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Q: Dr. Eppley, I am interested in a custom skull implant replacement. I am a patient of yours from 2014. You performed a successful skull implant surgery on me and I am extremely grateful. There certainly has been some improvement in my life – it usually takes a bit less time for me to get […]

Q: D. Eppley, I have some technical questions about custom jawline implants. The implant looks like solid silicone. Do you divide it in the midline for insertion? Do you use any screw fixation or just close the periosteum over these implants? Is your incision strictly transcutaneous or do you incorporate buccal incisions as well? A: […]

Q: Dr. Eppley, I am interested in getting a second custom jawline implant. I should have listened to you with my first implant when I asked you to reduce in surgery the size of the implant. I regret that decision now two months after surgery as what I have now is too small. I would […]

Q: Dr. Eppley, I am interested in lip reduction surgery. In your experience, what is the revision rate for lip reductions done on natural (no foreign material) lips? One office I called gave an estimate of “1 in 4 (25%)”, which I think is shockingly high!  What has your experience been, and what is the […]

Q: Dr. Eppley, I had jaw surgery and genioplasty almost a year ago to correct my recessed upper and lower jaw, which was fairly successful. However I still have a few remaining issues. One being that I have pretty significant notching along my jaw line where the cuts were made (14mm advancement). I also need […]

Q: Dr. Eppley, , I am interested in doing a scrotal lift procedure. I am 32 years old and I have family genetics with large scrotums unfortunately. I want to know the risks for having this procedure.  A: The scrotal lift is am aesthetic genital procedure that tightens and lifts the scrotal sac through a […]

Q: Dr. Eppley, Thank you for all the info you generously gave me on midface implants. I came across this image on your website. I wonder if it’s a combination of premaxillary implant and cheek implant. In addition, I feel a bit nervous about having this surgery. It seems like you are the only doctor who talks […]

Q: Dr. Eppley, regarding jaw angle reduction or removal (traditional jaw angle amputation) where the surgeon cuts off the jaw angle at the mandibular ramus. Will the masseter muscle also be cut?  (looks like the masseter muscle covers this area of the bone) If the masseter muscle gets cut, then what will happen and what will […]

Q: Dr. Eppley, I wrote to you before about my chin implant removal problem but I wanted to wait a little bit more to have a surgery. I am 22 years old and had a bad chin implant surgery  six months ago. The chin implant was the extended anatomical type, Implantech brand, small size 5.5mm. […]

Q: Dr. Eppley, I am a 30 year old male and have been debating about a skull reshaping procedure for the past five years. Attached are some profile pictures of my head shape and two pictures of my expectations. I was hoping to round out the back of my skull and shape it in a […]

Q: Dr. Eppley, I thank you for your pre surgery notes in relation to the psychological effects of living with a new jawline implant have become apparent this weekend.  I think the initial panic set in and I’ve had to take a step back and think about your comments again.  I think the initial feeling […]

Q: Dr. Eppley, I am interested in facial implant revision surgery and fat grafting.Three months ago I underwent surgery with the following facial concerns/objectives, a weak chin (needed more projection and wanted in squarer in appearance), a weak jawline (wanted very strong, defined jaw line), hollow eye area and wanted slightly wider mid face. For those concerns […]

Q: Dr. Eppley, I’m not sure if I’m a candidate for a custom jawline implant. If I have symmetrical jawbone structure I don’t see why I should need it. In addition, I don’t have the capital for custom one. From my point of view, I have a very weak lower jaw, my chin is very […]

Q: Dr. Eppley, I have a question, and it  involves customized facial implants for the cheeks and chin/jaw. In college I played for the football team and and broke my face. My nose was shattered with an effort made to fix it several times. My cheeks and jaw were damaged and there is a lack […]

Q: Dr. Eppley, I had rhinoplasty done five years ago and developed a recurring abscess on top of my nose several years later. It was needled and cultures which turned out negative. I noticed a suture coming out but swelling with pus still builds up every week . I have been on Augmentin a few […]

