Blog

Q: Dr. Eppley, I had a silicone chin implant placed about ten years ago and it was removed five years ago and replaced by a sliding genioplasty. I have received further projection which is great but now I have irregularities in the chin/balling/dimpling probably due to scar tissue? I’ve been advised fat transfer to resolve […]

Q: Dr. Eppley, Last year I had a sliding genioplasty performed in Korea. While I like the shape and projection of my new chin, I have a constant sensation of tightness and my bottom lip feels like it’s being pulled downward and sits lower than previously which exposes more of my lower teeth. I also […]

Q: Dr. Eppley, I am interested in a mouth widening surgery since I have a quite small mouth, that is not very aesthetically pleasing or pretty. Due to the golden ratio: A ratio of lower lip vertical width to upper lip vertical width of 1.6 is also ideal. Now the optimal horizontal width of your […]

Q: Dr. Eppley, I had a sliding genioplasty four weeks ago (8mm forward and 2mms vertical) and initially it looked just perfect. But as the swelling has gone down I now know I really want more augmentation. I told the surgeon I would rather have too little than too much augmentation so I probably made […]

Q: Dr. Eppley, I’m 20 years old and I noticed witches chin developed a few years ago. I have attached a photo. What type of procedure would you perform? A: Thank you for your inquiry and sending your profile picture. While most true ‘witch’s chins’ occur from prior surgery or from aging, ir can occur […]

Q: Dr. Eppley, the things I wanna improve is my center part of the face which is like dented from the side, but I look okay from the front. I think it also because of my chin shape but I think the risk of having orthognathic surgery is too high. Therefore, I want to consult […]

Q: Dr. Eppley, I want temporal implants as I have very narrow sides of my head. I think the implants need to be customized as I also have very small brow bones. I want to widen my brows as well. I have attached a front view picture of my head so you can see what […]

Q: Dr. Eppley, I had fat grafting to my cheeks and for the first six weeks I was really impressed how good it was looking and it added to my feminine look. But after 6 weeks most of the fat has gone away so I was thinking how can I make that permanent and i […]

Q: Dr. Eppley, Would lip implants need to be removed before undergoing mouth widening surgery? Will they cause limitations in how much the mouth corners can be widened? That seem to have made my mouth corners tighter. A: No they would not as the soft tissue movements would be done lateral to them. It may […]

Q: Dr. Eppley, I had custom medpor infraorbital / cheekbones implants put in, but did not like the results as they emphasised the asymmetry of my cheekbones. I had them removed very shortly afterwards. Now three months later it seems that the procedure has caused some drooping of my cheeks creating nasolabial lines and an […]

Q: Dr. Eppley, Is only skin trimmed during a standard facelift or both skin and muscle? If so, what do you do if you have excess muscle? Thank you! A: It is common that patients confuse what occurs under the skin in a facelift. Muscles are manipulated in a facelift but only in the central […]

Q: Dr. Eppley, On a moment at the beach I was photographed like this. In this moment I was smiling and the photo was spontaneous. I would like to know why I look so good when I smile and I don’t look good when I don’t smile or laugh ?   Is it possible to make my […]

Q: Dr. Eppley, I’ve been reading your articles about various surgeries on your website for many years, and has been a huge fan. And I recently saw your article on a surgery to correct webbed neck, through the photo of the patient, her neck was greatly elongated after surgery. I have a pretty short and […]

Q: Dr. Eppley, I’m a 45 year old male and the back of my skull has a 45 degree angle shape. I’m interested in correctly this abnormality but cost, success rate and recovery time are my concerns. Would my medical insurance cover this? A: Thank you for your inquiry which I can provide the following […]

Q: Dr. Eppley, I read on one of your forums that 3.5 cms on each clavicle is possible through lengthening… I would be very interested in that! I’m narrow to the point where I have poor range of motion and my shoulders rest rolled over, which keeps me slumped (back training never fully helped) I’d […]

Q: Dr. Eppley, I need to remove the bulging bone on the back of my head. (occipital knob)I have a few questions about the occipital knob reduction procedure. How long does the procedure take? What is the recovery time? Is the anesthesia local, general or sedation? What is the scar size? I am bald.  Thanks […]

