Blog

Q: Dr. Eppley, I’m 42 years old female and I just had a 3rd Revision Rhinoplasty to remove mersilene mesh implant but the surgeon inserted 12mm diced ear cartilage to have dorsal and bridge augmentation from one ear and made my nose misalignment, huge and high. Is it true that it is hard to remove […]

Q: Dr. Eppley, I have a question about infraorbital rim implants. In addition to having hollow tear troughs, my lower lid is a bit droopy and I have scleral show underneath my pupils. I was wondering if infraorbital rim implants can help elevate my lower eyelids in addition to filling in the hollowness. I was […]

Q: Dr. Eppley, I am currently considering having many procedures done simultaneously: Wrap Around Custom Jaw Implant Custom bilateral infraorbital-malar implants Bilateral Buccal Lipectomies with Perioral Mound Liposuction Septorhinoplasty Fat Grafting to: Labiomental Fold Submentoplasty Calf Augmentation Implants: Bilateral I have questions about other procedures as well: Would I be a candidate for bilateral vertical […]

Q: Dr. Eppley, I know you said that the forehead augmentation surgery is safe. However I do have some questions about brow bone reduction- if you don’t mind giving me some clarity.  How safe is this procedure? Are there any health risks? Would that result in a loss of my ability to control my eyebrows […]

Q: Dr. Eppley, I had a nasal implant removed because of an extrusion in skin and was replaced by artificial dermis graft to camouflage the damaged skin in the upper half of my nose while adding diced ear cartilage instead. I’m concerned about the artificial dermis graft that was used specifically for infection or any […]

Q: Dr. Eppley, I contacted you before about jaw implants. Thank you for doing that morph, but I am wondering how I can get a wider lower jaw, mandible, horizontally, without the use of implants or fillers. You have custom angle implants, but I was wondering if there is a surgery where the bones can […]

Q: Dr. Eppley, I am considering the possibility of getting wrap around jaw-implants. I had a couple of questions. 1) I’m having a hard time finding many before and afters online – especially with people around my age and face structure, do you have more before and after shown in your office that are not […]

Q: Dr. Eppley, I was just wondering if neck implants to give a thicker masculine neck existed. Implants that would be placed in the sternocleidomastoid area to give a wider/thicker neck appearance from the front. Thanks. A: While there is no such implant made to augment the sternocleidomastoid muscle, as that is a request I […]

Q: Dr. Eppley, I’m currently in consultation with regarding a malar infraorbital osteotomy. But given the risks of the procedure compared to implants, I’d like your opinion on how much augmentation we could achieve, the potential bone loss if using implants, and if the operation can be done intraorally among others A: Thank you for […]

Q: Dr. Eppley, I wanted to update you on my bicep implants. This may sound strange but what I notice is that since having them it has given my bicep area a  “bloated” feeling and look. What I mean by that is that when i assess my pectoral and deltoid implants it feels firmer and […]

Q: Dr. Eppley, I have some questions about Forehead Augmentation. I have a somewhat sloped forehead and ever since it was pointed out to me I am struggling to unsee it. It is much more noticeable and bothersome from a side profile view. After doing some research on possible solutions I discovered the forehead augmentation […]

Q: Dr. Eppley, I have some sliding genioplasty and rhinoplasty questions: 1. Will the bone grafts merge with the chin or be replaced later by the body into natural bone? And is it recommended of not using bone grafts over not using them?  2. Can a rhinoplasty on men be made more sharp and straight? […]

Q: Dr. Eppley, We had a consultation in the past and I’ve still been thinking some things over. Would it be possible to have a slight temporal reduction through just bone-burring and not removing the actual posterior muscle? I can feel the bone slightly pointing out within a 1inch strip or so around the sides […]

Q: Dr. Eppley, I am Interested in a lip lift as well as mouth widening. Would there be significant scarring for my lip lift too? Are there any other risks to mouth corner cutting? Or is it just scarring? Can scarring be reduced in any way such as a laser?  A: The risks of adverse […]

Q: Dr. Eppley, I have a few questions regarding the cheek lift: 1) Will it be done through the lower eyelid incision? 2) Are the results permanent? If so, how exactly will the tissue be resuspended? 3) Will my current cheek implants cause any problems when doing the cheek lift? A: In answer your cheek […]

