve had multiple unsuccessful Medpor chin implant surgery from the intraoral incision. Now it’s almost a one-year postop, and I have scar contracture both mucosa and under the skin.  Basically, the web banding inside the month feels very uncomfortable/stretching. […]

Q: Dr. Eppley, I read your article “Plastic Surgery’s Did You Know? Fat Atrophy after Trauma”. I bit my lip quite hard a few months back and now have atrophy at that area. Does atrophy resolve itself without intervention, and if so, how long does this take?  Please let me know,  A: Once fat atrophy […]

Q: Dr. Eppley, I’m wondering if you could be so kind as to help provide me with an opinion as to one aspect of my surgery. My surgeon is proposing a standard Lefort 1 movement of my maxilla. However, I’m not convinced this will adequately address what I perceive as the deficiency in my midface […]

Q: Dr. Eppley, I’m a huge fan of your work! I am considering two procedures and was hoping to learn more about their logistics, including price, transportation, and recovery. General advice on whether these surgeries are appropriate would also be greatly appreciated.  First, I want to get a sliding genioplasty to increase both the vertical […]

Q: Dr. Eppley, I had Sculptra injections to restore mid-facial volume and help correct nasolabial folds. The lower face/jaw was not supposed to be touched, heaviness in front of ear to chin under my cheek bone (if you can still see my cheek bones).  Attached is a front/right/left side photos of today. A: Thank you […]

Q: Dr. Eppley, I train boxing/mixed martial arts. Once a chin implant or sliding genioplasty was performed, would I need to stop boxing permanently? Would a punch to the face with gloves on possibly damage or dislodge an implant? A; While I don’t think that would damage a healed sliding genioplasty, there is a low […]

Q: Dr. Eppley, I am a transgender man with several body contouring questions:  1) Would it be possible to reduce the female pevis area in such a way that it is similar to a male pelvis? (Iliac crest reduction, Q angle reduction, etc.)  2) Is it possible to widen the shoulders at all?  3) How […]

Q: Dr. Eppley, Do standard implants placed after genioplasty have a higher rate of infection/complications (such as erosion, shifting, or poor fit) compared to a standard implant placed on a non-augmented chin? Would a custom implant be preferential in my situation based upon these factors, or would it be more of a personal/aesthetic preference instead? In general, […]

Q: Dr. Eppley, I feel like I have a weak chin that makes my nose look out of proportion with my face. I was curious to know how i could fix this with a sliding genioplasty or with a chin implant. Also the amount of movement (if its sliding genioplasty) and the rough cost? A: […]

Q: Dr. Eppley, I was wondering for the clavicle lengthening surgery does a patient need to have straight shoulders for this surgery to be possible? I notice clavicles are either straight or sloped. I was wondering if this effected anything and if it mattered. Thanks. A: The shape of the clavicle does not matter as […]

Q: Dr. Eppley, I’m interested in a buttock reduction. I’ve always had large buttocks growing up and during bodybuilding squatting has attributed to that. I don’t work out anymore. If possible I’d like to have a much smaller and flat buttocks. I’ve read Vaser and skin removal is the process. However are there any dangers […]

Q: Dr. Eppley, I have a slightly recessed jaw and chin. I might get jaw surgery in the future but I can’t afford it right now. I was wondering 1. Are chin implants and genioplasty the only surgeries for chin you offer? 2. Could I get a genioplasty and then get jaw surgery in the […]

Q: Dr. Eppley, I think I want thigh lift only whether it’s a mini thigh lift with some liposuction or full thigh lift. Please give me estimate price for both. Can’t wait to hear back from you. Thanks! A: Thank you for your inquiry and sending your pictures. Thigh lifts in patients that look like […]

Q: Dr. Eppley, I read an article you posted about ear surgery using metal inserts instead of rib grafts. Do you do this surgery? Please let me know. I am very interested in this surgery to bring my ears out about 5mm but I would rather not do a rib graft. Thank you! A: Thank […]

Q: Dr. Eppley, Hi, I saw that you design Custom Infraorbital Malar Implants. It said it helps get rid of sclera show, but is this implant also part of Infraorbital rim implants?. Like does this implant also help with hollow and poor undereye support while at the same time giving the high cheekbone look?. And […]

Q: Dr. Eppley, One month ago I had a chin implant (submental approach) and I’m thinking of having a buccal fat pad removal procedure done. Is there any risk an infection related to the fat pad removal procedure could infect the chin implant? Basically, could an infection from the buccal fat pad removal spread to […]