Q: Dr. Eppley, To what degree can infraorbital implants affect the shape of the lower eyelid? My lower lid is just a touch of roundness to it with the inferior sclera visible to a small degree. Can a custom infraorbital implants create a narrower eye with a more angular lower eyelid? A: There is no […]

Q: Dr. Eppley, I have a low set brow ridge that conceals most of my upper eyelid. Even so, it leaves a small semicircular sliver of the upper eyelid exposed. Is it possible to use fillers to conceal this portion of upper eyelid and create a more straight and angular looking upper eye in the […]

Q: Dr. Eppley, I am interested in learning about forehead reduction via forehead bossing and a procedure that can flatten spots on the top of my head from Dr. Eppley: Could these two procedures and temporal reduction be safely done together? What would be the individual and total cost of these three procedures? Are there […]

Q: Dr. Eppley, Hey so I’ve contacted before about clavicle lengthening.. something I’m very interested in!! Now, I’m hoping to make the best out of one procedure… is it possible to lengthen each clavicle by 35-40mm? My shoulders are so narrow that they rest rolled over.. and from a cosmetic point of view, I’m hoping […]

Q: Dr. Eppley, I am extremely happy with the outcome of all the surgical procedure Dr. Eppley performed. I had no infections, no complications, and I am more than pleased with the results. I am running 5 miles per day with no pain or complications. I am happy with the professionalism and attention to detail […]

Q: Dr. Eppley, I am writing to you seeking some advice about my teenage son. When he was a baby (approximately 6 months) we noticed the back of his head was flat. We took him to our family Dr and he said make sure you get him to sleep on his side and rotate him […]

Q: Dr. Eppley, In one of your blog posts you state: “many models display a very strong or exaggerated brow bone appearance. It borders on being an almost angry appearance but is better anatomically described as an ultra low brow bone projection with near complete coverage of the upper eyelids. While I frequently get requests […]

Q: Dr. Eppley, I’m happy with the outcome and feel that you did a really good job with the overall look of the forehead. There’s still a somewhat noticeable protrusion on the right side of the forehead where the implant meets the skull unlike the left side which blends perfectly but it’s not something I’d […]

Q: Dr. Eppley, I’m interested in perioral lipo due to bulges around my mouth. I wondered why in your notes it says it should be continued to the jaw line? Surely for a man removing fat from the Sulcus and jawline will be aging and weaken the jaw? It seems most people beyond a certain […]

Q: Dr. Eppley, How can I lower my brows? Can brow bone reduction help? I found them too high on the face, not close enough to my eyes! Is eyebrow lowering possible?  Thanks A: I am not aware of a 100% reliable method for eyebrow lowering. Brow bone reduction topically does not cause the eyebrows […]

Q: Dr. Eppley, Will the soft tissues slid around over silicone facial implants since the tissue do not adhere to them? I am worried that my soft tissues will move around and fall off the implants and look funny if there is no direct tissue adherence to them.   A: While the overlying soft tissues do […]

Q: Dr. Eppley, When using tissue expanders and brow bone  implants to lower the prominence of the brow ridge and eyebrows, what degree of control do you have over the shape of the eyebrows? If a person wanted a lower, straighter brow ridge, with lower straighter eyebrows to match, would that be achievable using implants […]

Q: Dr. Eppley, Quisiera saber donde ubico la clinica, como es el procedimiento para una rinoplastia, cuanto es el tiempo de recuperacion. Y el aproximado de el costo. Gracias A: En respuesta a sus preguntas sobre rinoplastia: Mi práctica se encuentra en Carmel, Indiana, EE. UU. Mi asistente Camille pasará el costo aproximado de la cirugía […]

Q: Dr. Eppley, I am interested in facial  asymmetry surgery, specifically fixing my cheek asymmetry. I had a few syringes of Bellafill to try and help my cheek asymmetry but at the time I did not know surgery was an option. Most importantly the filler has not improved the problem even in the slightest. I visited […]