Blog

Q: Dr. Eppley, I have a question about liposuction irregularities.  i had liposuction 1one year ago to abdomen, then liposuction to flanks and low back. he second liposuction was done three months ago and has left me with irregularities and lumpiness, I suspect due to over aggressive treatment…can you help me? I am in great […]

Q: Dr. Eppley, My mother wanted to know if you would recommend anything for her aging eyes, Specifically the hollowness around the upper and lower eyelids.  A: Thank you for sending your mother’s pictures which shows hollowness (loss of volume) on both the upper and lower eyelids. The question is what type of material/graft can […]

Q: Dr. Eppley, I had a chin implant put in twelve years ago and I have had intermittent pain and numbness from what I believe was a severed nerve. I read a post that you wrote for another patient’s question that sounded like he or she was in exactly the same situation. You referred to […]

Q: Dr. Eppley, I am looking to get a sliding genioplasty or maybe shaving plus fillers (on the front, not on the angle of the chin). I want vertical shortening and minimal increased projection (~3 mm) and a bit more definition/chiseling on the front view. I got a rhinoplasty last August, which gives the illusion […]

Q: Dr. Eppley, are you familiar with or have you ever had experience with Parry Romberg syndrome? I’m a 38-year-old male patient (victim) with this disease. I had a muscle flap surgery in my 20s which failed and have had no other procedures since. There is a significant asymmetry as my right cheek has major […]

Q: Dr. Eppley, I have inquired previously about custom implants however I have my concerns about custom jaw implants such as bone erosion and the fact they negatively impact with age so I am looking toward the chin wing osteotomy surgery option. I would like to know if you can perform a side wing (not […]

Q: Dr. Eppley, i am interested in custom infraorbital-malar implant and a custom wraparound jawline implant. I guess the best way is to do them together?  I would be interested in predictions of custom infraorbital-malar implants and custom wraparound jawline implant, does separately and then together.  I am also interested in before and after pictures […]

Q: Dr. Eppley,  I am iunhappy with the appearance and shape of my chin. My bite was corrected with braces, and my chin isn’t receding or over-projected, but it is admittedly quite narrow and pointy from the front view.  I have a tapered heart-shaped jawline/face which only serves to exacerbate my self-consciousness about my narrow […]

Q:Dr. Eppley, I am very interested in the Lip Lift procedure and was wondering if you have experience with patients who have a slightly gummy smile? I have found that some doctors say it can make a gummy smile worse and some say it won’t affect it at all. A: A subnasal lip lift, in […]

Q: Dr. Eppley, I´m a patient who would like to have a rhinoplasty with you in your clinic. I have a big hump and also a big tip. I will make photos this week to send you, In the meantime I would like to know, Is that procedure very hard to perform? Should I worry […]

Q: Dr. Eppley,  I am interested in an arm skin graft. I have multiple self-inflicted scars on my arm from when I was younger. I am in a much better place now and want to rid myself of their appearance from an earlier time. I have some questions about the procedure: Where is the skin […]

Q: Dr. Eppley, I am interested in brow bone reduction surgery for my prominent brows. I have read your posts online and I see there are 2 different options for the scalp incision. What would you recommend for having it the least bit noticeable and the best chance of healing the best? A: In a […]

Q: Dr. Eppley, I am going through with custom infraorbital-malar implants from a CT scan. However, I am afraid that the prominence of the custom implant would be too much at 5mm.  1.Is there a general reference for when implants would be extreme when looking at the skull, similar to where mandible angle implant width […]

Q: Dr. Eppley, I am researching for my 20 year old son. He had a large craniectomy done two years ago and the replacement was a plastic implant. They were not able to reattach his temporal muscles and it has left a bump at his temporal area above his ear and a drooping eyelid. Can […]

Q: Dr. Eppley, I am interested in lip asymmetry surgery. I have upper and lower lip asymmetry. I have had it as long as I can remember. It is present when I am not smiling and becomes more so when I do smile. What can be done for it? A: Thank you for sending your […]

