Blog

Q: Dr. Eppley, I had a columellar strut from a rhinoplasty that caused a smile issue. I had the strut removed last year and my smile went “almost” to normal. It was a free floating strut. I am not sure if the doctor removed all of it or left a bit at the bottom. I […]

Q: Dr. Eppley, I had standard Implantech jaw angle implants placed three years ago, and although they are an improvement they are not the desired result. They appear quite bulky and have accentuated an asymmetric appearance. Furthermore, my right masseter muscle is now partially torn creating a large bulge around my cheek bone when I […]

Q: Dr. Eppley, I want to do a brow bone reduction and scalp advancement, but first i need to ask you if its possible correct a irregular hairline (hole in the center) during the scalp advancement. I need to know if its possible to make that correction without hair transplant to the hole.I have a irregular […]

Q: Dr. Eppley, I was recently diagnosed with a very mild case of Cutis Verticis Gyrata . I’m concerned with the size getting larger.I saw a dermatologist who diagnosed it and prescribed topical Ammonium Lactate 12% cream and 500mg of Vitamin C daily and said if it worsens there’s some laser type treatments that were […]

Q: Dr. Eppley, I want to do a direct necklift by cervical waveplasty or Z plasty. I have already tried liposuction and not much fat came out and my issue is loose skin so I thought of direct doing it. Attached are my photos. However I do shave my hair so please bear in mind […]

Q: Dr. Eppley, i have some questions about temporal reduction surgery. They are as follows: 1How long  will it  take for  the scars behind  my ears  to  heals? 2 How  long  will the sugary  last  and   how  many days will  I have  to be  in your  care before I  can be released? 3Will this  temporal reduction make my head look  normal […]

Q: Dr. Eppley, I have some questions about orbital implants. They are the following: 1. Does the zygomatic arch implant give more of that model cheekbone look? 2 a.Would the inferior orbital rims be augmented with a tear trough/infraorbital rim implant?   b.Would the superior be augmented with a brow ridge implant? 3. Is there […]

Q: Dr. Eppley, I have had double jaw surgery in the past. Can I still have midface implants place after? In addition, what is the ‘duration’ of such implant, as in after how long might need to take it out?  And what are the risks associated with such surgery?Thanks. A: A variety of midface implant […]

Q: Dr. Eppley, I am interested in the custom implants for the back of my head and both sides of my head which are flat. A few questions about 3D skull implants I have are: 1.What kind of materials are used for the 3d skull implant? 2.What type of screws are used (metal or plastic), […]

Q: Dr. Eppley, I have some questions about cheek and orbital implants. 1. What is the difference between an extended zygomatic arch implant and a cheekbone implant? 2. Besides brow ridge implants is there anything that can your eyes more deepset 3. Do lateral orbital rim implants make your eyes more deepset/what is the aesthetic […]

Q: Dr. Eppley, I would like to know whether you, in principle, perform endoscopic surgery for the removal of forehead lipomas. This is because I understand that some doctors use the endoscopic method for the removal of osteomas only, believing that using the technique on lipomas cause too much tissue trauma. I wonder what is […]

Q: Dr. Eppley, I underwent otoplasty surgery several years ago from which my ears got over corrected (pinned back too much). As a result it gives my face a weird and unbalanced look. My surgeon basically didn’t correct my ears based on my face shape. I recently consulted with him regarding a correction or undoing […]

Q: Dr. Eppley, I’m a 27-yr old female. I have been thinking about having an occipital augmentation procedure done to correct for the flatness and asymmetry at the back of my head, due to bad sleeping position from when I was an infant. Currently I have two questions regarding the procedure. I will be very […]

Q: Dr. Eppley, I have a facelift question. You did a secondary facelift on me from an initial facelift done one year ago by another surgery. While the terrible scars from around my ears are now gone, I noticed that the remaining horizontal scar across my sideburn (which we left along to manage later) has […]

Q: Dr. Eppley, I have some chin reduction recovery questions. I wish I came across your site before. I just had chin shaving and sliding genioplasty two weeks ago. I know it is early but I don’t think the incision was stitched together correctly. My lower lip hangs down and when I smile the lower […]

