Blog

Q: Dr. Eppley, I know you’re one of the top surgeons in the USA for revision. I had my nose job (primary) about 1.5 years ago. I’m satisfied however I notice a bump – ball lump like feeling on the side of my nose tip. I do not know if this is common. I read […]

Q: Dr. Eppley, I think cheekbone reductions is tricky. I would like them a slimmer, but I also would like to maintain the current natural “curve” of the zygomatic body and arch I currently have. I am not intimately familiar with all the various cheekbone osteotomy procedures, but I know the ones popularized in Korea are […]

Q: Dr. Eppley, If we were to impact the maxilla (LeFort 1), I understand the septum would also be trimmed by the corresponding amount. Wouldn’t this result in some shortening at least (perhaps not the full extent of the impacted amount )? Or is this largely variable and dependent mostly on how the soft tissue […]

Q: Dr. Eppley, I’m interested in custom midface implants, infraorbital malar implants, zygomatic arch process… etc. Whichever best suits my face. My midface is flat, cheeks sit low, and my under eye area is droopy. I want a fuller midface, higher cheeks, and support for my under eye area. A more youthful and prettier heart […]

Q: Dr. Eppley, Approximately two years ago I had a rhinoplasty surgery at your clinic and the results are amazing. I love the way my nose now looks. However, a few months after the surgery, the skin around my nose (in all of the spots that sinuses are located) started to become inflamed. Every few […]

Q: Dr. Eppley, I have 420cc silicone implants. I have had them in for 9 years. Before I had them done I was a B cup, I am now a DD/E cup. I am 27 and 5ft 7inches height, I have had one child breastfed for two months. I hate the size and want to […]

Q: Dr. Eppley, I’m 21 years old and I have been losing my hair rather dramatically in the last year or so. This wouldn’t bother me that much as I always knew I would, but my head is asymmetrical. The right side of my head above my ear extends further out than the left side, […]

Q: Dr. Eppley, I recently read about masseter muscle reattachment after mandibular angle surgery as one of my own patients has presented with masseter muscle disinsertion on the right side after revision of his mandibular angle implants performed in January of this year.   Recognizing your expertise in jaw implant surgery, I am hoping that you […]

Q: Dr. Eppley, My face looks swollen and fatter. How can I achieve a chiseled face look and get better defined facial look. I have attached some pictures of me to review. A: Thank you for sending your pictures. Compared to many patients with darker skin pigmentation your tissues are not quite as thick as […]

Q: Dr. Eppley, I’d writing to inquire about a few procedures with Dr. Eppley. I’m wondering if you can tell me the cost of each as well as answer some questions I have. I am transsexual so have to plan these around some other surgeries, both time-wise and financially. I expect I wouldn’t be able […]

Q: Dr. Eppley, I’m trying to gather information and plan out a few procedures to improve my figure. I would like to inquire about shoulder narrowing, custom hip implants and rib removal. 1. What is the recovery like for shoulder narrowing? I read that full recovery takes 6-8 weeks. But how long would I need […]

Q: Dr. Eppley, I have been doing some research into possible solutions for my area of concern, I have very very deep set eyes that appear quite small in comparison to my face. Do you perform oculoplastic surgery? I have heard of something called orbital implants that act to push the eyes into a more […]

Q: Dr. Eppley, I recently had a titanium jaw implant fitted to my left side and v-line surgery including genioplasty. unfortunately I am feeling very remorseful for shortening my chin it was a bad decision which makes my profile too weak with a terrible double chin. I am 38 years old and the surgery was […]

Q: Dr. Eppley, Curious about paranasal or paramaxillary implants. I have poor midface projection and my upper lip doesn’t project as much as I want it to. Would love to discuss this and a chin implant. A: Thank you for the inquiry and sending your pictures. Based on your pictures you are referring to a […]

Q: Dr. Eppley, I had my chin burred down and jaw implants put in ten years ago. Worst decision of my life as my face was asymmetrical and the implants accentuated my asymmetry. Biggest issue is my Chin Ptosis. I ended up with lip incompetence , severe lower teeth show, flat mentolabial fold and droopy […]

