Blog

Q: Dr. Eppley, I am interested in doing a combined large skull reduction and removal of temporalis muscle.  I was wondering though, as I have read that there is some swelling after, and that it would take time before the result is apparent. Could you give a “timeline” of how much of the result is […]

Q: Dr. Eppley, I’d like to ask you this question since I read your answer on Real Self regarding a revisional genioplasty immediately post op.  I had my genioplasty 3 days ago – even at the peak of my swelling I feel I was not advanced enough. My surgeon agreed to advance me more horizontally […]

Q: Dr. Eppley, I’ve had several scalp contouring surgeries done with you (6 or 7 coronal scar “openings” in total if I remember correctly). I wonder if it’s safe for me to have a hairline lowering surgery done, if it’s over 1 year post op since the last head surgery, or is there a risk […]

Q: Dr. Eppley, I saw a response that you wrote on Is There Surgery For Cutis Verticis Gyrata? at http://eppleyplasticsurgery.com//is-there-surgery-for-cutis-verticis-gyrata/ I was wondering .. how does the fat injections you spoke of work and or is surgery a better option now?  And do you do both? A: I don’t think trying to cut out the […]

Q: Dr. Eppley, I had my pectoral implants replaced last year. If the photo looks familiar, Implantech has posted it on its website. I am very happy with how they turned out. I am now planning on ab etching of the waist, lower back, and flanks. I have read on your site that you have […]

Q: Dr. Eppley, I do apologize if this is not the correct way to contact you but i recently saw your Youtube video about custom jaw implants. I was just wondering a few things.  I am from the UK and was wondering if you are able to complete surgeries on someone out of the with […]

Q: Dr. Eppley, I reached out to you a year ago. I had a sliding genioplasty two years ago (6mm horizontal movement) that left me with some scarring/webbing that has my lip pinned down.  I am also dealing with numbness (I have the slightest sensation) on lip/chin area and tightness. Also, I had an endoscopic […]

Q: Dr. Eppley, Could fillers achieve similar results as an implant for paranasal augmentation, or are the soft fillers not as good at creating the look of a more forward set maxilla? A: It would depend on how much of a midface effect you seek. If it was an isolated paranasal augmentation their effects may […]

Q: Dr. Eppley, Can you forward me some photos of a custom wraparound jaw implant before/afters? How soon after you receive a 3D CT scan is the implant produced? By now I suppose you have become extremely proficient with these implants, so I hope your aesthetic eye would catch if the implant would look way […]

Q: Dr. Eppley, are fat injections in the treatment of Cutis Verticis Gyrata (CVG) permanent? Are there any side effects? Do you have any before and after pictures of this that you can send me? How much does this cost?   In the google photos link below, it is some pics of my head. Mine are not extremely bad […]

Q: Dr. Eppley, do I need to wait until the Radiesse filler in my chin is fully dissolved before getting a sliding genioplasty in order to minimize risks? A: You do not have to wait until the Radiesse completely dissolves which could take a year or longer. In addition there is no reversal agent for […]

Q: Dr. Eppley, I have some facial reshaping questions and I’ve done some crude arrows with correlating numbers to try and illustrate what I mean in the attached pictures. 1) Would it be possible to achieve a lower vertical mandibular angle or would it not be appropriate for me?   2) Will there be any paranasal […]

Q: Dr. Eppley, One more question that relates to midface augmentation. I’d like to get the your read on fat grafting for infraorbital augmentation vs. implants. Would also be great to know how much fat grafting costs if that’s an option. A: Fat grating is always an option for midface augmentation but the take and […]

Q: Dr. Eppley, you recently responded to a question I posted on Realself.com and, if you wouldn’t mind, I would like your advice on a matter. I have recently had a CT scan done as I’m planning on having custom implants made. The only problem at this stage is that they are being made in […]

Q: Dr. Eppley, I have a question regarding infraorbital rim implants. I recently asked an oculoplastic plastic surgeon whether custom implants can be used to augment under eye hollows. He said he used them for reconstructive cases, but the results never looked “normal,” and he would “never recommend it for cosmetic reasons.” I’m aware that […]

