Blog

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 […]

Q: Dr. Eppley, Hi! I was googling whether I should have facial surgery or dental work done first and came across an answer left by you. I looked at many before and after photos and am interested in getting information and hopefully getting work done with you in the future. I understand a thorough consultation […]

Q: Dr. Eppley, I Am interested in an abdominal panniculectomy. Am I a good candidate? I have attached some pictures for you to review.  A:Thank you for your inquiry and sending your pictures. While resection of overhanging abdominal tissue would be of benefit your abdominal tissues are too thick as they are right now to […]

Q: Dr. Eppley, Would in my situation a lip lift + lip reduction work for this purpose? I know that my Philtrum isn’t long. I’d like, however, keep my lips “male” Thank you! A: What makes a lip look more feminine from a lip lift is the change in the shape of the cupid’s bow….which will […]

Q: Dr. Eppley, Upon doing some research I am very interested in temporal reduction surgery. I am 22 years old and have been losing my hair for the last couple of years. I have always had quite a wide head but when I tried shaving my head I was shocked at how big it looked. […]

Q: Dr. Eppley, As you see the cheek that I left a red mark on is way bigger/rounder which makes my left part of my left cheek / under eye area look fuller and bigger which makes it look asymmetrical.I know it looks like its mainly fuller/more fat but its really the bone. When i […]

Q: Dr. Eppley, Here are the photos, I’m not exactly sure which surgery I want. I just want a normal looking forehead. If you can look at the photos and give me suggestions on what you believe is the best option for me that would be appreciated. Thank you. A: Thank you for your inquiry […]

Q: Dr. Eppley, I would like to have my forehead augmented using PMMA bone cement. I understand a coronal incision may be needed but I believe bone cement is my best option for permanent results. Silicone has a long term risk of infection. The sides of my forehead have an indented look which makes the […]

Q: Dr. Eppley, I would like to know if I could replace my actual 530cc biconvex buttock implants for 1050cc buttock implants on the same pocket?  Also can I then put the 530cc implants out on the side high hip area? So i would like to put the 530cc biconvex on the lateral depression area […]

Q: Dr. Eppley, Hello, I do have a small lower jaw in general (midpoint of lips to end of chin 3.6cm) and wanted to ask if its possible to vertical lengthen the lower third by approximately 2 to 2.5cm (whether it involved jaw surgery and or/genioplasty/custom implants – or a combined approach) or is a […]

Q: Dr. Eppley, recently I had buttock implants and although they look nice, my butt now looks too big for my legs. I read in one of your replies where you mentioned that thigh implants are available to be used for behind the buttock area.  A: Thigh implants are for the anterolateral thigh area known […]

Q: Dr. Eppley, I had a sliding genioplasty 7 years ago and have had tightness for years and recently figured out I have adhesions under my chin. I had an area of hair loss under my chin in the beard where there are adhesions. However, with massage of the area for the last few days […]

Q: Dr. Eppley, For a forehead, supraorbital implant, how do you prevent the raising of the eyebrows that occurs with this augmentation?  Ive had a brow bone implant and took it out because it made my eyebrows very high due to the lift and push up and out effect.  Is there anyway to fix this? […]

Q: Dr. Eppley, I have a moderately recessed chin and my bite is class 1. What I noticed on my lateral cephalogram (and by felling the chin) is that my soft tissue pad is very thin. The bone is more or less normal size, but the thin soft tissue and thick lips make it look […]

Q: Dr. Eppley, I am now three weeks after my sliding genioplasty and jaw angle implants. I have more questions as I am starting to be able to chew and I’m stretching my mouth multiple times throughout the day. My mouth feels dry all the time is that why my sutures haven’t fallen out yet? […]

Q: Dr. Eppley, Could you please check my case and tell me the best technique to reduce my ear size also and the expected vertical length after surgery nothing that the current length is 70 mm also I want to know the probability of both ears will not be identical after the surgery. Thanks A:Thank […]

Q: Dr. Eppley, I have always been super self conscious about the width and size of my back. I lost weight and my back is just huge and I’ve realized no weight loss will create a feminine look of my back. I’ve always wanted a smaller back and didn’t know if there are surgeries to […]