Blog
Jawline Asymmetry Implant
January 28, 2018Q: Dr. Eppley, I’ve attached a few photos of my face/jaw. I would describe it as one side of my jaw being longer than the other and where the two halves meet at my chin, there’s a sort of deviation to one side. I’m curious what kind of effect an implant placed over my jaw/chin […]
Earlobe Reshaping after Otoplasty
January 25, 2018Q: Dr. Eppley, One week ago I had an otoplasty done and my earlobes protrude quite a bit. My surgeon has declined a revision as he states it can”t be fixed due to there being no cartilage in the earlobe. I would like to hear from Doctor Eppley who has experience surgically setting back earlobes […]
Chin Reduction
January 23, 2018Q: Dr. Eppley, I appreciate that you take the time to educate the public on plastic surgery, and I want to thank you for that. I’m planning on going to you this summer for temporal width reduction, cheekbone reduction, and chin/jaw reduction as my face is wide. I had an intraoral chin reduction which I immediately […]
Sliding Genioplasty and Age
January 23, 2018Q: Dr. Eppley, I had a few quick questions concerning chin surgery, or more specifically sliding genioplasty. 1) Is 18 years old to young to consider such a procedure? (my pediatrician expects me to continue growing until 22) 2) I had read that some surgeons remove the hardware once the two bones fuse together usually […]
Orthognathic Surgery and Custom Jawline Implant
January 23, 2018Q: Dr. Eppley, Orthognathic surgery is a more dangerous and time-consuming surgery than jawline augmentation and if it’s possible to have an ideal aesthetic jaw without going through the more complicated surgery, that would be nice. I do have an overbite but I was under the impression (although this may be wrong) that it could […]
Custom Jawline Implant vs. Orthognathic Surgery
January 23, 2018Q: Dr. Eppley, I’m an out of town patient looking to surgically enhance my jawline. I’m not sure if a wraparound custom jawline implant or even a genioplasty would be enough to have an aesthetic jawline and chin or if I should be pursuing a bilateral sagittal split ramps osteotomy (BSSO) or other orthognathic surgery. […]
Custom Jawline and Cheek Implant Postop Asymmetry
January 23, 2018Q: Dr. Eppley, I had custom jawline and cheek implants placed about five weeks ago. I have noticed some asymmetry of my cheeks and chin although my doctor said the implants are positioned perfectly. How soon would you recommend to revise it and how can I tell the exact location of the implants? I am […]
Facelift
January 23, 2018Q: Dr. Eppley, I have been considering facelift surgery for two years. I have done extensive research and have had consultations with local doctors. While I think I need both a mini facelift and neck lift, I am very uncomfortable/scared to do both at one time. I am a 57 year old female and honestly […]
Scrotal Lift
January 23, 2018Q: Dr. Eppley, I am 21 years old and have a very low-riding scrotum. I am wondering if you have operated on someone my age before and if you are able to perform a scrotal reduction procedure. Also why do you think that my scrotum hangs so low, could it be a sign of a […]
Brow Bone Augmentation after Hairline Advancement
January 23, 2018Q: Dr. Eppley, I am interested in brow bone augmentation. Last year I had a hairline lowering procedure. Apart from some minor shock loss, the surgery went well. I had planned to have additional hair transplants to round out my hairline in the next six months. But I have been researching brow bone augmentation and it […]
Skull Augmentation
January 20, 2018Q: Dr. Eppley, I am interested in skull augmentation surgery with an implant. I don’t know if I may need a scalp expansion first or not. I think a little less skull augmentationresult will be OK for me. How is a scalp expansion done by the way? Would you tell me about how the procedure is done? Where will […]
Cheekbone Reduction Complication Treatments
January 20, 2018Q: Dr. Eppley, I saw you on Real Self answer questions regarding to cheekbone reduction complication treatments. I had my cheekbone reduced and very unhappy with the results. If i was to attempt to reposition the cheekbones to the original anatomical position would that require a coronal incision across the scalp? Or is there a […]
Facial Reshaping
January 20, 2018Q: Dr. Eppley, I am interested in multiple facial reshaping surgeries for my nose, cheeks and jawline. I have attached my pictures with morphs of what I want to achieve. I want to see off these type of results are possible. A: Thank you for sending your picture and providing a detailed description of your […]
Secondary Rhinoplasty for Upturned Nose
January 20, 2018Q: Dr. Eppley, I would like to know how to get information about secondary rhinoplasty with Dr Eppley. I have seen some approaches to correct upturned noses, and I am interested in knowing the options Dr Eppley offers. A: Thank you for sending your pictures, x-rays and a very detailed description of your surgical history […]
Skull Implant Revision
January 20, 2018Q: Dr. Eppley, I’d like to get an injected skull implant revision, but I have a few concerns/questions. 1) You mentioned removing and replacing the implant as being the preferred method. What size scalp incision would that take? What material would you use to replace it? 2) You recommended not doing the burring only. Is […]
