Blog

Q: Dr. Eppley, I have had infraorbital implants and lower eyelid spacer grafts with canthopexy of which I am very satisfied as they have made a great improvement. I wonder now of custom infraorbitalmalar implants might provide even further facial improvement. I really don’t want to one up my lower eyelid incisions again since I […]

Q: Dr. Eppley, I am interested in a review of my case and photos. Your practice is very appealing to me because you offer a wide array of treatments and surgeries. I want the procedure(s) that give me the BEST chances of reaching my aesthetic goals. I am open to all suggestions. I am specifically […]

Q: Dr. Eppley, I am concerned about the asymmetry on my face. My jaw slopes to my right and my right eye, lip, and nostril area are dragged downwards. My right eye is lower than my left, I don’t consider it to be too severe but it is quite noticeable and I would really like […]

Q: Dr. Eppley, I have a chin implant which is a medical grade silicone implant by Implantech. Over the last couple years my chin has changed. I think the implant shifted. Recently in the last few months I felt a tearing sensation on the left side, along with pain and itching. Now there’s a little divot […]

Q: Dr. Eppley,I was born with a large nose and recessed chin and had rhinoplasty and chin implant twenty years ago.  The rhinoplasty left me with a bump so I had a revision several years later. During the revision he scooped out my slope and took a chunk of my ear cartilage and put it […]

Q: Dr. Eppley, I have complex muscular issue on the left side of my head and face, impacting the temporalis and masseter muscles. I had this issue for around 3 years and it currently has caused a TMJ issue. My temporalis muscle is very painful and causes a lot of twitch and it becomes very […]

Q: Dr. Eppley, I am considering a mouth widening procedure in the future as my mouth is a bit small for my face. What do the finished results of lateral commissuroplasty look like? There are no photos online showing what post operation heal scarring from commissuroplasty look like. Is the scarring bad? If you were […]

Q: Dr. Eppley, is a jaw implant good if you don’t want fillers but want to build up your jaw line? As you age and your skin thins will you see the implant? A:Jaw implants are made to fit the bone and look like a natural extension of the bone. No one’s skin can ever […]

Q: Dr. Eppley, Hi, you seem very experienced in custom chin implants. My question is if you want to increase vertical chin height using an implant, will the implant blend with the sub mental skin under the chin (neck) perfectly using custom chin implant? A: I am not sure what you mean by ‘blend with […]

Q: Dr. Eppley, I am interested in thick skin rhinoplasty. I had a consultation that wasn’t successful as he said he was unsure of how the result would come out due to some thick skin. My nostrils are also small and collapse in when I breathe in deep. A:There are lots of rhinoplasty patients that […]

Q: Dr. Eppley, I have always had facial asymmetry and was unhappy with my profile bc I had a weak chin, so I decided to fix the profile issue. It appears the chin implant, though centered, made the asymmetry worse. I’m interested in trying out jaw fillers (potentially cheek as well if necessary) and visiting […]

Q: Dr. Eppley, I am interested in a sliding genioplasty procedure. Since the sliding genioplasty is usually done through a diagonal cut as I have seen on the internet, I am interested in knowing if every horizontal advancement always has some degree of vertical shortening? Is it possible to advance the chin just horizontally without […]

Q: Dr. Eppley, hi I was wondering whether if not satisfied with your head shape after removal of the muscle in posterior temporal head reduction (temporal reduction surgery) are you able to have another consultation regarding bone structure or is their certain risks. A: The posterior temporal bone is quite thin and only a few […]

Q: Dr. Eppley, Looking to improve the rounded appearance/protrusion to the chin on the side profile. On the front view I would like to achieve a slightly shorter and more rounded/feminine look to the chin. I also have a chin dimple that I have corrected with filler but it is still slightly visible in certain […]

Q: Dr. Eppley, Interested in rib removal. I have a very big thorax for my body size. Is it possible to reduce the scope of the thorax? A: No it is not. You can’t reduce rib protrusions that high up on the chest wall. This is a common question but is beyond what rib removal […]

