Blog

Q: Dr. Eppley, Hello, I am a 57 old male with untreated scaphocephaly. Do you operate on old people like me to fix the shape of the head? A: I have performed skull reshaping surgery for a wide variety of shape deformations on patients well into their seventies. So you are still young at age […]

Q: Dr. Eppley, I am inquiring about revision to my lower buttocks. I had a BBL in 2015 and since then I feel as if some of the fat dissolved. I now have a little bit of saggy skin I never had prior. I am not looking to add more size or fat grafting. (I’d […]

Q: Dr. Eppley, I am interested in correcting my jawline asymmetry, it is very bothersome I was curious if anything can be done to address it? I had a CT scan taken recently, I am not sure if it is 3D though. A: Thank you for sending your pictures and panorex x-ray. Your chin/anterior jawline […]

Q: Dr. Eppley, I’m looking into getting a small to mid sized dent I have on the top left side of my skull fixed. I’m unsure of the bone cement treatment as the three biggest worries I have about it is can the cement ever shatter once placed into the skull? I have read some […]

Q: Dr. Eppley, My main concern now is that my jaw angle implant itself has become “colonized” with a layer of film due to the persistent incision opening. Based on what I have told you, am I at a high risk of that?  And if that happens and the infection returns, can it still be […]

Q: Dr. Eppley, The more I analyze my face it appears to me that my forehead slope is largely due to an overly prominent brow bone that exaggerates it- especially between my eyebrows the brow bone appears to be very prominent. Do you agree with this or believe it is something else? My goal it […]

Q: Dr. Eppley, Roughly two years ago, I had a bullhorn lip lift which I’m very happy with. However, the lateral sides of my upper lip are still quite thin. The skin above my lip seems to push down, against the lip, exacerbating the thin appearance and making any filler placed in my lips look […]

Q: Dr. Eppley, I was looking into your custom made implants for both jaw and midface and had some questions. I saw from your RealSelf comments that you have experience with the chin-wing osteotomy. I was wondering in terms of chin-wing versus custom implants – would you say there is a trade off in terms […]

Q: Dr. Eppley, I am interested in learning more about I am interested in learning more about revision genioplasty. I had a 6mm silicone chin implant placed under the chin which I had for 18 months. It was uncomfortable and so stiff. I had this removed and replaced by a sliding genioplasty of 8mms. This […]

Q: Dr. Eppley, I’m 42 years old female and I just had a 3rd Revision Rhinoplasty to remove mersilene mesh implant but the surgeon inserted 12mm diced ear cartilage to have dorsal and bridge augmentation from one ear and made my nose misalignment, huge and high. Is it true that it is hard to remove […]

Q: Dr. Eppley, I have a question about infraorbital rim implants. In addition to having hollow tear troughs, my lower lid is a bit droopy and I have scleral show underneath my pupils. I was wondering if infraorbital rim implants can help elevate my lower eyelids in addition to filling in the hollowness. I was […]

Q: Dr. Eppley, I am currently considering having many procedures done simultaneously: Wrap Around Custom Jaw Implant Custom bilateral infraorbital-malar implants Bilateral Buccal Lipectomies with Perioral Mound Liposuction Septorhinoplasty Fat Grafting to: Labiomental Fold Submentoplasty Calf Augmentation Implants: Bilateral I have questions about other procedures as well: Would I be a candidate for bilateral vertical […]

Q: Dr. Eppley, I know you said that the forehead augmentation surgery is safe. However I do have some questions about brow bone reduction- if you don’t mind giving me some clarity.  How safe is this procedure? Are there any health risks? Would that result in a loss of my ability to control my eyebrows […]

Q: Dr. Eppley, I had a nasal implant removed because of an extrusion in skin and was replaced by artificial dermis graft to camouflage the damaged skin in the upper half of my nose while adding diced ear cartilage instead. I’m concerned about the artificial dermis graft that was used specifically for infection or any […]

Q: Dr. Eppley, I contacted you before about jaw implants. Thank you for doing that morph, but I am wondering how I can get a wider lower jaw, mandible, horizontally, without the use of implants or fillers. You have custom angle implants, but I was wondering if there is a surgery where the bones can […]

Q: Dr. Eppley, I am considering the possibility of getting wrap around jaw-implants. I had a couple of questions. 1) I’m having a hard time finding many before and afters online – especially with people around my age and face structure, do you have more before and after shown in your office that are not […]

Q: Dr. Eppley, I was just wondering if neck implants to give a thicker masculine neck existed. Implants that would be placed in the sternocleidomastoid area to give a wider/thicker neck appearance from the front. Thanks. A: While there is no such implant made to augment the sternocleidomastoid muscle, as that is a request I […]

Q: Dr. Eppley, I’m currently in consultation with regarding a malar infraorbital osteotomy. But given the risks of the procedure compared to implants, I’d like your opinion on how much augmentation we could achieve, the potential bone loss if using implants, and if the operation can be done intraorally among others A: Thank you for […]

Q: Dr. Eppley, I wanted to update you on my bicep implants. This may sound strange but what I notice is that since having them it has given my bicep area a  “bloated” feeling and look. What I mean by that is that when i assess my pectoral and deltoid implants it feels firmer and […]

Q: Dr. Eppley, I have some questions about Forehead Augmentation. I have a somewhat sloped forehead and ever since it was pointed out to me I am struggling to unsee it. It is much more noticeable and bothersome from a side profile view. After doing some research on possible solutions I discovered the forehead augmentation […]

Q: Dr. Eppley, I have some sliding genioplasty and rhinoplasty questions: 1. Will the bone grafts merge with the chin or be replaced later by the body into natural bone? And is it recommended of not using bone grafts over not using them?  2. Can a rhinoplasty on men be made more sharp and straight? […]

Q: Dr. Eppley, We had a consultation in the past and I’ve still been thinking some things over. Would it be possible to have a slight temporal reduction through just bone-burring and not removing the actual posterior muscle? I can feel the bone slightly pointing out within a 1inch strip or so around the sides […]

Q: Dr. Eppley, I am Interested in a lip lift as well as mouth widening. Would there be significant scarring for my lip lift too? Are there any other risks to mouth corner cutting? Or is it just scarring? Can scarring be reduced in any way such as a laser?  A: The risks of adverse […]

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 […]