Blog

Q: Dr. Eppley, I have been experiencing headaches in the occipital region for over 10 years. I’ve had injections and tried 3 different medications to no avail. It is to the point that I take 3 Alleve every other day. The pain even radiates down to my neck and shoulders and sometimes to the top […]

Q: Dr. Eppley, I have heard and read that you are pretty innovative with techniques. I am a woman with unfortunately narrow hips. I had previously asked about hip implants. I’ve been doing some reading on these hip implants and they don’t seem to actually make the hip appear much wider. They seem to more smooth […]

Q: Dr. Eppley, I’m three months post op from zygoma reduction, and I’m just planning some backup procedures in the case of facial sagging even though I am only 23. I would greatly appreciate it if you could answer some of my queries. My procedure involved a 4mm resection of the zygomatic body and an […]

Q: Dr. Eppley, I’m interested in a browlift, sliding genioplasty, and cleft chin reduction. I want to achieve a slimmer more sculpted face, I want the sliding genioplasty (with central wedge reduction) to give me a more v-line chin and for my profile to look sharper.  I would like to fill in my chin dimple […]

Q: Dr. Eppley, I saw you on the Real Self. I’ve realized that you are one of the very few surgeons who do bone cement forehead augmentation. I have somewhat of a flat sloped forehead. I know this might be a little too much to ask without pics but what is the ball park price […]

Q: Dr. Eppley, I came across your RealSelf posts on facial reconstruction surgeries on jaw reshaping and cheek reshaping. I am very much interested in the cheekbone reshaping surgery, however I feel as if I am too close to the age where my skin and tissues just wouldn’t snap back enough. From your website and […]

Q: Dr. Eppley,  I HAVE SOME HIP IMPLANT QUESTIONS 1. IS THERE ANY RISK TO DO THE HIP IMPLANT BIGGER 14 CMS X 30 CMS X 4 CMS AS YOU PROPOSSED, (TO DAMAGE A NERVE AND BE DISABLED FOR LIFE) 2. IS THERE ANY PROBLEM DOING HIPS AND BUTT AUGUMENTATION AT THE SAME TIME, CAUSING […]

Q: Dr. Eppley, I am interested in chin widening surgery.  I would like a wider, more rounder looking chin. I hate the triangular shape of my lower face when I smile.  I would like to stay away from implants. What can I achieve with an osteotomy to make my chin wider. A: Thank you for […]

Q: Dr. Eppley, I underwent a cheekbone reduction procedure which involved an L osteotomy of the zygomatic body of 5mm. The back end of the cheekbone was cut via a preauricular incision and the whole cheekbone unit was pushed forwards, fixed with screws. 1) Is 5mm a large amount of resected bone for the zygomatic […]

Q: Dr. Eppley, I like the idea of reducing the bones on both sides to create a more even look. Could a forehead reduction by hairline advancement be done at the same time? Whats the recovery time for this time of procedure? Would it change any facial asymmetry other than my forehead? By reducing the […]

Q: Dr. Eppley, I am interested in cheek implant replacement. I am an Asian patient that has very flat cheeks and did cheek implants four months ago. I had 4mm implants but after the surgery i felt my cheeks were still too flat looking. I had an additional 1 syringe of injectable filler per cheek […]

Q: Dr. Eppley, I am interested in a sliding genioplasty revision. Please see attached my before and after photos and X-rays. I have also attached a photo of my ‘before’ photo which I edited to show the sort of result I was initially wanting. It is difficult for me to judge objectively what looks most attractive […]

Q: Dr. Eppley,  I am interested in buttock implant replacement surgery. How often do you do buttock implants weekly or monthly ? I really want 712cc. I know 548cc implants are available but that makes no sense to get when I already have 490cc. I believe Implantech has 600cc round but it won’t give a […]

Q: Dr. Eppley, I have some temporal reduction surgery questions.  1. Before operation:     1. Do we do any scans beforehand to know what can be removed (and what is bone/muscle)?     2. Is it necessary to drill bone? What are the risks of bone drilling?     3. If bone drilling is not necessary, will […]

Q: Dr. Eppley, I would like to learn more about cosmetic rib reshaping. I am a 29 year old transgender woman, at 5’7″, 135 lb, with a 29.75″ waist and 36.25″ hips. I had fat grafting from my belly to my buttocks two years ago and consider the result a great improvement, but I am […]

