Blog

Q: Dr. Eppley, I had an Implantech anatomical size small chin implant placed last year. It was placed off center and it is very noticeable. I had a sliding genioplasty more than ten years ago. The doctor blames my crooked implant on the brackets. He injected Juvaderm a few weeks ago on the left to […]

Q: Dr. Eppley, Speaking hypothetically, if one wanted to augment a part of their jawline or even their whole jawline with Mimix hydroxyapatite bone cement, would that be an issue,from a vascular standpoint? Would the blood supply to the bone be jeopardized? A: Concerns about the blood supply to the bone by performing jawline augmentation […]

Q: Dr. Eppley, Please note I have breast implants, butt implants (2 months ago, revision operation) and liposuction to the lower back. I want the hourglass shape of small waist and rounded hips, but don’t have enough fat for transfer. Perhaps hip implants could be an option to fill the dips? A: Thank you for […]

Q: Dr. Eppley, I have been treated for facial asymmetry due to hemifacial microsomia with a cheek and eye implant, browlift and a jaw implant and genioplasty for the left side of my face. Despite these efforts, there is still some asymmetry which is not insignificant, particularly around the left brow, forehead, temple and cheek […]

Q: Dr. Eppley, I’m a 31 year-old mother of 3. I’ve been quite unhappy with my body for awhile now, mainly my butt (or lack-thereof) and have been dreaming of the day that I’d be able to get a procedure done that would make my butt more plump & round… and today’s that day! I’m […]

Q: Dr. Eppley, I am planning to have zygomatic and chin silicone implants with you very soon. However I have flat moles on those areas of the face that I am planning to remove at some point. My question is would laser mole removal in any way “damage” or infect an implant underneath (please note […]

Q: Dr. Eppley, I have some questions about a custom midface implant: What are the long term outcomes of this procedure? Are patients generally happy? What kinds of issues have cropped up after the healing period that you’re aware of A: Every custom midface implant I have ever done has been a favorable aesthetic improvement. […]

Q: Dr. Eppley, I have some septorhinoplasty questions: a. A desired outcome of this procedure is improved breathing. You’ve mentioned a couple of ways to achieve this through fixing the deviated septum and inferior turbinate reduction. With the CT scan now available, is this still the approach you would take? b. I’ve been doing research […]

Q: Dr. Eppley, I have some occipital knob reduction questions: a. With the CT scan available, would you be able to approximate how much bone can be reduced and provide a morph of the image attached so I can get an idea of what the final result might look like? b. Where will the incision […]

Q: Dr. Eppley, I am a female interested in custom facial implants and was wondering if you have ever created/installed nasal spine or premaxillary implants. Also, would it be better to get those implants put in before or after a rhinoplasty? A: When you speak of nasal spine area, you are likely referring to what […]

Q: Dr. Eppley, My daughter is 2.5 years old and I have been worried about her head shape since she was 10 weeks old. I brought it up at every wellness check but was dismissed by her pediatrician saying it was fine. Now it’s too late and I live with guilt and regret daily. I […]

Q: Dr. Eppley, I have several body contouring questions: How much actual clavicular bone length be obtained in such shoulder widening surgeries. Can he ribcage similarly be widened by osteotomies? Can the scalpel be augmented? Can the wrists be widened What is the cost of shoulder widening surgery? A:In answer to your shoulder widening question […]

Q: Dr. Eppley, I’m thinking on having a custom jaw implant at your clinic but I’ve been told that jaw implants have a very high rate of infection, specifically of silicone and Porex materials. What material would you use for my custom jaw implants? I’m very afraid of having a complication and then having to […]

Q: Dr. Eppley, last year I had zygomatic reduction in Korea. There was an incision in my sideburn and in my mouth, where they cut the bone and moved it in. I am happy with the reduction, but the part of my cheekbone that is posterior to the sideburn incision (toward the ear) still sticks […]

Q: Dr. Eppley, is there a treatment for upper eyelid exposure? I have moderate eyelid expsure and I want my eyes to be completely hooded, this normally occurs in men due a low set orbital bone and brow ridge. But my upper-orbitals are high-set which makes my upper eyelids exposed which are giving my eyes […]

