Blog

Q: Dr. Eppley, Is it true that facelift scars in front of the ears heal better than behind the ear? If this is true, what is the reason for this?  have heard this is because blood supply is better closer to the face.  A: As a general statement that is more true than not for a […]

Q: Dr. Eppley, Hello, I was thinking about getting a custom wrap around jaw implant but I have a few questions. I have recessed chin and a deep labiodental fold. I was wondering if the implant could fix the labiodental fold and also fix the recessed chin by moving the lower lip toward too. I […]

Q: Dr. Eppley,  Hello doctor I got a question, is it possible to shorten the midface by jaw osteotomy (shorten philtrum) about 2-3mms? I guess itis not a big amount and its pretty possible, unluckily in my case standard lip lift isn’t possible because my upper lip is well shaped and lifting it would destroy […]

Q: Dr. Eppley, I am interested in the brow ridge implant. From the website I noticed there are two kinds of implant, one goes with the way to the upper forehead the other do not, which is more suitable for my case? Also, I have frontal bossing because of my lack of a protruding brow […]

Q: Dr. Eppley, For the buttock implants, do you use endoscopic technique in order to make sure of the strict intramuscular location of the implant (or do you think it’s unnecessary) ? and do you usually perform one or two incisions? A: In answer to your buttock implant questions: 1) There is no advantage to […]

Q: Dr. Eppley, I have been struggling with my double chin for many years. I had Cool Sculpting done twice to my chin. After the results didn’t work to get rid of my double chin. I went to see a plastic surgeon for chin liposuction. He told me I don’t need chin liposuction and instead […]

Q: Dr. Eppley, I wanted to provide an update since last we met. I’ve recently obtained new imaging and found out that my skeletal asymmetry is causing my bite to continue and to worsen and my right condyle is resorbing. Two well respected maxillofacial surgeons have both said my only option is orthognathic surgery. I’ve […]

Q: Dr. Eppley, I wanted to let you know, first of all, that I am thrilled with the results of surgery. You have really increased my confidence and I no longer feel that people are looking at my scars, I just can’t express to you enough, how your talent has improved my life! I have done […]

Q: Dr. Eppley, I am greatly interested in the customizable forehead implant you offer. I read that the prominence can be projected upwards to 5-6 mm, but I am more interested in the width, specifically the area at the edge of the eyebrows. I know that the determining factor is the orbital shape and length […]

Q: Dr. Eppley, I’ve had 1.7 mL of Radiesse fillers placed onto my cheekbones in the last 2 weeks. Do I have to wait the full 12 tp18 months for them to fully dissolve before proceeding with surgery for custom infraorbital-malar implants?Or, would you be able to remove/workaround the filler during the surgery. A: That […]

Q: Dr. Eppley, I’m trying to find out if my cheek augmentation goals are achievable. I have a photo album describing my issues and my desired look.  My thinking is that weight loss (80-90 lbs), fat removal, cheek implants and a LeFort I osteotomy can achieve my goal look. I’m probably wrong, so can you […]

Q: Dr. Eppley, I have an uneven brow ridge with uneven eyebrows (one is flat while one is pexed, makes me look constantly expressive). I want to know if it’s possible to correct the asymmetry of my brows and adjust their position so that they are both closer to my eyes, giving more hooding if […]

Q: Dr. Eppley, I wanted to ask a question regarding jaw and cheek implant. Are facial implants such as these visible in dental x-rays? I am strongly considering this procedure but feel somewhat insecure about someone seeing them in x-rays. Is there anywhere I can see how the look on an x=ray?  A: Non-metallic implants […]

Q: Dr. Eppley,  I have had a prior sliding genioplasty but want more of a result with further horizontal augmentation. But  I’d like to avoid a revision genioplasty. I was wondering if you think it would be possible/advisable to get advancement of the chin and labiomental fold area with a combination of chin implant (I […]

Q: Dr. Eppley, A week ago I had mandibular implants placed. My jaw muscles are not extremely large and bloated. Is getting Botox so soon after surgery an option? Would that compromise the result or healing, or would it have any negative effect on the implant?  Thanks  A: While your questions are more appropriate for […]

