Blog

Q: Dr. Eppley, I would like to find out more about the rib removal surgery. I have been considering doing this for some time now. I was wondering what the approximate cost for this surgery is. Could you also tell me more about the time needed for recovery? What is a general healing period after […]

Q: Dr. Eppley, I continue to think about rib removal surgery and had a couple of additional questions for you if you don’t mind: -For resections of 3 ribs (10-12), do you use the same incision or multiple incisions to remove the 3 ribs? -Have you ever had to use mesh to close? Thanks again […]

Q: Dr. Eppley, I consulted with you last year regarding custom cheek-infraorbital  and jawline implants. I had double jaw surgery one year ago and fat transfer to the cheeks six months later. Since my consultation with you, I’ve had filler (Voluma  with around five  syringes to cheek/jaw/chin) and rhinoplasty. I had a couple questions: 1) […]

Q: Dr. Eppley, some doctors in the USA do Sculptra. it is FDA approved for hip augmentation and can you do it in my hips to get more volume to my hips?  A: Sculptra is FDA-approved for use in the face in the United State. specifically for facial lipoatrophy. Using it for hip augmentation is […]

Q: Dr. Eppley, My concerns and questions have to do with my chin. I had a chin implant removal procedure done over a year ago because I disliked they way it look. The capsule was left to give me some augmentation. However I still dislike it. I also have mentallis muscle strain and have gotten […]

Q: Dr. Eppley, I’m a 32 year-old male who has a flat back of head and consider doing a flat back of head augmentation surgery with you but I have a few question which be thankful if you can answer to those  1_. Do you use implant for these type of surgery? And if so […]

Q: Dr. Eppley, I have read quite a bit of informative material on your website. I am particularly interested in a procedure that you offer that is skull shaving. (skull reduction) I have always had a big wide head (wide, but short, I am brachycephalic.). Does it really make a different your procedure of burring […]

Q: Dr. Eppley,I have some facial surgery recovery questions. I’m in my early 20s. I came across your profile on RealSelf and was impressed by your experience across a vast number of procedures. I could not find any answers on the website to my problem and thought you could hopefully help me answer some questions […]

Q: Dr. Eppley, I am seeking a second opinion on my custom jawline implant placement. I’ve attached a few pictures I took today. One of the front facing photos is a duplicate with some arrows pointing to the four issues I have mentioned below. In addition, I’m attaching a PDF case report which was given […]

Q: Dr. Eppley, I am writing with hopes for more information on jaw angle implant removals. It seems jaw angle implants are relatively rare compared to other facial implants so it is difficult to find any information or cases online regarding them let alone their removal. I have seen that you have experience working with […]

Q: Dr. Eppley, I am inquiring about back of head augmentation reshaping surgery?  What is process and how long does it take?  What is the recovery time frame?  How long before one can get back to work?  Can you fly and when after surgery is that possible?  Also what is the cost of this procedure […]

Q: Dr. Eppley, I had under reye fat injection surgery four months ago. But I think its is overcorrected. Is there any way to remove these fat cells or make them go away? For example, with radiofrequency or laser or warm compress or sauna or pressing the area or using corticosteroid injections? Please help me […]

Q: Dr. Eppley, I was reading online about rib removal and came across Pixie’s story. I am considering rib removal. I was wondering how many patients (in addition to Pixie) have you operated on that have had ribs 10-12 removed and whether any have developed flank hernias? That is my primary worry and I was […]

Q: Dr. Eppley, I am six months post-op cheekbone reduction surgery. I am happy with the results from the bony perspective as my face has been effectively narrowed, but there were some trade offs. I have some slight sagging of the midface which is evident in the form of hollower eyes and deeper nasolabial grooves.  […]

Q: Dr. Eppley, I currently have braces on my teeth and although they will probably be off by the time I have surgery with you, would there be any issues if I still had them on? For example, damaging the implant or braces during placement?  Also, could the movement of teeth alter my bone structure? Is there a risk […]

