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Q: Dr. Eppley, Last year I went to a famous Chinese plastic surgery hospital for cheekbone reduction surgery. My cheeks were not extremely big but only had mild protrusion, but I still decided to go through with the surgery to get a thinner face. At 4 months after operation and after all the swelling went […]

Q: Dr. Eppley, Sorry that I was groggy right after my skull implant surgery and I didn’t had a chance to ask you some questions and I hope I can still ask you through email. 1) I know you usually use dissolvable suture for skull implant and planed the same to my case, but at the end you used […]

Q: Dr. Eppley, I’ve read a lot of your responses on RealSelf, as well as sifted heavily through your blog and website. I appreciate you taking the time to read about my situation. I am Chinese and as I grew into a teen I started noticing that my facial structure is very asymmetrical. My chin […]

Q: Dr. Eppley, I had a question I was hoping you could shed knowledge regarding delayed jaw implant infections. I had jaw implants placed two years ago and just yesterday I noticed some tenderness on the right jaw implant, specifically more on the bottom/underneath, in the middle of the jaw line (as opposed to any […]

Q: Dr. Eppley ,I might just take this moment to get a full understanding of the silicone custom jawline implant by asking some questions: 1. The common problem of bone erosion with silastic implants is eliminated if the silastic implant is customized and fixed with screws? 2. Custom made silastic implants are made to last […]

Q: Dr. Eppley, I had an otoplasty done several years ago to correct my protruding ears. When I saw the results, I was disappointed and thought my ears were undercorrected. I decided that I wanted another operation. We did the operation again 3 months after the previous operation, which I think caused my antihelix to […]

Q: Dr. Eppley, i am writing to you for some possible assistance. I was reading a thread just now that was posted a few years back about bulging temple veins. One of the gents on the forum talked about how he went to you for treatment for his” wiggly worms” on his temples. I have […]

Q: Dr. Eppley, Thank you for the informative consultation a few days ago, I am currently in the process of narrowing my choices. I just had a few questions. 1.) What are the odds of long term side effects with genioplasty vs jaw implants? Is one significantly safer than the other? 2.) Would a custom […]

Q: Dr. Eppley, I am a young female and 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 don’t like […]

Q: Dr. Eppley, I am still considering having the buttock implant removal. I really wish I had done it at the same time as the facial implant removal.  1.  Have you removed many subfascial buttock implants? 2.  If so, are there many potential complications with this surgery?  3.  Will I need drains? 4.  Is there […]

Dr. Eppley Q: Dr. Eppley, Can you please give me some information on custom facial implants? If I decide to go ahead with the procedure how much time do I need in the USA? From the date that I arrive –  to have the CT scan,  to manufacture the jaw or skull model ?  To sit […]

Q: Dr. Eppley, I have a couple questions about some problems I have with the lower third of my face and lip area. To begin with, I’ve noticed that my lips have begun to age. My upper lip looks quite long, and I’ve always had a downturned mouth and aging has exacerbated it. I look […]

Q: Dr. Eppley, I would like to ask are cheekbone reductions always bound to have some sort of sagging of the midface area or incur premature aging?I thought I had done enough research on zygoma reduction before deciding to undergo the procedure. I knew there would be risks or trade offs, but I didn’t know it would be […]

Q: Dr. Eppley, I had a lip lift in early December 2017. The surgeon took out 7mm of skin in the center of the upper lip. And now it seems that the nasolabial area looks bigger and mouth corners look down turned.  I would like to know if the Double Duck would be a good […]

Q: Dr. Eppley, I hope I can ask you this: I just had a Facial fat transfer 2 weeks ago. My surgeon is on holiday now. Please help me. I was walking today and I came into a storm with around 38 km/h of wind. Often the wind blew directly in my face for around […]

Q: Dr. Eppley, In Korea, there are few clinic that offers posterior cheekbone reduction with 5mm sideburn and cut inside the hair (the posterior cheekbone reduction.) Many clinic in Korea also do not offer this method of surgery. What are the risks of this method of surgery as I am interested in making my face […]