Q: Dr. Eppley, I had custom chin implant surgery placed two days ago and I have noticed there is an indentation along the side of the chin on the right side that is not present on the left side. I am concerned that this may represent an implant malposition. I know you told me before […]

Q: Dr. Eppley, I’ve been reading up on your custom jawline implant work, and I’m thinking about getting it done. I had a few questions. 1) Will you continue offering custom jawline enhancement into late 2018? Time constraints at the moment make it unlikely that I will be able to undergo significant surgery until at […]

Q: Dr. Eppley, I am interested in electrocautery for masseter muscle reduction. My questions are: 1. How long does the procedure take? 2 . Is it painful? 3. What is the recovery time?  4. Will I have to be on a liquid diet for some time after the procedure? 5. How long do results last? […]

Q: Dr. Eppley, I remain very interested in having skull augmentation and reduction of a bump done in the next year. I am wondering whether you could help alleviate a concern I have regarding the custom skull implant option. I have donea lot of my own research as sort of a hobby and came across […]

Q: Dr. Eppley, I am interested in a very masculine jawline implant. I have currently had silicone implants from implantech. Medium lateral jaw and medium square chin implant. I’m two months out and I still feel that my face looks very round and swollen. Maybe I haven’t waited long enough. The custom jaw/chin one piece […]

Q: Dr. Eppley, I have sent you some photos in previous two emails of my skull shape and protruding temporal area with convex appearance. The muscle bulge is palpable and visual and creates a bilateral bulge just above my ears which is hugely increased in size and convexity when I frown (it’s like the facial […]

Dr. Eppley, I have lower facial asymmetry that increased after advancement surgery for the lower jaw. My lower jaw was fixed in a tilted manner, which led to the displacement of the chin also. I want to fix it but I don’t now what is the best procedure. I found reviews about you, and I […]

Q: Dr. Eppley, after a previous rhinoplasty procedure, all is well except that my nose leans to one side. If I apply pressure, my nose will be perfectly straight for a few seconds. I wonder if there’s some brace I can wear at night or internal splint or other option just for a slight straightening. […]

Q: Dr. Eppley, I had double jaw surgery three years ago to fix sleep apnea. But it caused some unwanted aesthetic changes. I saw a local plastic surgeon and he suggested the following after voicing my facial concerns; 1) Alar Base Reduction. I told him that my nose is wider now and he said it’s […]

Q: Dr. Eppley, I had bone grafts done for my jaw angles about twenty years ago and they have really disappeared. I should have done jaw angle implants as they are permanent. Can you still do jaw angle implants if I had bone grafts placed there previously? A: Having had prior bone grafts to the […]

Q: Dr. Eppley, I am interested in total jawline augmentation. I can show you the change that I am looking for when I jut my jaw down and forward as shown in the attached picture. Do you think this type of jawline change is possible? A: In looking at your own prediction imaging by moving […]

Q: Dr. Eppley, I have a custom midface implant procedure  and canthoplasty done by you last year. The recovery went well and there hasn’t been any sign of infection. Immediately after the surgery i was very happy with the result. After my face became swollen and recovered the look was different as the lower portion […]

Q: Dr. Eppley, I am considering chin implant revision. I got an Implantech medium anatomical chin implant through a submental approach six months ago. Before I list my questions/concerns, I would like to say I’m extremely happy with the way the implant looks and prefer to keep it than to remove it but the tightness […]

Q: Dr. Eppley, I am a middle-aged male and I recently noticed that I have bulging temporal arteries (can feel a pulse) on both temples, which look like squiggly worms from my ear arcing up to my (receding) hairline. These arteries are visible at rest but really ‘pop’ when I get hot, drink alcohol, or […]

Q: Dr. Eppley, I had jaw surgery to correct my overbite and gummy smile which got fixed. I still however feel I have a long face and want to shorten it a bit even more. I feel as if my nose and chin are vertically too long and I would love to shorten and make […]