Q: Dr. Eppley, You had responded to an inquiry of mine a little while ago and I’d like to get more advice. I included a screen shot of the inquiry to remind you. In your response you mentioned that a mucosal roll could help however I’m afraid that rolling the inner upper lip upwards would […]

Q: Dr. Eppley, I have a few questions regarding some procedures I am interested in. Right now, I am looking to balance my profile and improve my face shape from the front. The two procedures I am most interested in are the sliding genioplasty and cheek implants. I am hoping the SG can also give […]

Q: Dr. Eppley, I am concerned that I will not be particularly happy with the standard, off-the-shelf chin implant. So depending on the price for a custom chin implant alone, I think I would like to go that route. How much do you think a custom chin implant would cost (CT scan, implant design, surgery, […]

Q: Dr. Eppley, For the cheek implants, I was wondering if you carve standard implants a bit to tailor it to the anatomy? I was also wondering if you believe a zygomatic sandwich osteotomy (ZSO) is a possible alternative to cheek implants. I heard with a ZSO or by cutting the cheekbones and moving it, […]

Q: Dr. Eppley, I’m transgender and am really interested in a brow bone implant because that’s something my face lacks. Mine is barely noticeable and an implant would affirm my gender identity. A: I am assuming that you are a female to male transgender patient since most facial masculinization procedures are augmentative in nature such […]

Q: Dr. Eppley, I have a mild form of plagiocephaly and have had several fat grafting procedures with good success. However it doesn’t quite work in the bottom section of my skull and therefore am possibly exploring another option…maybe you can advise. I have attached a picture of it as your request. A: The reason […]

Q: Dr. Eppley, I was wondering about sliding genioplasty. is it possible to get sliding genioplasty that will heal without a stair step? For example this video shows that after the bone heals there is a ‘stair step’ in the chin. Finally, I am looking to fly in next year for surgeries. Is it possible […]

Q: Dr. Eppley, I have pockets of fat around my mouth that have been there since I was a kid. I’m 24 now and I have been self conscious about them for years. Could you help me? I read about Perioral Mound Microliposuction -could you perform this on me? A: Thank you for your inquiry […]

Q: Dr. Eppley, I suffer from vertical orbital dystopia, my left eye being slightly lower than my right. I have been told bone contouring of the upper left eye orbit would help with the asymmetry, bringing both my upper orbits to to the same level. Also fillers and possibly an implant under the left eye, […]

Q: Dr. Eppley, I’m interested in having rhinoplasty and am wondering if my goals for the procedure are achievable.  1 – My nose looks better when I flare my nostrils vs when they are at rest. When flared, my nostrils are lifted and take on more of a “v” shape than an “m” shape. I would […]

Q: Dr. Eppley, As far as calf implants are concerned, is it going to be OK to walk in the airport to go home eight days after surgery?  Just want to make sure? Is it OK to walk on calf implants 8 days later? A: The key in calf implant augmentation recovery is early mobilization […]

Q: Dr. Eppley, In doing some research on chin reduction, I discovered you are an expert and I’m hoping to get a second opinion on a chin reduction surgery.  I had jaw realignment surgery and chin burring done over 10 years ago to address a problem with my bite, as well as the fact that […]

Q: Dr. Eppley, I am a 28 year-old female and have been struggling very hard from scarring after a too-harsh dermatologic treatment many, many years ago. As a red-blonde I was treated with TCA peeling 30% and prescribed Vitamin A creme. This must have been too much for my thin and sensitive skin. I ended […]

Q: Dr. Eppley, I had multiple custom PEEK facial implants with another surgeonI have soft tissue problems now. Attached are videos showing face now and implants used. My problems now are: chin ptosis/lip incompetence after implant removal  masseter not attached to mandible border temple hollowing lateral canthus hollowing Can you tell me what can you […]

Q: Dr. Eppley, I have some questions about rib removal surgery and hip implants which are as follows: Do you think the below change is achievable? (See photos, i would like the area circled in red reduced, not below) Is there a risk of hitting any organs or key arteries? Other than bleeding and infection, […]