Head Augmentation
January 20, 2018Q: Dr. Eppley, I am interested ins time head augmentation. I have a generally small head and wonder if it is possible to add some volume to the skull to make it a bit higher and wider. Have you performed this kind of surgery before? How is it done? Are there any possible complications or […]
Chin Implant Bone Erosion
January 20, 2018Q: Dr. Eppley, I have concerns about chin implant bone erosion. I have noticed the bone holding my lower teeth appear to be eroding somewhat from an overlying Gortex chin implant. Can you remove it and put something in the correct place that will not erode bone. A: I would like to see the x-rays […]
Facial Fat Atrophy Prevention
January 20, 2018Q: Dr. Eppley, I need a question answered about facial fat atrophy prevention. I am 29 years old and have been using tretinoin cream (0.05%) every evening and sunscreen with SPF 30 (Mexoryl) every morning since the age of 20. Therefore my skin has visually not aged since I was 20 years old and looks […]
Skull Reshaping
January 16, 2018Q: Dr. Eppley, My questions are concerning what skull reshaping procedures could be combined under a single operation. My skull deformity isn’t localized, the result of untreated craniosynostosis. I have the typical trigonocephalic skull, which is narrow in the front, and wide and tall in the back. I believe that for an augmentation covering such […]
Vertical Facial Lengthening
January 16, 2018Q: Dr. Eppley, I’m interested in your custom jawline wraparound insert, largely for the sake of vertical facial lengthening but have a few questions. First, what is the maximum vertical height that can be added through these implants, would anything in the 15-18mm range be completely out of the question? What is the recovery time […]
Cranifacial Linear Scleroderma
January 16, 2018Q: Dr. Eppley, I was diagnosed Linear Scleroderma at the age of 7 years old. Due to this disease it has created a bald spot that I am able to cover with my hair on the top on my head. This bald spot is about two inches wide and five inches long. I also have […]
Eye Asymmetry Surgery
January 14, 2018Q: Dr. Eppley, I am interested in eye asymmetry surgery. I was born with congenital torticollis. The torticollis was not caught early and resulted in me sleeping exclusively on my tummy with the left side of my head smushed against the mattress as a newborn/infant which resulted in the asymmetry in my face. My head/neck as a […]
Chin Reduction for Facial Feminization
January 14, 2018Q: Dr. Eppley, I am a transgender male to female who is investigating how best to further reduce the masculinity of my face. Overall, my face has a width problem with wide temporal muscles, laterally protruding cheekbones, and a wide chin. I spoke with you on the phone a few months ago about the temporal […]
Pectus Excavatum Implant
January 14, 2018Q: Dr. Eppley, I had Pectus Excavatum implant surgery over twenty years decades and have had any problems with it and have been happy with the results. This past fall I got struck on my chest on the right edge of the implant. Quite quickly a bulge appeared but there was no skin break. I […]
Glabellar Implant for Deep Glabellar Furrows
January 14, 2018Q: Dr. Eppley, I have a deep vertical groove in the area between my eyebrows. I have tried Botox injections but it didn’t do a thing. I even tried injectable fillers but it also didn’t improve it. What do you think about a glabellar implant to help push it out and make it smoother? I […]
Sliding Genioplasty for Chin Augmentation
January 14, 2018Q: Dr. Eppley, I want like to have a sliding genioplasty to bring the chin forward to balance my facial profile. I also thought of another option to have a solid hydroxyapatite chin implant (not paste) with hydroxyapatite screws, is this possible? I have some questions. -How long does a sliding genioplasty take to perform? -How much projection can […]
Chin Reduction for Hyperdynamic Ptosis
January 13, 2018Q: Dr. Eppley, I am looking to get a chin reduction, I have lots of soft tissue and bone that sticks forwards when I smile. However when I don’t smile my side profile looks slightly weak due to the way the soft tissue sits. I also have a small overbite. My face structure becomes very […]
Silicone Skull Implants
January 13, 2018Q: Dr. Eppley, I just had some concerns regarding the silicone skull implants. The first concern I have read about are possible issues with erosion of the skull over time by the implant.The second is something about water collection within the implant over time.What are some adverse side effects that may be possible due to the […]
Allofill for Facial Implant Edge Camouflage
January 13, 2018Q: Dr. Eppley, Do you also use Allofill? And if so, what experiences did you make with it?After two cheekbone augmentations with Medpor implants (after the first augmentation with Medopr Malar Shape implants, another Medpor implant was placed over the lateral part of the cheekbones, which was carved from a Medpor block), one can now […]
Tear Drop Breast Augmentation
January 13, 2018Q: Dr. Eppley, I am very interested in the tear drop breast augmentation procedure. I am currently a small B and would like a small change to maybe a full C. I really want a natural look and a small implant so that my breasts still look natural and do not stick off my chest […]