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Q: Dr. Eppley, I am interested in cheek implant replacement. I am an Asian patient that has very flat cheeks and did cheek implants four months ago. I had 4mm implants but after the surgery i felt my cheeks were still too flat looking. I had an additional 1 syringe of injectable filler per cheek […]

Q: Dr. Eppley, I am interested in a sliding genioplasty revision. Please see attached my before and after photos and X-rays. I have also attached a photo of my ‘before’ photo which I edited to show the sort of result I was initially wanting. It is difficult for me to judge objectively what looks most attractive […]

Q: Dr. Eppley,  I am interested in buttock implant replacement surgery. How often do you do buttock implants weekly or monthly ? I really want 712cc. I know 548cc implants are available but that makes no sense to get when I already have 490cc. I believe Implantech has 600cc round but it won’t give a […]

Q: Dr. Eppley, I have some temporal reduction surgery questions.  1. Before operation:     1. Do we do any scans beforehand to know what can be removed (and what is bone/muscle)?     2. Is it necessary to drill bone? What are the risks of bone drilling?     3. If bone drilling is not necessary, will […]

Q: Dr. Eppley, I would like to learn more about cosmetic rib reshaping. I am a 29 year old transgender woman, at 5’7″, 135 lb, with a 29.75″ waist and 36.25″ hips. I had fat grafting from my belly to my buttocks two years ago and consider the result a great improvement, but I am […]

Q: Dr. Eppley, Zygoma reduction was a major surgery for me, and as much as I put my faith in my surgeon, I understand that there’s no guarantees with any surgery. I would like to keep a back up plan handy, in the case that things weren’t able to end favorably. In the case that sagging […]

Q: Dr. Eppley,  I’m 9 months post operation from a zygoma reduction and jawline reshaping surgery with a surgeon in Korea. I am 23 years old, soon going on 24, and I’m finding that I’ve developed a double chin. I exercise 3 times a week, am a normal weight for my height, and this double […]

Q: Dr. Eppley, thank you for reading about my request. I am a Korean female. In Korea, as you already know, many Korean girls desire to have a very heart shaped face – Just like the one I have sent in the photo. My situation is very different. I was actually born with a heart […]

Q: Dr. Eppley, I’m 24 years old and I underwent zygomatic reduction and V-line jaw reduction surgery for cosmetic purposes around two months ago. I was wondering, is it possible that jaw reduction surgery can cause sagging around the neck area? I ask this because I’ve started noticing that I have am getting a double chin, […]

Q: Dr. Eppley, What is the approximate cost for rib removal without fat grafting? This is a rare procedure, and I imagine a fairly traumatic one, considering how the muscle tissue clings to the bone of a BBQ pork rib. What are the potential consequences for mobility and activity? What is the aftercare protocol? Can […]

Q: Dr. Eppley, I am from China an am 23 years old. Please read my story and give me advice. One year ago I went to Korea for V-line surgery and the cheek bone reduction surgery because Korea is very famous for Asian small face surgery. My face before was very not symmetric and very ugly […]

Q: Dr. Eppley, I am interested in facial feminization surgery. Based on my pictures what are your recommedations? A: Thank you for sending your pictures. As an older facial feminization patient, the effects of aging must also be considered as part of the facial procedures .My recommendations would be the following: 1) Browlift and Upper […]

Q: Dr. Eppley, I’m very sorry to take up more of your time, but I just had a couple questions about my surgery path and I wanted a second opinion. By a local surgeon, I was referred to a plastic surgeon who uses hydroxyapatite granules for facial augmentation. I was wondering, what are your thoughts […]

Q: Dr. Eppley, I went to my birth country to get double eyelid surgery. I underwent a procedure called non-incisional double eyelid surgery or suture double eyelid surgery, of which I hope you are familiar. It’s currently holiday period in Korea so I have been unable to contact my surgeon. It’s been over 4 weeks […]

Q: Dr. Eppley, my surgeon  told me that when he degloved the chin and removed the titanium screws and plates from the sliding genioplasty (which was performed last year  by another surgeon) he found granulomatous tissue in the area of the screws and plates. Where the screws were attached there was now diseased bone which […]

