Blog

Q: Dr. Eppley, I have had three attempts at chin augmentation with silicone injections; none have worked. Unless silicone oil has been improved and attachment techniques have improved, I need a bone implant. I need consultation to determine the next steps for chin augmentation. A: Thank you for sending your facial pictures. You have a […]

Q: Dr. Eppley, I am interested in jaw angle implamts. Here are some photos to give you a general idea of how I look.  All things considered my jawline doesn’t look all to bad in these photos. My main concern is definition, I’d like there to be a more defined separation between my neck and […]

Q: Dr. Eppley, I wasn’t happy with the results from my jaw reduction surgery and am now looking into jaw implants for restorative purposes. I would like to make it clear that I would like to make improvements on my current physical appearance but not return completely to my facial bone structure pre-surgery. I am […]

Q: Dr. Eppley, Why do I have excess fat on my chin, the chin as in the middle part.It looks like a blob of fat and it’s circular and unpleasant in my opinion. 🙁 Is there anything that can be done to make it smaller? A: I can not tell you why it is there […]

Q: Dr. Eppley, I would like to ask a question regarding bony forehead reduction reshaping/reconstruction. My forehead bulges outwardly like that of a beluga whale and I was wondering is there anything that can be done to alter the appearance of it so it’s mess convex and more smoother/flatter. I was reading about scalp advancement […]

Q: Dr. Eppley, My face is quite wide and I am interested in cheekbone reduction. I’ve done quite a bit of research online about the different techniques that exist and have read some studies online so I know exactly what I am getting myself into. I’ve read that the L osteotomy cheekbone reduction is quite […]

Q: Dr. Eppley, I had Medpor orbital rim implants placed just over a year ago, and my experience with them has not been positive. The left and right sides of my face were completely numb for 3-4 months, and since then the left side has been very tingly/sensitive to the touch with no improvement. My […]

Q: Dr. Eppley, Will cheek implants cause my eyes to look hollow and sunken in? If they are too big, this might happen.  I would like to know if I need to wait for the cheek fillers I have in to dissolve. The small shape in my cheeks I do have is because its Voluma. […]

Q: Dr. Eppley, I have some brow bone reduction questions. So if I were to undergo brow reduction surgery, would the metal plates in my head prevent me from getting MRI’s? What are some other things that might result from getting this surgery? I read somewhere that the forehead becomes a bit “loose” because brow […]

Q: Dr. Eppley, I do however still have some questions with regards to the lower blepharoplasty procedure.  My surgery is tomorrow and I’m flying out late tonight.  I hope I get to address these with you.  I really appreciate it. After searching the limited info online about Alloderm, I read that alloderm is not permanent?  (If true, I don’t […]

Q: Dr. Eppley, I am interested in paranasal implant revision. I had Medpor paranasal implants placed one year ago. My surgeon told me that it is an implat on each side of the nose.I also had an open rhinoplasty at the same time. Here are comparison pictures I took around 2 weeks after my surgery […]

Q: Dr. Eppley, I wasn’t aware that cheekbone reduction surgery was offered in the US as it is rarely heard of and is over shadowed by cheekbone augmentation.  I hope you can help me as I am worried for my face. I’m one week away from being 3 months post op from cheekbone reduction. My […]

Q: Dr. Eppley, I am interested in thigh implants. I wish to increase the volume of the thighs, the front and the back, I am aware that there are limitations and that everything is not possible at once. The front of the thighs, so that they grow wider would be desirable. I understand that it […]

Q: Dr. Eppley, would such 3D custom facial implants still have a risk of asymmetry after they are inserted? I have been told that as the implant is printed to perfectly mold to every crevice and shape of your own bone, there would be no need for fixation. A:It does not matter how any 3D […]

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 […]