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Q: Dr. Eppley, I’ve been carefully considering everything and I think I am going to put off getting calf augmentation and custom infraorbital-malar implants until future procedures, if I choose to do so. I am still interested in the following: -Custom Jawline -Buccal Lipectomies with Perioral Mound Liposuction: Bilateral -Septorhinoplasty -Fat Grafting to: Labiomental Fold […]

Q: Dr. Eppley, I am an international patient and am interested in a custom wraparound jaw implant. I have a few questions:  1. As I am an international patient, will it be possible for Dr Eppley to design the implant just off the 3D ct scans or will i have to physically be present for […]

Q: Dr. Eppley, I have really been mulling a facial reshaping procedure for some time.  I am interested in getting a more heart shaped face. High, defined ogee curve – so delicate cheekbones and a V like chin. I am unclear on if I need to touch my chin at all. I am also unclear […]

Q: Dr Eppley, I am interested in custom infraorbital cheek implants. However, I have scleral show and don’t want to run the risk of amplifying it through insertion via the eyelid. Could the custom implant be inserted though the mouth? Thanks. A: The intraoral route for custom infraorbital-malar implants can be used IF the implant […]

Q: Dr. Eppley, I am two days after custom infraorbital-malar and jawline implants. I’m feeling OK, pain is tolerable. However I have significant facial swelling, right face greater than left (I notice that this is far more than what I had my Lefort 1 surgeries). I have started medrol dose pack. Is this common to […]

Q: Dr. Eppley, I was thinking about brow bone reduction surgery and I have two questions: 1) Will the screw/plate/etc in my skull interfere with airport security? 2) Is the brow bone reduction surgery something that is often re-done or come with complications? I was a bit startled when the form said 15% of patients […]

Q: Dr. Eppley, I’m interested in getting cheek implants after unfavourable results from zygoma reduction surgery. I am very much interested in getting custom implants to get the most desirable results, but this would entail going overseas as no plastic surgeon offers custom implants for aesthetic purposes in my home country. How often or what […]

Q: Dr. Eppley, What type of cheeklift did I have done when my Medpor cheek implants were removed? A: Cheeklifts are done to either treat a difficult ectropion, as a prevention of ectropion or cheek tissue sagging such as may occur from cheek implant removal, or do a cheeklift for sagging from aging or as […]

Q: Dr. Eppley, I am interested in rib removal surgery for waistline reduction. I want to make way since I’m not near you for an in person consult and email should be enough for now. 1: Referencing the picture of the ribs in this reply could you tell me precisely what the surgery entails? Is […]

Q: Dr. Eppley, I had a Mittleman chin implant three weeks ago via a submental incision. It initially looked to me despite the swelling and had no sigs of infection. I had some lip numbness on both sides and occasional shooting/electric shots on the chin during the second week after surgery. But all of his […]

Q: Dr. Eppley, After my 2nd open heart surgery my sternum never healed. It’s been almost 3 years since my surgery and I’m still in pain. I had my wires removed in 2017, that didn’t resolve my issues. Is the sternal plate rigid fixation something that could help me? My pain management doctor said he […]

Q: Dr. Eppley, I had a jawline reduction surgery five years ago, but I think the surgeon may have trimmed the bone a lot. I don’t like the looks that the jawline is very high on the angle now. I want to have an implant that brings the jawline down just a little but without […]

Q: Dr. Eppley, A couple of months ago, I had my masseter muscle trimmed which I totally regretted. Now I have depression on both sides where the muscle was trimmed. I see that the skin is going in a little. How do I fix this problem? Would fat transfer work?  A: In answer to your […]

Q: Dr. Eppley, I’m contacting your office hoping to set up some sort of consultation for a Chin Augmentation procedure. I’m aware you do quick 10-minute pre-consultations over Skype, so perhaps that would be a starting point? However, I’m more than willing to move forward with a regular consultation if that would be most appropriate. […]

Q: Dr. Eppley, Can you analyze a patients soft tissue during a consult to tell them if they can achieve the angularity they hope for with facial implants? A genioplasty and chin implant will have the same amount of angularity then, I suppose, right? Also, does material matter? Do harder materials like PEEK or more […]