Q: Dr. Eppley,  I have some questions about cheekbone reduction recovery. I’m a lady in her 20s who is six weeks out from v-line surgery and buccal fat removal. I’m very worried about the progress of my recovery. When I smile, my right cheek seems to jut out sideways a lot farther than the other and […]

Q: Dr. Eppley, Aesthetically, my concerns about hip implants are coming from the perspective of a late transitioning transgender woman. So my pelvic bones developed in typically male fashion, giving me basically no hips,and none of the anterior pelvic tilt that’s typical for a woman. As a result, in profile my butt appears flat with […]

Q: Dr. Eppley, I am three weeks out from facelift, necklift and chin implant by a very experienced plastic urgeon. My chin and lower lip continue to be totally numb. In the first week, my surgeon touched the sides of the implant and I did feel the shock pains, but the area is no longer […]

Q: Dr. Eppley, Thank you so much for responding to my question on potential chin implant malpositioning!  I was prepared to give a lot of time to healing, as I understand everyone recovers at a different pace, but then I started researching the numbness because it is so numb and unchanged in first three weeks […]

Q: Dr. Eppley, I’m interested in vertical higher ear repositioning. You have replied to a relevant question at Real Self. Therefore, I would like to enquire whether you perform such a procedure, and how much the ears can be vertically lengthened.Looking forward to your reply. A: I am not sure where you got this information […]

Q: Dr. Eppley, I am a middle-aged male who is generally happy but the expression on my face gives a different impression. My eyebrows are very low and they slope downward in the middle to the nose. There is a very deep crease across the nose where my brows hangs down. I know I need […]

Q: Dr. Eppley, I had zygoma reduction surgery over 1 year ago in Korea. The method was L osteotomy cut with posterior bone cut, and then push the bone forward with screws. This was all done through intraoral incision method because I did not want scars on the face. Unfortunately, there has been signs of […]

Q: Dr. Eppley, I have heard that you are very famous for your knowledge of face bone surgery from my friends in China. I would like to ask you some questions. I posted my question on Real Self and a Chinese version of Real Self but got no response. I got cheekbone reduction surgery in […]

Q: Dr. Eppley, I’ve recently (one month ago) undergone a horizontal chin reduction in my home country. I’m not sure what the technique is called exactly, but my surgeon cut my chin bone into a T sort of shape and removed a middle piece of bone via an intraoral incision. The horizontal length of the […]

Q: Dr. Eppley, I have some questions about the custom wrap around jawline implant. 1/ What is the maximum horizontal projection (in mm) that (wraparound) custom jaw implants of ‘mimicking BSSO’? 2/ What other procedures or implants are necessary to mimic BSSO? (other than custom jaw implants, custom midface implants, genioplasty) 3/ What is the […]

Q: Dr. Eppley, I am interested in a corner of mouth lift. I have tissue hanging over my mouth corners that makes a deep marionette line. What can be done to correct it?  Have a attached an unflattering picture for your assessment. A: Thank you for sending your picture. If you look closely what you […]

Q: Dr. Eppley,  I was involved in a car accident a while ago that required my chee bone to be repaired. The surgeon that operated on me performed the surgery was a plastic surgeon, rather than a craniofacial or maxillofacial surgeon. My cheekbone fracture was secured together with plates and screws and was performed entirely […]

Q: Dr. Eppley, ; I am a young male patient. I contacted you about a month ago asking questions about lip advancements. I just wanted to elaborate further.  I feel like my lips are a difficult case. Like I said previously, my lips are quite full already and I have 5mm Permalip implants in the […]

Q: Dr. Eppley, I am interested in a secondary rhinoplasty surgery.  I was just reaching out in regards to a prior septorhinoplasty surgery I had done. I am now one year post op and am not happy with the changes hang have been done to my nose shape. The changes that were done made my […]

Q: Dr. Eppley, My three year old son has a high cephalic index around 88/90%. We are interested in early skull reshaping surgery and would like to have some volume added to the back to make it more like 83/85%. Hoping this could be done with 15mm or less. He also has some bossing over […]