Blog

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, […]

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 […]