Q: Dr. Eppley, I am writing to inquire about Sagittal Skull Reduction Skull surgery. It states on your website that this can be done with bone burring of the sagittal ridge or/and with an implant. I was hoping you could take a look at the photos I attached and if you would be able to […]

Q: Dr. Eppley, I had a chin implant by another surgeon several months ago. My dissatisfaction with it is with the lack of forward and downward projection. I also believe the implant is either crooked or has magnified any natural asymmetry. I am concerned that the shape of the implant is too round. My original […]

Q: Dr. Eppley, Hello, I have a question about jaw enhancement surgery and chin enhancement surgery. If a patient was approved for orthognathic surgery to correct overbite/overjet, could they also while enhancing their jaw later and or at the same time of surgery have jaw implants as well combined with orthognatic surgery as well as […]

Q: Dr. Eppley, I am a trans male and I’m looking to get some facial implants to really masculinize my face. I am most interested in your custom cheek implants that I saw on your Instagram. I noticed that you tend to design them differently. You make them much longer such that they extend all […]

Q: Dr. Eppley, I have a couple of questions about wrap around jawline implants:  1) I’ve read that silicone may not resemble bone very well. This seems to make some sense given how soft and bendable it is. After being inserted, does it look and feel like actual bone?  2) how predictable is the sizing […]

Q: Dr. Eppley, would there be a chin implant which would be wider at the sides while still keeping a more V shape? As you can see from the photos attached I have quite a V shaped face but lack definition around my chin and into my jawline. Would an anatomical implant help with that? […]

Q: Dr. Eppley, I’m a huge fan of your work and website, and I think I should have come to you in the first place.  I’ve had a chin implant from outside the mouth done 7 days ago by a doctor in Beverly Hills, and I have problems with my smile.  I can’t pull down […]

Q: Dr. Eppley, I spoke with a surgeon who told me this: “Bone cement cannot be inserted on the sides of the head because there are important muscles named Temporalis which cannot be separated from the bone.  So, the asymmetry of the occiput can be improved to some degree, but you should consider that there […]

Q: Dr. Eppley, I had a medium anatomical silicone implant inserted under my chin along with liposuction of my jawline two months ago. I know I’m still healing but I just don’t think there will be enough change to make me happy. My chin feels too long. I can’t tell if it’s placed to low […]

Q: Dr. Eppley, As we both know plagiocephaly causes twisted/forward growth of one side of the face. I have this predicament on the right side, where my forehead protrudes out further, and my jaw is more rounder and its lower, also “twisting” towards the left side. I can feel how my zygomatic bone is less […]

Q: Dr. Eppley, I have a several questions regarding Lateral Canthopexy :  1) is it enough to fix sclera show? If not, what additional procedures would be needed?  2) is there any difference in outcome between Lateral Canthopexy and lateral canthoplasty? I’m aware that the method is different, but what about the outcome?  3) I […]

Q: Dr. Eppley, I am considering doing a simple lateral commissuroplasty where the corners of the mouth are widened about to an ideal nose-width to mouth-width ratio. However, there are a few questions I would appreciate you to answer before I undergo this procedure: 1) What would be the estimated total cost of the procedure, […]

Q: Dr. Eppley, I had a couple of questions regarding infraorbital rim implants. 1) Considering they’re placed via an eyelid incision, is there a risk for a scar?  2) Can they be placed in the corner right near the nose and right below the eye? From photos I’ve seen it seems they don’t usually extent […]

Q: Dr. Eppley, I have a question about under eye fillers. I tried it once but was not very happy with the results. Even though my under eye hollows did slightly improve, I got the Tyndall effect, which overall made my under eyes look worse (despite the decreased hollowness). I’m not sure if this is […]

Q: Dr. Eppley, I found your website because I have the exact bony chin asymmetry featured on your site. The right side of my chin is very slightly longer. I can feel it easily– the two little bony bits at the bottom of my chin don’t line up and the right side extends a few […]