Blog

Q: Dr. Eppley, I had an extra large Implantech conform chin implant put in last year and then got a revision to up the size to an extra large Implantech Terino 1 square chin implant.  However, with the increased size in implant, a few additional issues have arisen.  1) I am still unsatisfied with my […]

Q: Dr. Eppley, Recently, I’ve been reading your patient questions on chin widening – a procedure I am very much interested in.  One year ago I had a sliding genioplasty to push my chin forward. Without discussion, my surgeon also burred it down on the sides. I had asked for harmonious facial features but burring my […]

Q: Dr.  Eppley, I am interested in a rhinoplasty and otoplasty revision. I had a rhinoplasty and otoplasty two years ago when I was 18 years old.I believe the surgery did not go as expected because of healing and post-care reasons (wrapping and such). Maybe even due to my young age. I am now 20 […]

Q: Dr. Eppley, I had submental liposuction done last year for my double chin but I am unhappy because the results are so small. I still have a double chin. I went to two doctors and they both advised chin augmentation and liposuction but I didn’t want the former. My double chin is hereditary and […]

Q: Dr. Eppley, have two questions about what is possible with surgery. I had a lip lift a long time ago and it was brought up a lot so now it always looks like my lips are pouting like I’m sad. Is it possible to make the lips go out laterally to make the corners […]

Q: Dr. Eppley, I am not sure how common this eye reshaping question is. I was wondering about how far a plastic surgeon can go to alter the shape of someone’s eyes. My eyes are pretty standard Caucasian, round, double lids, no epicanthal folds, non-hooded, etc. But I wanted to change a number of things […]

Q: Dr. Eppley, I am attaching pics of my face (front and sides) for facial reshaping surgery. I have had these genetic fat deposits all around my mouth (corners and nasolabial folds) jowls, low cheeks and under my chin since I was very young. The results I would like to achieve is an overall more […]

Q: Dr. Eppley, I’ve been following your website for some while now and was wondering if I could get some answers on cheek resuspension.I had zygoma reduction surgery last year and was interested in this procedure. Specifically I am interested in your preferred method of cranial cheek resuspension. (1) I am 21 years old and […]

Q: Dr. Eppley, I am interested in genioplasty however I would prefer biodegradable fixations. Is that possible for a lateral genioplasty. My chin is asymmetric therefore my chin would need to be moved to the right. It does not need advancement. A: The use of metal plates and screws in common in all forms of […]

Q: Dr. Eppley,  I am 23 years old. I’ve had undereye hollows or dark circles since I was a senior in high school. To hide them, I have to pack on a lot of concealer and foundation, layer after layer, and I’m tired of doing it! I’ve tried fillers, but they never last long (maybe 3-6 […]

Q: Dr. Eppley,  I have perioral fat mounds. I would like to know about options to remove them. It seems like a fairly uncommon problem and most plastic surgeons in my area are unsure how to treat it. I live out of state but I would possibly be willing to travel. I would like to […]

Q: Dr. Eppley, I’m 26 years old and of Asian descent. I recently flew back to my home country of Korea two months ago to get jaw angle reduction surgery for cosmetic purposes. I unfortunately didn’t communicate to the surgeon well enough (as I had thought) that I didn’t want my jaw angles amputated up […]

Q: Dr. Eppley, I am interested in chin reshaping. I was wondering if it is possible to turn a slightly tapered chin into a more curved, U-shaped rounded chin without the use of implants? Are there bone cements of some sort which are able to achieve this? A: Chin reshaping that involves augmentation can be […]

Q: Dr. Eppley, Around half a year ago, I underwent cosmetic malar bone reduction to correct some facial asymmetry. I’ve always been conscious of the asymmetry of my cheekbones and always had my hair down to cover their protrusion. The surgery did reduce the cheekbones. When my face is in a still, non-smiling position, there is […]

Q: Dr. Eppley, I have been experiencing headaches in the occipital region for over 10 years. I’ve had injections and tried 3 different medications to no avail. It is to the point that I take 3 Alleve every other day. The pain even radiates down to my neck and shoulders and sometimes to the top […]

