Blog

Q: Dr. Eppley, I am interested in custom infraorbital-malar implants to replace my existing tear trough implants. Your initial statement about that I have to be careful when the result is “good enough”.But there is a couple of things that bother me with the current orbital rim implant.I already described the uneveness of the implants […]

Q: Dr. Eppley, I am interested in skull reduction surgery. I would like to get the right side of my skull reduced. Its so bigger than the left side which is itself normal in size. This makes me look like big headed and I feel very uncomfortable with it. So is there a possible way […]

Q: Dr. Eppley, I’m a 24 year old male and, due to an untreated positional plagiocephaly in early infancy, the right posterior part of my skull is flattened showing the typical pattern of occipital postural plagiocephaly with an asymmetry of 6 mm between the two cranial vault diagonals. Since I got my hair shaved because […]

Q: Dr. Eppley, I have a small mouth and it makes me very uncomfortable especially when I talk I feel like people are always judging me. Anyway I heard that you can do a procedure know as lateral commissuroplasty or mouth widening. Now I am aware of the trade off of scars and am not […]

Q: Dr. Eppley, is the laser used for eyelid lift? (aka Laser Eyelid Lift) Is this a real procedure? A: The simple answer to your question is largely no. The concept of a ‘Laser Eyelid Lift’ is one that is more of a marketing concept and not an improved or contemporary blepharoplasty technique. Using lasers […]

Q: Dr. Eppley, I am a young Asian male whose brow bones are flat, and is seeking to get them stick out through brow bone implant surgery. Would there be any long and short term side effects through implants, considering the amount of delicate nerves that lies in close proximity? A:The nerves to which you […]

Q: Dr. Eppley, I am interested in a sliding genioplasty reversal. I am a 26 year old female that is almost 3 years post op from a sliding genioplasty. I’m unhappy with the results and original surgeon has offered to reverse it, but I have numbness and my lip has never returned to its previous […]

Q: Dr. Eppley, I am interested in the tracheal shave procedure. I am a young female with a trachea that protrudes out quite a bit especially while looking up. I’ve been self-conscious about it for almost my entire life, since puberty. I’ve consulted with another surgeon and she believes she can go in through a scar […]

Q: Dr. Eppley, I am interested in skull reshaping. I want to understand the differences between the materials that are used for skull augmentation and the risks. Can these materials cause infection or can your body reject it? Also, will they have to be replaced with new ones after a certain period of time due […]

Q: Dr. Eppley, I have typical flat back of head. I am interested in custom skull implant augmentation.What is full cost of augmentation. How many days would I need to stay there? Is it local anesthesia? I can’t seem to find anyone in this area that does this..if you know please tell me as I […]

Q: Dr. Eppley, I wanted to get an idea of what my options would be should I need a custom facial implant revision should it end up being too big or too wide. How many months after surgery could the implant be reduced in size?  A: When revising any facial implant it is first important […]

Q: Dr. Eppley, I am trying to decide between having a facelift or getting laser resurfacing. I am using Retin A religiously and have seen improvement . Have been using it for a little over a month. I am supposed to have CO2 laser next month but I am not sure if I want to do […]

Q: Dr. Eppley, I am interested in temporal hollowing correction surgery. I have attached some pictures of my temporal areas. My temporal hollowing tarted after I had filler injected into my cheeks four months ago. I had one syringe of Voluma in each check, the “apple” area of the cheek only, but injected quite deep […]

Q: Dr. Eppley,  How long does the recover take for the Sagittal Crest Skull Reduction procedure? My husband and I would be flying in. He has been self conscious of this for a long time and has been looking in to it but I would like to know more about the procedure myself.  How long […]

Q: Dr. Eppley, Could you give me a bit more information on the infraorbital implants approach to undereye concerns? I’ve researched online and many sources state fillers/fat grafting as the best solution due to the high risk of asymmetry and unnatural appearance through implants. I’ve also heard that implants do not age well. Would these […]