Q: Dr. Eppley, Hi, when my face is expressionless, I don’t have any visible eye bags, it’s quite youthful. But.. when I smile the fat on my face pushes up and gives me eye bags. I think everyone has them, but for me, I feel these smile eye bags make me look worse. They give […]

Q: Dr. Eppley, Is there typically issues with a jaw implant as one the jaw bone ages and you lose fat and elasticity? Can you see the implant? And do they need replacement?  A: The answer would be no and no. The implant would never need to be replaced because of device failure. And as […]

Q: Dr. Eppley, I have a couple follow up questions regarding both the picture and the operations itself. 1) I’m a little confused by these pictures without labels, is the first one the 8mm advancement and the 2nd one the 12mm? The one that was sent over last thursday was for the 10mm? If that […]

Q: Dr. Eppley, Last year I had a tear trough implant placed with the SOOF lifted over it, combined with lateral canthoplasty and lower lid retraction surgery. I didn’t like the outcome of the surgery and had to receive revision surgery a few months ago. This included removal of the implant, restoration of the canthal […]

Q: Dr. Eppley, I was wondering what cosmetic surgeries would be needed to achieve this look. I edited the photo on the left to balance the facial features to appear far more graceful from the side:  Substantial reduction of the nose bridge and depreciation of nasal tip. I realize the reduction shown is drastic and […]

Q: Dr. Eppley, I recently removed a mandible angle implant and had a retraction in the masseter, I would like to know about the effectiveness of the masseter muscle reattachment surgery. A: Reattachment of the masseter muscle, once it has been lifted off the bone and retracted, is very difficult with a low rate of […]

Q: Dr. Eppley, I wanted to know what the options are regarding shortening the nose and midface. I have yet to see actual nasal shortening described anywhere, rather people focus on tip manipulation for the illusory appearance of a truncated nose, or altering radix position. Post-op from a lefort 1 with counter clockwise rotation or […]

Q: Dr. Eppley, I’m a 32 year old female and I have a short and chubby face. I’m considering a custom jaw implant primarily for vertical face lengthening but also a defined jaw line. Attached is a pic of my profile and another pic of someone with the jaw appearance I would like. I would […]

Q: Dr. Eppley, I am interested in a more enhanced, attractive and masculine face.This also goes beyond just the custom jaw wrap around implant that I first enquired about. I am interested and willing to consider other potential enhancements to the face such as in the zygomatic areas – cheek bone implants and other possible […]

Q: Dr. Eppley, I have unique problem perhaps you can help fix.I had silicone injection in my chin many years ago and had them removed last year. It was a ball of scar tissue. After the removal  my lower lip has fallen due to loss of support. I’ve  had two previous failed surgeries where Drs […]

Q: Dr. Eppley, The top of my skull is completely flat and from a side view it looks really bad like if looking at a nail. I have a lot of hair, so you can’t really tell the shape of my head from a photo, but I found 2 pictures that would give a good […]

Q: Dr. Eppley, I have vertical orbital dystopia. My left eye sits lower than my right. I was hoping you could teach me more about what sort of procedures I would need to correct it. A: Thank you for your inquiry and sending your picture. Like in all cases of vertical orbital dystopia (VOD) it […]

Q: Dr. Eppley, Hello I was just wondering if you can have fillers on the temporal muscles as implants seem risky. I was checking if there are any non surgery ways of doing this I will attach a photo of the temporal muscles. A: Temporary injectable filler or fat injections can be used for temporal […]

Q: Dr. Eppley, I did surgery after suffering a brain aneurysm. After the swelling had gone down I noticed this indentation in left temple. How can this be improved? A: The indentation you have is due to loss of the temporal muscle volume as it retracted from the craniotomy procedure. Since it is a soft […]

Q: Dr. Eppley could an orthognatic surgery help to shorten my midface? A: No as that will make no change on the outside and will only bury your teeth under your upper lip. You can’t shorten the external midface without removing soft tissue…which is not possible in any significant amount. (only a subnasal lip lift […]