Q: Dr. Eppley, I am interested in V-line facial contouring. There is a popular procedure in South Korea that offers a procedure called V line which slims the jaw and chin to make it doll like and I am very interested in getting it done in June 2018. I contacted several clinics in Korea and […]

Q: Dr. Eppley, I am interested in tear trough injections using injectable fillers. I have deep tear troughs that I think would benefit by them. I have attached some pictures for your review and recommendations. A:Thank you for sending your pictures. Fillers or fat is not a proper procedure for your under eye concerns. What […]

Q: Dr. Eppley, I am interested in getting a Peri-Pyriform Implant. As shown in my X-rays, I had Lefort1 osteotomy last year. I also had cheekbone reduction, mandibular reduction, and chin augmentation back before that. I am planning to remove the titanium screws before I get the Peri-Pyriform Implant. I do not know if that is necessary […]

Q: Dr. Eppley, I am interested in cheekbone reduction reversal. I am a 21 year old Asian girl who thoughtlessly underwent cheekbone reduction surgery and jawbone reduction surgery in Korea. After six months of healing, I’m finding that my cheeks are sagging and it is making me look a lot older than I am.  I’m […]

Q: Dr. Eppley, I have three questions regarding the titanium screws for may custom jawline implant. 1.  Are they custom-made to different lengths, since they will be penetrating at three different spots of varying thickness along the mandible?  (Ie. 14mm/12mm at the gonial angle, ?mm at middle of mandible, and 4mm at chin, so they […]

Q: Dr. Eppley, I recently had a rhinoplasty and lip lift procedure that I am unhappy with. I wanted my nose to be narrowed and instead the surgeon rotated it up and shortened it. It now looks wider at the tip. I want it to be much more narrow. I think a slight alar base […]

Q: Dr. Eppley, thank you for your presurgical consultation today regarding my rhinoplasty tomorrow. I know we have been over my nose surgery numerous times and you have done a lot of computer imaging for me. I know that no surgery can create perfection but I still need to know if my nasal tip projection […]

Q: Dr. Eppley, I’m seeking your opinion on my chin, neck and jaw. I’m open to all options. My chin is further back than it should be. I would like to know the pros and cons of the sliding genioplasty operation. I would also like to know if the simpler silicone chin implant would give […]

Q: Dr. Eppley, I am seeking information about the management of a fat grafted breast infection. I came across a question that someone sent to you and your answer to it in regards to infection during fat grafting to breast. Here is the link to it: http://eppleyplasticsurgery.com//why-did-one-of-my-breasts-after-fat-injections-become-infected/. I was wondering if by chance you know […]

Q: Dr. Eppley, I have linked you to an article you wrote in 2015 dealing with injecting fat into the scalp. I was under the impression that by injecting anything (fat) to a tight scalp it would make it more tight. However you state that introducing adipose tissue is actually beneficial for the scalp. Can […]

Q: Dr. Eppley, I am male but my facial appearance lacks masculinity. My eyebrows shape is not straight but arched, the overall vertical extension of the eye area is high, and the forward protrusion of the brow bone is minimal. Could my brow bone be augmented in such a way that the base for the […]

Dr. Eppley, I’ve had buccal fat pad removal two year ago and  it derounded my fat considerably. I am happy with the results. However, it did no good to my perioral mounds. I came across the your name online while looking for perioral mound liposuction. I wonder how much the procedure costs, its duration and […]

Q: Dr. Eppley, Do you preform breast injections with a Sculptra, or a similar lactic acid polymerized substance. And would you be willing to try a breast injection procedure? A: Breast augmentation by resorbable synthetic fillers, like Sculptra, is quite frankly a problem waiting to happen. (Sculptra breast injections) Such fillers in significant volumes create […]

Q: Dr. Eppley, I am interested in a repeat full tummy tuck with mesh reinforcement in conjunction with rib removal of the lower 3 ribs. I had a full tummy tuck done a decade ago and at the time the doctor did say that it most likely would need to be repeated with mesh reinforcement […]