Blog

Q: Dr. Eppley, I have three questions regarding the titanium screws for may custom jawline implant. 1.  Are they custom-made to different lengths, since they will be penetrating at three different spots of varying thickness along the mandible?  (Ie. 14mm/12mm at the gonial angle, ?mm at middle of mandible, and 4mm at chin, so they […]

Q: Dr. Eppley, I recently had a rhinoplasty and lip lift procedure that I am unhappy with. I wanted my nose to be narrowed and instead the surgeon rotated it up and shortened it. It now looks wider at the tip. I want it to be much more narrow. I think a slight alar base […]

Q: Dr. Eppley, thank you for your presurgical consultation today regarding my rhinoplasty tomorrow. I know we have been over my nose surgery numerous times and you have done a lot of computer imaging for me. I know that no surgery can create perfection but I still need to know if my nasal tip projection […]

Q: Dr. Eppley, I’m seeking your opinion on my chin, neck and jaw. I’m open to all options. My chin is further back than it should be. I would like to know the pros and cons of the sliding genioplasty operation. I would also like to know if the simpler silicone chin implant would give […]

Q: Dr. Eppley, I am seeking information about the management of a fat grafted breast infection. I came across a question that someone sent to you and your answer to it in regards to infection during fat grafting to breast. Here is the link to it: http://eppleyplasticsurgery.com//why-did-one-of-my-breasts-after-fat-injections-become-infected/. I was wondering if by chance you know […]

Q: Dr. Eppley, I have linked you to an article you wrote in 2015 dealing with injecting fat into the scalp. I was under the impression that by injecting anything (fat) to a tight scalp it would make it more tight. However you state that introducing adipose tissue is actually beneficial for the scalp. Can […]

Q: Dr. Eppley, I am male but my facial appearance lacks masculinity. My eyebrows shape is not straight but arched, the overall vertical extension of the eye area is high, and the forward protrusion of the brow bone is minimal. Could my brow bone be augmented in such a way that the base for the […]

Dr. Eppley, I’ve had buccal fat pad removal two year ago and  it derounded my fat considerably. I am happy with the results. However, it did no good to my perioral mounds. I came across the your name online while looking for perioral mound liposuction. I wonder how much the procedure costs, its duration and […]

Q: Dr. Eppley, Do you preform breast injections with a Sculptra, or a similar lactic acid polymerized substance. And would you be willing to try a breast injection procedure? A: Breast augmentation by resorbable synthetic fillers, like Sculptra, is quite frankly a problem waiting to happen. (Sculptra breast injections) Such fillers in significant volumes create […]

Q: Dr. Eppley, I am interested in a repeat full tummy tuck with mesh reinforcement in conjunction with rib removal of the lower 3 ribs. I had a full tummy tuck done a decade ago and at the time the doctor did say that it most likely would need to be repeated with mesh reinforcement […]

Q: 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 […]

Q: 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 […]

Q: 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 […]

Q: 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 […]

Q: 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 […]

Q: 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. […]

Q: 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 […]

Q: 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 […]

Q: 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 […]

Q: 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 […]

Q: 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 […]

Q: 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 […]

Q: 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 […]

Q: 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 […]

Q: 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 […]

Q: 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 […]

Q: 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 […]

Q: 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 […]

Q: 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 […]

Q: 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 […]