Q: Dr. Eppley, The reason I am considering rib removal is I do not have a defined waist or a flat stomach. I do exercise and have worked out like a beast in the past and am still unable to obtain the results I want. I had three children. The only way I can get […]

Q: Dr. Eppley, I am interested in forehead augmentation. My forehead is very round in shape and I believe a forehead implant can greatly impact my profile. I also have a bent nose and want to go through rhinoplasty simultaneously. I just want the tip of my nose to be lifted very slightly. What im […]

Q: Dr. Eppley, I am interested in a Medpor jaw angle implant revision. Three years ago I had an operation to improve my jawline using Medpor implants. After the surgery i noticed a degree of asymmetry in lateral projection of my right jaw angle. Recently I went through a 3D CT scan to determine the […]

Q: Dr. Eppley, I had a Medpor chin implant placed several years ago but have never been that happy with it. I have always felt it was not enough and was too short even though the implant was a large. I am thinking of having it removed and replaced with a sliding genioplasty. Is this […]

Q: Dr. Eppley,  I am interested in a chin augmentation. I am 6 feet tall and somehow my chin does not harmonize with the rest of my face. It’s not that I don’t have a chin, but it just doesn’t seem masculine. I would be very interested in a chin implant and would also like […]

Q: Dr. Eppley, I can’t thank you enough for the time and effort that you put into answering patient enquiries. Although I may not be a direct patient of yours, your blog has helped me tremendously. Thank you for not beating around the bush, as many surgeons on RealSelf tend to do. I’m a 24 […]

Q: Dr. Eppley, I am writing with hopes for more information on jaw angle implant removals. It seems jaw angle implants are relatively rare compared to other facial implants so it is difficult to find any information or cases online regarding them let alone their removal. I have seen that you have experience working with […]

Q: Dr. Eppley, I sent you some pictures not long ago and you kindly recommended a full custom jaw implant because my jawline is vertically deficient. I wanted to ask your opinion about a genioplasty to obtain an increase in vertical height on my chin. Would this be a viable route to take ? And […]

Q: Dr. Eppley: Over the last few years I’ve been intrigued with the idea of customizing implants to fit an individual’s face, and I’m looking into getting a customized implant for my cheekbones. My cheekbones are quite flat but also quite low down my face. Meaning the main part of my cheekbones seem to sit […]

Q: Dr. Eppley, I am interested in breast implant replacements surgery. I had three spontaneous lung collapses and video assisted lung surgery followed by talc pleurodesis to correct the issues about a year ago. I have breast implants placed yeas before these lung problems and now I want to go bigger. Do any of my […]

Q: Dr. Eppley, I want a chin reduction and already had one 5 years ago through under the chin. I feel its still too long and broad and pointy. It needs 6mm vertical reduction and 6mm horizontally reduced and tapered to narrow it. Is it best to perform a osteotomy reduction or burring it instead? […]

Q: Dr. Eppley, I am interested in weird head shape surgery. I’m 24 years old. I have thinning and receding hair which I have come to terms with. However I can’t come to terms with my weird head shape. I will include pictures below as well. Picture 1: Left and right arrows show dips in […]

Q: Dr. Eppley, I am interested in orbital rim implant removal. Is it possible to remove OMNIPORE Inferior Orbital Rims Implants? Will be an emptiness there after removing which has to be concealed? How to conceal? What is the earliest/best time to remove them after placing? A: Omnipore facial implants is just a branded name […]

Q: Dr. Eppley, I am interested in eye asymmetry correction. I have also always been conscious that my right eye is slightly lower than my left. Looking at the CT scan, I can see that this could be caused by the bottom of my eye socket on the right side being lower than the left.Another […]

Q: Dr. Eppley, I am interested in Sculptra injection reversal. I had Sculptra injections about 6 months ago and it has given me a square chin and is making me very depressed. The doctor is using an enzyme to dissolve the other fillers I had put into my face but, of course, the Sculptra won’t […]