Blog

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 […]

Q: Dr. Eppley, I was diagnosed Linear Scleroderma at the age of 7 years old. Due to this disease it has created a bald spot that I am able to cover with my hair on the top on my head. This bald spot is about two inches wide and five inches long. I also have […]

Q: Dr. Eppley, I am interested in eye asymmetry surgery. I was born with congenital torticollis. The torticollis was not caught early and resulted in me sleeping exclusively on my tummy with the left side of my head smushed against the mattress as a newborn/infant which resulted in the asymmetry in my face. My head/neck as a […]

Q: Dr. Eppley, I am a transgender male to female who is investigating how best to further reduce the masculinity of my face. Overall, my face has a width problem with wide temporal muscles, laterally protruding cheekbones, and a wide chin. I spoke with you on the phone a few months ago about the temporal […]

Q: Dr. Eppley, I had Pectus Excavatum implant surgery over twenty years decades and have had any problems with it and have been happy with the results. This past fall I got struck on my chest on the right edge of the implant. Quite quickly a bulge appeared but there was no skin break. I […]

Q: Dr. Eppley, I have  a deep vertical groove in the area between my eyebrows. I have tried Botox injections but it didn’t do a thing. I even tried injectable fillers but it also didn’t improve it. What do you think about a glabellar implant to help push it out and make it smoother? I […]

Q: Dr. Eppley, I want like to have a sliding genioplasty to bring the chin forward to balance my facial profile. I also thought of another option to have a solid hydroxyapatite chin implant (not paste) with hydroxyapatite screws, is this possible? I have some questions. -How long does a sliding genioplasty take to perform? -How much projection can […]

Q: Dr. Eppley, I am looking to get a chin reduction, I have lots of soft tissue and bone that sticks forwards when I smile. However when I don’t smile my side profile looks slightly weak due to the way the soft tissue sits. I also have a small overbite. My face structure becomes very […]

Q: Dr. Eppley, I just had some concerns regarding the silicone skull implants. The first concern I have read about are possible issues with erosion of the skull over time by the implant.The second is something about water collection within the implant over time.What are some adverse side effects that may be possible due to the […]

Q: Dr. Eppley, Do you also use Allofill? And if so, what experiences did you make with it?After two cheekbone augmentations with Medpor implants (after the first augmentation with Medopr Malar Shape implants, another Medpor implant was placed over the lateral part of the cheekbones, which was carved from a Medpor block), one can now […]

Q: Dr. Eppley, I am very interested in the tear drop breast augmentation procedure. I am currently a small B and would like a small change to maybe a full C. I really want a natural look and a small implant so that my breasts still look natural and do not stick off my chest […]

Q: Dr. Eppley, i had a few quick questions about Medpor chin implant removal in advance so that I can speak with you with a clearer understanding of surgical possibilities next week. 1) If an implant is placed via an intra-oral incision, can it still be accessed via a sub-mental one? 2) Instead of removing […]

Q: Dr. Eppley,I talked to my surgeon and he explained some of the difficulties that may come of infraorbital implant removal. You see I had it done together with a SOOF lift and lower eyelid retraction surgery and so removing the implant might compromise the support of the lower eyelid area. I wanted to ask […]

Q: Dr. Eppley, We spoke several months ago about my slipped rib and the possibility of having rib removal surgery for it. I’ve tried to manage things conservatively but my pain has not improved. In weighing the risks-benefits of an eleventh and twelfth rib resection, one of my concerns is the risk of a flank […]

Q: Dr. Eppley, I came to your office back in August of last year. I had a temporal artery ligation on the right side of my head. The procedure went very well and is still holding up fine. I am planning to come back in the spring or summer of this year to have the […]

Q: Dr. Eppley, it has been a while since I last spoke with you and I have been thinking more about the paranasal implants. In the photo morphs you sent me, we had adjusted the degree of projection to be a little bit less than the first morph sent a while back. In the current […]

Q: Dr. Eppley, I have some concerns regarding my head shape. To be specific, I have some abnormalities that are isolated to the top of the back of my head. I have one quite big indentation, probably caused by something hitting me to the head when I was younger, which also has caused the skin […]

Q: Dr. Eppley, Two questions about buttock implant removal: 1.Do you remove the capsule? I would like to try fat grafting in the future to try to achieve a more normal appearance.  I understand if the capsule is not removed or if it does not close completely the injected fat can die if it is […]

Q: Dr. Eppley, I am a young female from Montana. I am interested in lip advancements. I just have a few questions about the lip advancement procedure. I have pretty full lips. I have lip implants in currently and I like them. However, I would like my lip size to be a lot bigger. I […]

Q: Dr. Eppley, I am writing to ask about the paranasal implants. I have been doing research on this type of facial implant for a while. I have some questions. One is what is the material for the implants? Will it affect my facial expressions? How long will the implants last? Will they move around?  […]

Q: Dr. Eppley, Dr Eppley, five years ago I received illegal silicone buttock injections once and I believe it is catching up with me now that I’ve become pregnant. I lost a ton of weight in the beginning of my pregnancy from being sick and was in the bed for months. I started noticing 5-6 […]

Q: Dr. Eppley, What bothers me most is my side facial profile. My nose looks big because my teeth were pushed back so far with braces as a kid. I realize it was the common practice decades ago to pull teeth instead of widening the arch and pulling my lower jaw forward. I know it’s […]

Q: Dr. Eppley, I am seeking treatment for an apparent linear scleroderma. I am delighted to know there is something that can be done to restore or improve my facial appearance. Is it common for a discoloration of coupe de sabre that was a relatively small discoloration to enlarge and become indented with age? In fact, […]

Q: Dr. Eppley, I’m interested in having male facial sculpting through buccal fat removal and cheek implants. However I’m a bit unsure about the jawline area as whether I should get just liposuction or submentoplasty or custom mandibular implants. I’m aiming for a more chiseled jawline and masculine look. I’ve attached a stock image of […]

Q: Dr. Eppley, I am interested in waistline reduction by rib removal. Here are some selfies and staged shots of my waistline. In my professional pictures of course the illusion is altered with posing and editing to create more curve but Ive always worked at it. I was drawn to you and how you spoke on […]

Q: Dr. Eppley, I have developed a buttock implant incision opening. I have been putting antibiotic ointment on my buttock incision and washing it with Hibacleanse but, a few times when I sat down, lots of fluid came out of the incision. (clear pinkish yelllowish no bad odor or anything) I have to use Maxipads […]

Q: Dr. Eppley, I have some questions about my upcoming custom forehead implant surgery. 1. Is it possible the implant can shift? 2. Can you take me through the surgical procedure and describe how the implant(s) will be placed? What materials are being used? How big are the incisions? 3. Will I still feel sensation […]