Q: Dr. Eppley, Zygoma reduction was a major surgery for me, and as much as I put my faith in my surgeon, I understand that there’s no guarantees with any surgery. I would like to keep a back up plan handy, in the case that things weren’t able to end favorably. In the case that sagging […]

Q: Dr. Eppley,  I’m 9 months post operation from a zygoma reduction and jawline reshaping surgery with a surgeon in Korea. I am 23 years old, soon going on 24, and I’m finding that I’ve developed a double chin. I exercise 3 times a week, am a normal weight for my height, and this double […]

Q: Dr. Eppley, thank you for reading about my request. I am a Korean female. In Korea, as you already know, many Korean girls desire to have a very heart shaped face – Just like the one I have sent in the photo. My situation is very different. I was actually born with a heart […]

Q: Dr. Eppley, I’m 24 years old and I underwent zygomatic reduction and V-line jaw reduction surgery for cosmetic purposes around two months ago. I was wondering, is it possible that jaw reduction surgery can cause sagging around the neck area? I ask this because I’ve started noticing that I have am getting a double chin, […]

Q: Dr. Eppley, What is the approximate cost for rib removal without fat grafting? This is a rare procedure, and I imagine a fairly traumatic one, considering how the muscle tissue clings to the bone of a BBQ pork rib. What are the potential consequences for mobility and activity? What is the aftercare protocol? Can […]

Q: Dr. Eppley, I am from China an am 23 years old. Please read my story and give me advice. One year ago I went to Korea for V-line surgery and the cheek bone reduction surgery because Korea is very famous for Asian small face surgery. My face before was very not symmetric and very ugly […]

Q: Dr. Eppley, I am interested in facial feminization surgery. Based on my pictures what are your recommedations? A: Thank you for sending your pictures. As an older facial feminization patient, the effects of aging must also be considered as part of the facial procedures .My recommendations would be the following: 1) Browlift and Upper […]

Q: Dr. Eppley, I’m very sorry to take up more of your time, but I just had a couple questions about my surgery path and I wanted a second opinion. By a local surgeon, I was referred to a plastic surgeon who uses hydroxyapatite granules for facial augmentation. I was wondering, what are your thoughts […]

Q: Dr. Eppley, I went to my birth country to get double eyelid surgery. I underwent a procedure called non-incisional double eyelid surgery or suture double eyelid surgery, of which I hope you are familiar. It’s currently holiday period in Korea so I have been unable to contact my surgeon. It’s been over 4 weeks […]

Q: Dr. Eppley, my surgeon  told me that when he degloved the chin and removed the titanium screws and plates from the sliding genioplasty (which was performed last year  by another surgeon) he found granulomatous tissue in the area of the screws and plates. Where the screws were attached there was now diseased bone which […]

Q: Dr. Eppley,  I have some questions about cheekbone reduction recovery. I’m a lady in her 20s who is six weeks out from v-line surgery and buccal fat removal. I’m very worried about the progress of my recovery. When I smile, my right cheek seems to jut out sideways a lot farther than the other and […]

Q: Dr. Eppley, Aesthetically, my concerns about hip implants are coming from the perspective of a late transitioning transgender woman. So my pelvic bones developed in typically male fashion, giving me basically no hips,and none of the anterior pelvic tilt that’s typical for a woman. As a result, in profile my butt appears flat with […]

Q: Dr. Eppley, I am three weeks out from facelift, necklift and chin implant by a very experienced plastic urgeon. My chin and lower lip continue to be totally numb. In the first week, my surgeon touched the sides of the implant and I did feel the shock pains, but the area is no longer […]

Q: Dr. Eppley, Thank you so much for responding to my question on potential chin implant malpositioning!  I was prepared to give a lot of time to healing, as I understand everyone recovers at a different pace, but then I started researching the numbness because it is so numb and unchanged in first three weeks […]

Q: Dr. Eppley, I’m interested in vertical higher ear repositioning. You have replied to a relevant question at Real Self. Therefore, I would like to enquire whether you perform such a procedure, and how much the ears can be vertically lengthened.Looking forward to your reply. A: I am not sure where you got this information […]