Q: Dr. Eppley, I currently have large cheek implants in the front of my face. It gave me projection to my mid face which addressed my 1st concern buh didn’t fulfill my 2nd concern to have a wider more angular face. Can i have a 2nd surgery and get extra large implants to put on […]

Q: Dr. Eppley, I have a square jaw and wide cheekbones which give me an overall square face look.I am right now seeing who’s the best doc for the job. So far all the maxillofacial that can help me seem to be in South Korea, which I have no problem of going to but if I could […]

Q: Dr. Eppley, Hello, First of all it is a great respect and i have to say I admire your facial reshaping surgery work. If one were to do those procedures, what would be the correct order and spacing?  Rhinoplasty  Otoplasty  BSSO and GENIO  Wrap around jaw implant  Cheek implant  Brow ridge and fore head […]

Q: Dr. Eppley, I am interested in the head/ temple and jaw widening procedure. I know you have designed some jaw angle and temple implants for mass market use. As I would most likely not want to have another CT scan done do to multiple scans within the past few years from an unrelated accident. […]

Q: Dr. Eppley, I suffer from moderate plagiocephaly.  My biggest concern is the asymmetry of my face as one side seems to bulge out. In my case the flatness of the back isn’t as severe as the front. Is it possible to have reshaping of the front of my head and brow and maybe to […]

Q: Dr. Eppley, I had a question about my custom infraorbital-malar implant design. I notice that the back end of the zygomatic arch comes to a blunt end with 2mm thickness Why is it this way as opposed to tapering to a feathered edge?  A:To refresh your memory as to this very topic we discussed […]

Q: Dr. Eppley, In regards to forehead horns I have three questions:  1) is it almost always an extra amount of bone, rather than the shaping of the skull? (meaning the skull is shaped rather normally underneath and the excess can be burred off?)  2) if a “safe” amount is taken off, will integrity be […]

Q: Dr. Eppley, Hello, I was just wondering, If I got 5cm custom hip implants in really soft implants would they have a risk of folding in the healing process? Because I was told that the normal 5cm implants may cause erosion of the underlying tissues, meaning I would have to have “really soft” 5cm […]

Q: Dr. Eppley,Is there a difference between submental liposuction and submental lipectomy? Do you perform both procedures if this is the case? A:Technically there is a difference between submental liposuction and submental lipectomy. Submental liposuction, as the name implies, removes fat between the skin and the platysmal muscle by vacuum extraction using a cannula. (like […]

Q: Dr. Eppley, Regarding limitations in the size of facial implants, such as chin implants, would the skin not eventually stretch, gradually, to accomodate the implant? That is to say, have you ever had someone get an implant, wait a year, get a larger implant, or is this irrational? Would the tissues simply become too […]

Q: Dr. Eppley, I am writing this email in regards to the query regarding the custom jaw implants. I had a V-line surgery done around 3 years ago in Korea and since then I have almost lost my jawline definition. I am looking to reverse this surgery dr. Probably around in coming 1-2 months or […]

Q: Dr. Eppley, Is a direct temple lift the same or different than an endoscopic browlift? Or I assume the direct temple lift pulls the tail vertically while the endoscopic browlift pulls the whole brow up to the hairline. A: There are differences between a direct temple lift and an endoscopic browlift. An endoscopic browlift […]

Q: Dr. Eppley, this is about mouth widening surgery, I saw online about a question about how mouth widening surgery can improve the length of the mouth and Dr. Eppley answered about 5mm on both sides of mouth, Is that right? I don’t see how wider the mouth can get without cutting too far into […]

Q: Dr. Eppley, I am interested in eyelid surgery to correct negative canthal tilt. I know lateral canthopexy can be done to raise the lateral canthus but i also need the medial canthus to be lowered in both eyes. I talked to one doctor who told me it is impossible to do. I started researching […]

Q: Dr. Eppley, I’m interested in jawline custom implants but what material does the you use?  A: A custom jawline implant can be made by a variety or materials from solid silicone, Medpor, PEEK or titanium. I am not married to any of them, ultimately that is the patient’s choice. However they are not all […]