Q: Dr. Eppley, I have an aesthetic eye spacing concern. I believe my eyes are positioned too close together in proportion to the rest of my face. It is something that has bothered me for a very long time and I am willing to do whatever it takes to find a solution. Through my own […]

Q: Dr. Eppley, I have a fairly recessed midface and orbital area. This is noticeable from profile and indicated by my negative orbital vector. It also results in the appearance of dark tear troughs under my eyes. I would like to fix this through any means possible. My problem is that I have a great […]

Q: Dr. Eppley, Can the costal margin directly under the breast be shaved/reshaped/removed? Or is that not possible due to it be so close to the chest? Most people I’ve seen with costal margin protrusion are usually lower and not directly under the breast like mine(i have an extremely short torso). A: The costal margin […]

Q: Dr. Eppley, In addition to my previous email, I’ve become intrigued by a recent post you put up on IG regarding clavicle reduction. I’m interested in doing somewhat of an “upper body feminization” if you will. I’m transgender (MTF) and am interested in learning more about whether there would be any significant benefits to […]

Q: Dr. Eppley, I’d like to ask 2 questions to Dr. Eppley regarding my future procedures I’m going to get from him  1) If I get a custom jawline implant and infra-orbital-malar implant, will they always look “sharp / chiselled” or does that depend on bodyfat percentage, and if someone stores a lot of fat […]

Q: Dr. Eppley, how would orbital decompression effect palpebral fissure length? I have rather wide set eyes, albeit shallow set ones, and anything that would make my eyes seem horizontally shorter would be sub optimal. A: The orbital decompression procedure is not known to necessarily affect horizontal palpebral length. Theoretically it may as the eye […]

Q: Dr. Eppley, I just wanted to ask a couple more questions about hip implants if that’s okay.  I understand the pricing, the pain level, the scar, and that I need about 3cm per side custom hip implants… but I was wondering if it would feel somewhat real and soft at 3cm and won’t be […]

Q: Dr. Eppley, I have a deep mental crease. Some time ago I underwent a bilateral sagittal split, which I am told was successful and to date, have had no issues. I have regular checkups at the dentist and have been told that my bite is fine, after years of feeling that it wasn’t. For […]

Q: Dr. Eppley,“I am looking to enhance jaw and chin area. Attached are six photos- 1. Front- full bite/molar teeth touching 2. Front- relaxed face 3. Front- advancing chin vertically and slightly anteriorly 4. Side- full bite/molar touching 5. Side- relaxed face 6. Side- advancing chin vertically and slightly anteriorly. #6 shows the type of […]

Q: Dr. Eppley, I had an orbital floor injury and subsequently had an orbital floor implant added but I may need another metal implant or simply silicone on top of it. Can that be done? A:You can place either a custom metal or silicone implant on an existing titanium orbital floor implant. This is not […]

Q: Dr. Eppley, Is a revision genioplasty more risky than the original genioplasty? How soon can a genioplasty be revised? My surgery was two months ago and the lower part of my chin (below the fold) is still out further horizontally than my lips. I value your opinion. Thank you. .A: In answer to your […]

Q: Dr. Eppley, I have had a previous Custom Chin Implant that provided me with horizontal projection of my chin. However, I would like to have my chin augmented vertically with a sliding genioplasty. I am just curious if the chin implant would be needed to be removed in order for a sliding genioplasty to […]

Q: Dr. Eppley, I have had upper jaw advancement surgery, and surgeon did not do alar cinch. My nose has remained the same apart from horribly flared nostrils. They flare outwards and upwards so that frontways on – my nostrils are higher either side than the tip, and they look open from the sides. I […]

Q: Dr. Eppley, I have an overbite that I’ve been told (by a couple of orthodontists) can only be fixed with jaw surgery.  And due to the overbite I have a pretty recessed chin and my nose appears bigger. However, jaw surgery is a major surgery and I don’t have the type of support system […]

Q: Dr. Eppley, I do have a few questions.  The first are related to the temples: a.) If Dr. Eppley were to use filler this time around, would that show me pretty much exactly what an implant would look like? b.)  What is the price differential? c.) If I went with the implants, would open […]