Blog

Q: Dr. Eppley, I am interested in skull augmentation surgery with an implant. I don’t know if I may need a scalp expansion first or not. I think a little less skull augmentationresult will be OK for me. How is a scalp expansion done by the way?  Would you tell me about how the procedure is done? Where will […]

Q: Dr. Eppley, I saw you on Real Self answer questions regarding to cheekbone reduction complication treatments.  I had my cheekbone reduced and very unhappy with the results. If i was to attempt to reposition the cheekbones to the original anatomical position would that require a coronal incision across the scalp? Or is there a […]

Q: Dr. Eppley, I am interested in multiple facial reshaping surgeries for my nose, cheeks and jawline. I have attached my pictures with morphs of what I want to achieve. I want to see off these type of results are possible. A: Thank you for sending your picture and providing a detailed description of your […]

Q: Dr. Eppley, I would like to know how to get information about secondary rhinoplasty with Dr Eppley. I have seen some approaches to correct upturned noses, and I am interested in knowing the options Dr Eppley offers. A: Thank you for sending your pictures, x-rays and a very detailed description of your surgical history […]

Q: Dr. Eppley, I’d like to get an injected skull implant revision, but I have a few concerns/questions. 1) You mentioned removing and replacing the implant as being the preferred method. What size scalp incision would that take? What material would you use to replace it? 2) You recommended not doing the burring only. Is […]

Q: Dr. Eppley, I am interested ins time head augmentation. I have a generally small head and wonder if it is possible to add some volume to the skull to make it a bit higher and wider. Have you performed this kind of surgery before? How is it done? Are there any possible complications or […]

Q: Dr. Eppley,  I have concerns about chin implant bone erosion. I have noticed the bone holding my lower teeth appear to be eroding somewhat from an overlying Gortex chin implant. Can you remove it and put something in the correct place that will not erode bone. A: I would like to see the x-rays […]

Q: Dr. Eppley, I need a question answered about facial fat atrophy prevention. I am 29 years old and have been using tretinoin cream (0.05%) every evening and sunscreen with SPF 30 (Mexoryl) every morning since the age of 20. Therefore my skin has visually not aged since I was 20 years old and looks […]

Q: Dr. Eppley, My questions are concerning what skull reshaping procedures could be combined under a single operation. My skull deformity isn’t localized, the result of untreated craniosynostosis. I have the typical trigonocephalic skull, which is narrow in the front, and wide and tall in the back. I believe that for an augmentation covering such […]

Q: Dr. Eppley, I’m interested in your custom jawline wraparound insert, largely for the sake of vertical facial lengthening but have a few questions. First, what is the maximum vertical height that can be added through these implants, would anything in the 15-18mm range be completely out of the question? What is the recovery time […]

Q: Dr. Eppley, I was diagnosed Linear Scleroderma at the age of 7 years old. Due to this disease it has created a bald spot that I am able to cover with my hair on the top on my head. This bald spot is about two inches wide and five inches long. I also have […]

Q: Dr. Eppley, I am interested in eye asymmetry surgery. I was born with congenital torticollis. The torticollis was not caught early and resulted in me sleeping exclusively on my tummy with the left side of my head smushed against the mattress as a newborn/infant which resulted in the asymmetry in my face. My head/neck as a […]

Q: Dr. Eppley, I am a transgender male to female who is investigating how best to further reduce the masculinity of my face. Overall, my face has a width problem with wide temporal muscles, laterally protruding cheekbones, and a wide chin. I spoke with you on the phone a few months ago about the temporal […]

Q: Dr. Eppley, I had Pectus Excavatum implant surgery over twenty years decades and have had any problems with it and have been happy with the results. This past fall I got struck on my chest on the right edge of the implant. Quite quickly a bulge appeared but there was no skin break. I […]

Q: Dr. Eppley, I have  a deep vertical groove in the area between my eyebrows. I have tried Botox injections but it didn’t do a thing. I even tried injectable fillers but it also didn’t improve it. What do you think about a glabellar implant to help push it out and make it smoother? I […]