Q: Dr. Eppley, I have heard and read that you are pretty innovative with techniques. I am a woman with unfortunately narrow hips. I had previously asked about hip implants. I’ve been doing some reading on these hip implants and they don’t seem to actually make the hip appear much wider. They seem to more smooth […]

Q: Dr. Eppley, I’m three months post op from zygoma reduction, and I’m just planning some backup procedures in the case of facial sagging even though I am only 23. I would greatly appreciate it if you could answer some of my queries. My procedure involved a 4mm resection of the zygomatic body and an […]

Q: Dr. Eppley, I’m interested in a browlift, sliding genioplasty, and cleft chin reduction. I want to achieve a slimmer more sculpted face, I want the sliding genioplasty (with central wedge reduction) to give me a more v-line chin and for my profile to look sharper.  I would like to fill in my chin dimple […]

Q: Dr. Eppley, I saw you on the Real Self. I’ve realized that you are one of the very few surgeons who do bone cement forehead augmentation. I have somewhat of a flat sloped forehead. I know this might be a little too much to ask without pics but what is the ball park price […]

Q: Dr. Eppley, I came across your RealSelf posts on facial reconstruction surgeries on jaw reshaping and cheek reshaping. I am very much interested in the cheekbone reshaping surgery, however I feel as if I am too close to the age where my skin and tissues just wouldn’t snap back enough. From your website and […]

Q: Dr. Eppley,  I HAVE SOME HIP IMPLANT QUESTIONS 1. IS THERE ANY RISK TO DO THE HIP IMPLANT BIGGER 14 CMS X 30 CMS X 4 CMS AS YOU PROPOSSED, (TO DAMAGE A NERVE AND BE DISABLED FOR LIFE) 2. IS THERE ANY PROBLEM DOING HIPS AND BUTT AUGUMENTATION AT THE SAME TIME, CAUSING […]

Q: Dr. Eppley, I am interested in chin widening surgery.  I would like a wider, more rounder looking chin. I hate the triangular shape of my lower face when I smile.  I would like to stay away from implants. What can I achieve with an osteotomy to make my chin wider. A: Thank you for […]

Q: Dr. Eppley, I underwent a cheekbone reduction procedure which involved an L osteotomy of the zygomatic body of 5mm. The back end of the cheekbone was cut via a preauricular incision and the whole cheekbone unit was pushed forwards, fixed with screws. 1) Is 5mm a large amount of resected bone for the zygomatic […]

Q: Dr. Eppley, I like the idea of reducing the bones on both sides to create a more even look. Could a forehead reduction by hairline advancement be done at the same time? Whats the recovery time for this time of procedure? Would it change any facial asymmetry other than my forehead? By reducing the […]

Q: Dr. Eppley, I am interested in cheek implant replacement. I am an Asian patient that has very flat cheeks and did cheek implants four months ago. I had 4mm implants but after the surgery i felt my cheeks were still too flat looking. I had an additional 1 syringe of injectable filler per cheek […]

Q: Dr. Eppley, I am interested in a sliding genioplasty revision. Please see attached my before and after photos and X-rays. I have also attached a photo of my ‘before’ photo which I edited to show the sort of result I was initially wanting. It is difficult for me to judge objectively what looks most attractive […]

Q: Dr. Eppley,  I am interested in buttock implant replacement surgery. How often do you do buttock implants weekly or monthly ? I really want 712cc. I know 548cc implants are available but that makes no sense to get when I already have 490cc. I believe Implantech has 600cc round but it won’t give a […]

Q: Dr. Eppley, I have some temporal reduction surgery questions.  1. Before operation:     1. Do we do any scans beforehand to know what can be removed (and what is bone/muscle)?     2. Is it necessary to drill bone? What are the risks of bone drilling?     3. If bone drilling is not necessary, will […]

Q: Dr. Eppley, I would like to learn more about cosmetic rib reshaping. I am a 29 year old transgender woman, at 5’7″, 135 lb, with a 29.75″ waist and 36.25″ hips. I had fat grafting from my belly to my buttocks two years ago and consider the result a great improvement, but I am […]

Q: Dr. Eppley, Zygoma reduction was a major surgery for me, and as much as I put my faith in my surgeon, I understand that there’s no guarantees with any surgery. I would like to keep a back up plan handy, in the case that things weren’t able to end favorably. In the case that sagging […]