Q: Dr. Eppley, When it comes to the “short face syndrome” characterized with a shorter lower third compared to middle and upper third, this is often present without any problems in chewing or overbite / upperbite. In my case, my maxilla is very forward (almost as forward as the likes of Jordan Barrett) but my […]

Q: Dr. Eppley, I had a rhinoplasty where they lowered my columella and used a premaxillary implant at the base of my nose where the incision was in my upper gum line similar to the way you insert them. I didn’t care for the premaxillary implant and had it removed. I now notice my upper […]

Q: Dr. Eppley, I am 21year-old male. I had my brow bone shaved because it looked like a Neanderthal. Although my surgeon shaved it too much and now it looks too feminine.My question is can fat grafting make my brow ridge more masculine and how masculine can I achieve? Since I don’t want to have […]

Q: Dr. Eppley, I am writing you with my concerns as I have seen you respond to Real Self posts concerning similar issues.  About two years ago I have v-line jaw reduction done (I am transgender and currently 30 years old). I had a fairly broad jaw before surgery. The surgery was fairly good and […]

Q: Dr. Eppley, The crown area of my head is quite flat and I have been doing the hair camouflage technique since I was in my mid teens. This has impacted my life significantly. I am working interested in the bone cement technique to reshape this flat portion. I live in Nevada and cannot find […]

Q: Dr. Eppley, I’ve already had a 6mm sliding genioplasty in the past so this would be my 2nd genioplasty, effectively making it a 12mm chin advancement. I saw a statement online and I’d like to know if there’s any truth to it.  “Bony changes and skin surface changes are not the same with sliding […]

Q: Dr. Eppley, I’ve been having trouble finding an affordable solution to my neck wrinkles on the East Coast. I’m beginning to think it might be more cost effective to have the procedure done in Indiana even with the extra travel expenses.  One plastic surgeon I consulted recommended a rotational neck lift with incisions around the ear […]

Q: Dr. Eppley, i wanted to ask you if you think i could have a chin implant done if i have overbite (upper teeths are 4mm more projected that the lower teeths) , i plan to get braces to fix it soon but i would like to have a chin implant because if i pull […]

Q: Dr. Eppley, I saw that you had performed the surgeries on Pixee Foxx and seemed very confident in his ability. I tore the cartilage on my last true rib on my left side and it has begun to protrude. I have been misdiagnosed several times and have decide I just want it removed. I […]

Q: Dr. Eppley, Is it possible to narrow my chin without implants? Also I had double jaw surgery before so I don’t know if that will complicate things. I can send pictures of myself. How long do I need to take time off from work for this procedure? Also, please let me know the estimated […]

Q: Dr. Eppley, Inquiring about en bloc explant of 700cc mentor moderate plus silicone breast implants, implanted April 2014, and fat grafting to reshape breast (either immediately after explant or at a later date). 32 year old female. Experiencing pain/tingling/itchy sensation in left breast. My commitment to explant waivers greatly with the uncertainty/fear of outcome […]

Q: Dr. Eppley, I’m very interested in getting the custom midface implant as advertised on your page. I have a recessed mid face and as a result weak under eye support and a gaunt looking face. I would like to fix that. I’ve already had a nose job and I feel like this is the […]

Dr. Eppley, I currently have been using filler injections (mostly Voluma) to approximate the amount of augmentation I would want if I was to do a full custom jawline implant and infraorbital-malar implant.  Is it possible for you to get a very rough idea for the amount (millimeters) of jawline and midface enhancement I would […]

Q: Dr. Eppley, it looks like I’ll be moving forward with the custom infraorbital-malar and jawline implants next year. I am seeking temporary improvement before I see you. I find that when I pull my skin in an upwards/diagonal vector, I see large improvements in the nasolabial area and my overall appearance. Would a PDO […]

Q: Dr. Eppley, In a previous email you said you wouldn’t drop the jaw angles any further down than 7mms for fear any muscle coverage problems which I understand– purely out of curiosity, is 7mm the maximum you can lower the jaw angles or does it depend on each individual patient? A: The risk of […]