Q: Dr. Eppley, I want like to have a sliding genioplasty to bring the chin forward to balance my facial profile. I also thought of another option to have a solid hydroxyapatite chin implant (not paste) with hydroxyapatite screws, is this possible? I have some questions. -How long does a sliding genioplasty take to perform? -How much projection can […]

Q: Dr. Eppley, I am looking to get a chin reduction, I have lots of soft tissue and bone that sticks forwards when I smile. However when I don’t smile my side profile looks slightly weak due to the way the soft tissue sits. I also have a small overbite. My face structure becomes very […]

Q: Dr. Eppley, I just had some concerns regarding the silicone skull implants. The first concern I have read about are possible issues with erosion of the skull over time by the implant.The second is something about water collection within the implant over time.What are some adverse side effects that may be possible due to the […]

Q: Dr. Eppley, Do you also use Allofill? And if so, what experiences did you make with it?After two cheekbone augmentations with Medpor implants (after the first augmentation with Medopr Malar Shape implants, another Medpor implant was placed over the lateral part of the cheekbones, which was carved from a Medpor block), one can now […]

Q: Dr. Eppley, I am very interested in the tear drop breast augmentation procedure. I am currently a small B and would like a small change to maybe a full C. I really want a natural look and a small implant so that my breasts still look natural and do not stick off my chest […]

Q: Dr. Eppley, i had a few quick questions about Medpor chin implant removal in advance so that I can speak with you with a clearer understanding of surgical possibilities next week. 1) If an implant is placed via an intra-oral incision, can it still be accessed via a sub-mental one? 2) Instead of removing […]

Q: Dr. Eppley,I talked to my surgeon and he explained some of the difficulties that may come of infraorbital implant removal. You see I had it done together with a SOOF lift and lower eyelid retraction surgery and so removing the implant might compromise the support of the lower eyelid area. I wanted to ask […]

Q: Dr. Eppley, We spoke several months ago about my slipped rib and the possibility of having rib removal surgery for it. I’ve tried to manage things conservatively but my pain has not improved. In weighing the risks-benefits of an eleventh and twelfth rib resection, one of my concerns is the risk of a flank […]

Q: Dr. Eppley, I came to your office back in August of last year. I had a temporal artery ligation on the right side of my head. The procedure went very well and is still holding up fine. I am planning to come back in the spring or summer of this year to have the […]

Q: Dr. Eppley, it has been a while since I last spoke with you and I have been thinking more about the paranasal implants. In the photo morphs you sent me, we had adjusted the degree of projection to be a little bit less than the first morph sent a while back. In the current […]

Q: Dr. Eppley, I have some concerns regarding my head shape. To be specific, I have some abnormalities that are isolated to the top of the back of my head. I have one quite big indentation, probably caused by something hitting me to the head when I was younger, which also has caused the skin […]

Q: Dr. Eppley, Two questions about buttock implant removal: 1.Do you remove the capsule? I would like to try fat grafting in the future to try to achieve a more normal appearance.  I understand if the capsule is not removed or if it does not close completely the injected fat can die if it is […]

Q: Dr. Eppley, I am a young female from Montana. I am interested in lip advancements. I just have a few questions about the lip advancement procedure. I have pretty full lips. I have lip implants in currently and I like them. However, I would like my lip size to be a lot bigger. I […]

Q: Dr. Eppley, I am writing to ask about the paranasal implants. I have been doing research on this type of facial implant for a while. I have some questions. One is what is the material for the implants? Will it affect my facial expressions? How long will the implants last? Will they move around?  […]

Q: Dr. Eppley, Dr Eppley, five years ago I received illegal silicone buttock injections once and I believe it is catching up with me now that I’ve become pregnant. I lost a ton of weight in the beginning of my pregnancy from being sick and was in the bed for months. I started noticing 5-6 […]