Q: Dr. Eppley, I had spoken to you a few weeks ago about the tightness I had from my chin implant. You had recommended a 3D CT scan to make sure the implant was in the correct position. Before I could make the appointment, I started to carefully feel the implant and noticed that the […]

Q: Dr. Eppley, I started taking Accutane exactly one month ago – the dose is quite low, at 20mg once daily. I now have a problem / query. I realized I should have had surgery before starting on Accutane. I had an infected jaw implant removed earlier this yea and have terrible asymmetry as the […]

Q: Dr. Eppley, I had a sliding genioplasty several months ago and have muscle strain in my chin and my lower lip no longer functions the way it use to. My lower lip will not meet my upper lip without force and ends up tucking up under my upper lip when I chew, almost disappearing. […]

Q: Dr. Eppley, I have a question for nipple lift surgery. I am considering redoing my breasts implants. If I did, in what scenario could we use the gummy bear tear drop implant? Could it be the same 250cc or would we have to increase it, and by how much? Also, if we put in […]

Q: Dr. Eppley, I started taking Accutane exactly 2 weeks ago – the dose is quite low, at 20mg once daily. I now have a problem / query. I realized I should have had surgery before starting on Accutane. I had an infected jaw implant removed  in August 2017 and now, in my eyes, have […]

Q: Dr. Eppley, I am a 32 year old male from Europe looking for a surgeon who has experience with facial implants, in particular with cheek implants. I had Medpor cheek implants placed one year ago but I am not happy with how the result turned out. They are placed too low on my face […]

Q: Dr. Eppley, I am interested in elbow lift surgery. In reading online one of the surgeons on there said:  “Realize that a scar on the elbow does not heal very well. The scars tend to go wide as the area bends so much and separates the scar.” Is this true even if I take […]

Q: Dr. Eppley, I was wondering if you could answer a few questions regarding the custom wrap around type jaw implants I came across on your blog. I had a BSSO, Lefort 1 and sliding genioplasty about 8 years ago. Following that, I had custom medpor jaw implants placed to correct some significant notching that […]

Q: Dr. Eppley, Can I get hip implants if I have PMMA injections already in my hips? is it best to have it removed or just some of it removed beforehand? Because my hip area is already tight and some days I am in pain. These hip implants were not heard of when I got […]

Q: Dr. Eppley, I was curious about a bony genioplasty as a cure for lip incompetence. Have you had success with that in the past? It seems like a genioplasty is the only way to fix this. I have a quite large chin. Unlike many people with lip incompetence I am more in a need […]

Q: Dr. Eppley, i would like to know if a 11mm advancement genioplasty could be reverse to 3-4 mm. I’ve had the procedure done about 3 month ago and I don’t like the result. I feel my chin is still swollen but I hate the fact that now my upper lip look thinner and my […]

Q: Dr. Eppley,I have a question regarding shoulder widening surgery. Have you ever performed a clavicle osteotomy or know of anyone having this done? Would widening of the clavicle in turn move the scapula? I know its extreme but do you think this is safe and effective? I’ve been researching on surgeries to broaden shoulders and […]

Q: Dr. Eppley, I am confused about the differences between standard and custom facial implants. A custom approach would seem to be better since their shape would be more assured to achieve the desired facial shape change. Since facial implants are not adjustable during surgery one would want to have the best implant shape possible […]

Q: Dr. Eppley, after a lot of consideration I am now actually considering to do a full facial reshaping surgery. However after you see my pictures you might tell me if it is possible or if there are any limitations. I have attached a picture of the face profiles that I like. I put a […]

Q: Dr. Eppley, I came across your Paranasal implants examples on this website,   http://exploreplasticsurgery.com/category/paranasal-implants/ To make sure that we are on the same page, below is a picture of my lateral facial profile. I am unhappy with the fact that I have a slightly prominent mouth. I am also unhappy that the angle between the bottom of […]