Q: Dr. Eppley, I am interested in brow bone lowering. I would like a few changes on the upper eyelid or lower brow bone area of my face. I have attached an image below with the desired transformation. Do you believe that degree of change to be realistic for both eyes? If yes, would it […]

Q: Dr. Eppley, Where are the incisions for lower eyelid surgery to remove excess skin? I’m 1/2 East Indian so culturally, I do not scar well. I had to get a complete hysterectomy a couple months ago and the scars on my stomach, albeit small, are darkened. I utilized silicon tape to flatten them but […]

Q: Dr. Eppley, For an endoscopic cranial cheeklift , is it possible to lift the cheeks vertically without an eyelid incision? My eyelid skin is quite thin and ideally I would not like them cut. How long is the cranial/temporal incision? 2) How many times have you performed this surgery on young individuals in the […]

Q: Dr. Eppley, I was hoping to also ask you about paranasal implants.  You are the only doctor I know of that does this surgery and I would be very interested to know if you think I might benefit from this?  I have always disliked how the line between lips and the base of my nose […]

Q: Dr. Eppley, I have questions about skull implant scars. I need to discuss with you some concerns regarding the skull implant procedure, primarily I am worried about the size and position of the resulting scalp scar. Of course I understand that these probably won’t be known until you have the CT scans and design, however if […]

Q: Dr. Eppley, we communicated a few months ago and I wanted to give more time to heal from my sliding genioplasty that I had last year which was advanced 7mms.  I still have substantial numbness on the right side of my chin/lip, though feeling seems to slowly be coming back.  I’ve attached pictures to […]

Q: Dr. Eppley, I am interested in body contouring after weight loss of 75lbs after prior bariatric surgery. My desired breast look, which was once a size D cup, is to get back to the size I was before the weight loss. I want to get rid of the extra skin sag on stomach and […]

Q: Dr. Eppley, I see that skull-reshaping/augmentation is a specialty of ours. Can hairline lowering be done along with the skull augmentation. My complaints are: too high forehead as well as head shape too flat on top and in back. Concerns are that once scalp pulled forward, will there be enough room to actually add […]

Q: Dr. Eppley, I have some questions about paranasal-maxillary implants.  1. Will the pyriform-paranasal implant offset the shadow created by my large (also high) cheekbones? My ultimate goal is to reduce the shadows on my face to a certain extent, if it can not be completely eliminate. During our consultation, I mentioned that I would like to have […]

Q: Dr. Eppley, As you are famous for your work with facial augmentation, I hope you can guide me in what to do in my current situation. I underwent jaw shaving surgery overseas where my gonial angles were completely amputated. I could live with the results but I feel as if just a smidge more […]

Q: Dr. Eppley, I don’t think I want a reverse secondary tummy tuck, I really do not want the scar, so probably no need to come back in and have him evaluate that.  I still want to fix the skin laxity above my belly button. You said we could do a full tummy tuck, but I want to […]

Q: Dr. Eppley, I’m a young male hoping to get some advice from you on a secondary genioplasty. I really respect your work and blog and appreciate you taking the time to inform the public on so many medical topics. I’ve had a short chin growing up and by the time I was 21, I […]

Q: Dr. Eppley, I am interested in a skull implant replacement., I have a question regarding a skull implant and the incision site. I had a silicone skull implant placed via a coronal incision last year. Unfortunately it hasn’t provided the desired aesthetic outcome for me. I am wanting it redone, I don’t feel it was […]

Q: Dr. Eppley, I had varicocelectomy in 2014 and after swelling went down the scrotal skin never fully retracted. As a result I ended up with a small residual right hydrocele and a saggy scrotum. I am interested in getting the scrotal lift procedure. Does the fact that I have a small right hydrocele preclude […]

Q: Dr. Eppley, I had a graft taken from my left ear for nose reconstruction. While the left ear has healed well, it has left it deformed now being smaller and more bent in. Can anything be done to make it look more normal again. I have attached pictures comparing my left versus right ears. […]