Q: Dr. Eppley, I am just curious about the custom jawline implant option vs a standard chin and jaw angle implants. I feel I have a very weak chin and would like to enhance that and the jawline. Im curious how long this procedure takes? Cost? Cost if performed with a septoplasty? Are there any […]

Q: Dr. Eppley, I am a 26 years old male and I am interested in undergoing the clavicle lengthening procedure for aesthetic purposes. Do you perform this? In this regard I have a couple of questions. What would be the orthopedic implications of such a surgery? Would I loose shoulder mobility? I am asking this […]

Q: Dr. Eppley, I am now three months after placement of my custom forehead/brow bone implant. I have a weird tingling sensation on the left side of my brow and I’m wondering if ithe implant is getting infected…When I press on it it goes numb. Thanks. A: You are undoubtably referring to the supraorbital nerves […]

Q: Dr. Eppley, I’m 25 years old and my natural facial bone structure is lacking. I’m interested in getting chin and jaw implants, or possibly a wraparound implant if it is called for. I would appreciate if you could answer some general questions about the procedure, as you seem most experienced when it comes to […]

Q: Dr. Eppley, As for my chin, I’m not so worried about the profile aspect of my face, so bring my chin forward isn’t so important to me. It’s more of the front view of my face. I’m not really interested in getting a sliding genioplasty. I’ve done a lot of research on it, and […]

Q: Dr. Eppley, I read your answer about the helix being out of view in an otoplasty that is overdone or pulled back too far.. I would like to know if I come to you for a reverse otoplasty, how long would it take for the surgery and do I need someone with me? I […]

Q: Dr. Eppley, In regards to a vertical lengthening chin implant. I’ve read a lot of conflicting things in regards to the labiomental fold., I have a deep one. I don’t mind that it deep and I am not looking to correct it. I just want to know if I could still have this type […]

Q: Dr. Eppley, I emailed with you approximately a year ago in regards to facial masculinization, I went through with the jawline augmentation (three pieces of Goretex around my jawline), cheek augmentation and paranasal implants and am now post-op 1 month. Although It looks better than before I still am not happy with the lower/middle […]

Q: Dr. Eppley, I will be visiting you soon for a custom jaw implant. I wanted to ask if it is OK to do a one stitch facelift /mini facelift to pull the skin around the nasolabial folds and cheeks to the ears to eliminate nasolabial creases. Would an Endotine device provide a long term […]

Q: Dr. Eppley, Upon further consideration, I think the implant I know I will absolutely need is a chin implant. I think that alone will make a significant improvement for. However, I feel that mandibular jaw angle implants may help too, but may not be absolutely necessary. I think I would like to do a […]

Q: Dr. Eppley, I’m an Asian female looking to enhance my midface region, namely frontal cheekbone and paranasal area. I also plan on getting a rhinoplasty either before or after facial implants. I was wondering if getting a midface/paranasal implant would affect rhinoplasty – would lateral osteotomy and alarplasty be affected if I got the […]

Q: Dr. Eppley, I’m fully aware that I won’t be able to achieve exactly what I have in mind, but either way, I’d be content with any sort of improvement overall. With buccal lipectomy, it definitely did decrease the “chubby” look to my face. But as you said, the results would have been even better […]

Q: Dr. Eppley, I have Lipedema and have had some surgeries with a lipedema doctor and they were very conservative. My biggest concern are the knees and the tops of my thighs, my public area and inter thighs. I have calf concerns but that can be later on down the road.  A: Thank you for […]

Q: Dr. Eppley, Thank you so much for your reply. The custom implant  approach sounds good . My doctor says He will use Goretex implant and craft the  implants right there during my surgery.  I also want to know is it possible to use Goretex or Medpor  because he mentioned  these material are more natural than Silicone and it […]

Q: Dr. Eppley, I’m 2 weeks post my surgery so I wanted to quickly touch base with you.  First things first, I’m so happy with my results! The projection is perfect, surprisingly my lip position has changed too it doesn’t look receded anymore. I also have no loss of sensation- yay! I’m so grateful to […]