Q: Dr. Eppley, I have few more question since our last conversation related to custom silicone implant for back of the head augmentation. It’s not urgent so please reply when you have some free time. 1. When the silicone implant is placed on the back of the head is there some bone erosion or bone […]

Q: Dr. Eppley, I’m wondering if a vermillion or lip advancement can change the actual shape of the lips? I have a flat/undefined cupid’s bow that I’d like to augment along with the rest of the lips, but Juvederm only flattens thie cupid’s bow even more. Plus I am tired of spending money and to […]

Q: Dr. Eppley, I am interested in facial asymmetry correction.  I just had lower jaw surgery for an underbite. I had the bottom jaw rotated to the left as my jaw was deviated a but, but even after the surgery was finished, I still had asymmetry. I want this issue fixed if possible. One side […]

Q: Dr. Eppley, I am interested in facial asymmetry surgery.  I feel as though one side of my face sags down (the right). I have spoken to a facial surgeon in my city and he believes that it is natural asymmetry in my face but I believe it is because of my accident which I […]

Q: Dr. Eppley, I’m interested in a testicular implant replacement with the silicone implant. I have read some of your case studies on your website about testicular implants, I think the one I have now  is the saline implant. it is very firm and is attached too high. uncomfortable at times and the attachment point hurts sometimes. […]

Q: Dr. Eppley,I’m a 26 yearr old woman from South Korea. I want to do custom facial implants for two sides of my kaw. I had a bad surgery two years ago and they cut off my two sides of jaws way too much and also sliding my chin upward which made my face look […]

Q: Dr. Eppley, I wanted to ask a very brief question for your blog that is relevant to me, and I believe will help others. Custom skull implants can cover the entire bony skull, forehead and brow, the scalp tissue permitting. Because of financial constraints I cannot afford multiple implants. However I want augmentation of […]

Q: Dr. Eppley, we’ve been emailing for the last 3 years about my skull shape and various skull reshaping methods to improve it. I hope you’re doing well. Last we emailed, I was thinking about getting two parasagittal skull implants which would require a pair of of 2.5 cm incisions. Is that still the best […]

Q: Dr. Eppley, I have read from a few plastic surgeons that bone erosion can occur some time after a jaw/chin implant procedure. (jaw implant bone erosion) Would you mind elaborating on this for me? Will this effect the result in the future? How can I minimize bone erosion? A: To put those comments into […]

Q: Dr. Eppley, I am interested in chin augmentation. I have attached a few photos band a facial analysis report from another surgeon. My goal is to define my jaw, neck, and balance my chin for a chiseled appearance. I am also interested in eradicating the horizontal neck lines. I plan on losing 20lbs before […]

Q: Dr. Eppley, I am interested in several face and body procedures. For the face I am interested in buccal fat removal and maybe chin augmentation. I really want a more defined Jaw so we would have to talk and see how you could achieve those results. For the body, I am interested in body […]

Q: Dr. Eppley, Could possibly send me two pictures of the difference between a linear and non-linear jawline shape? That would be very helpful in the designing of my custom jawline implant as I am still not sure what the difference looks like on real people’s faces. A: The concept of linearity in jawlines is […]

Q: Dr. Eppley, I had a buccal lipectomy three months and now my face is slim and less square. I would like to have jaw angle implants to have a wider and more square face again. I have attached some before and after pictures so you can see how my face has changed. A: Thank […]

Q: Dr. Eppley, I am interested in skull reshaping. I want to understand the differences between skull augmentation materials that are used and their risks. Can these materials cause infection, can your body reject it? Also, will they have to be replaced with new ones after a certain period of time? A: In answer to […]

Q: Dr. Eppley, I have been researching the jaw implant recovery process. However I can’t find much on the recovery from jaw angle implants, whereas there is a lot on what is it like after orthoganthic jaw surgery. Can I take it that the recovery process is the same. For example follow the advice on diet, ice packs, sleeping upright and […]