Blog

Q: Dr. Eppley, I’m 25 years old and four years ago I underwent orthognathic surgery (lower jaw advancement) and a chin osteotomy because the lower part of my face was receded and short. In terms of proportions the surgery has been a relative success. However, since then my oral commissures (mouth corners) have been pulled […]

Q: Dr. Eppley, I considered jaw angle implants a few years ago and was told that the maximum width on standard implants was 11mm. This is not wide enough for the correction I would need. What is the maximum width that one can do with custom implants? A: The historic  maximum width of standard or […]

Q: Dr. Eppley, I had facial reshaping surgery consisting of rhinoplasty, chin reshaping and jaw angle implants done in Thailand three months ago. Whilst my facial structure has improved, I am not satisfied with my results and I think some of the the reasons why are that the Asian plastic surgeon is not as familiar […]

Q: Dr. Eppley, I read on the internet that you specialize in mentalis muscle resuspension surgery in case of lower lip ptosis. I have developed ptosis as a result of revision jaw surgery and genioplasty and the result is that I’m showing approximately 4mm more of my lower incisors that I did before. In addition, […]

Q: Dr. Eppley, I was looking to get an Endotine midface lift. Does the you use this technie? I’m young and had Ultherapy which caused my cheeks and nasolabial folds to droop. I would like to do a cheek lift but not through under eye incisions because I read there is risk of eye droop. […]

Q: Dr. Eppley, I am interested in a Box Osteotomy procedure. I realize this is not a routine operation but I was wondering whether you have ever performed it before and what criteria a patient would need to have to be eligible for such an invasive procedure? I am a male, with no deformities or […]

Q: Dr. Eppley, I am 35 years old and am seeking a unique transgender facial reshaping procedure. I had a chin reduction ten years ago and it was left slightly uneven. Last year I went to have it fixed along with my mandible contoured. Now I feel my face is too thin looking especially in […]

Q: Dr. Eppley, I have questions about a recent subnasal lip procedure that I just had four days ago. Here are some pictures of me, I took them today. Sorry for this miserable face but I didn’t go out since the day of the operation and I can’t stop crying all day.  I don’t look normal […]

Q: Dr. Eppley, I am interested in breast augmentation and a tummy tuck. I have had two consults which were slightly different. My concerns are dog ears from the tummy tuck and scarring from performing a lollipop breast lift. After discussing it with my husband I don’t want to get a lift as I am […]

Q: Dr. Eppley, I am interested in using fat grafting for a breast augmentation. (fat injection breast augmentation) Am I right in understanding that you can perform this procedure? If so, what do I need to do find out how I can find out more information? What qualifies one for this type of breast augmentation? […]

Q: Dr. Eppley, I am seeking gynecomastia reduction revision surgery. had a perfect chest, and put on some weight and thought gynecomastia reduction surgery would be the answer for puffy nipples and getting it more defined. Well the surgery went wrong and I ended up with a nipple indent, scarring, hepatoma and a  crater deformity. I then went […]

Q: Dr. Eppley, I’m interested in finding out how much would it be to have liposuction done to get my buttock injections removed. I’m having a lot of pain and discomfort and it seems as though the sillicone is moving down my leg and there is a lot of pressure being put on my tail […]

Q: Dr. Eppley, I was wondering what aesthetic procedures can be done to push the lower lip forward slightly and improve the aesthetics of the labiomental sulcus? I was reading one of your case studies where a man got implants put in in his upper lip, lower lip and labiomental fold. So I was wondering […]

Q: Dr. Eppley, I am interested in facial liposuction.  I just had a revision mini facelift with fat transfer to nasal folds and high cheeks and Neck lipo. I’m unhappy with the appearance of the corners of my mouth. They have a downward slant which is extremely visible and I believe this started when I […]

Q: Dr. Eppley, I had orthognathic surgery ten years ago to correct a class II malocclusion. I had  a LeFort I osteotomy, sagittal split mandibular osteotomies and a sliding genioplasty. I am very happy with my bite. My teeth meet and my quality of life has been greatly improved. There are a few things that […]

Q: Dr. Eppley, I am writing to you because you seem to be the de facto expert when it comes to brow ridge augmentation. This will be a rather lengthy and complicated post, and I do hope to be able to get your expert advice. Basically, I had fat grafting done to my brow ridge […]

Q: Dr. Eppley,I was wondering whether you agree with my assessment that my philtrum (distance between bottom of nose and upper lip) is a bit too long for the best aesthetic outcome? I’ve been thinking about this because I feel like it throws off my facial proportions a bit. The thing is I don’t feel […]

Q: Dr. Eppley, i have a few questions about my mouth. The width of my mouth is extremely short it is about the size of my nose i have been thinking of getting a surgery to fix this issue. Before i go on with the surgery i have a couple of question that i want […]

Q: Dr. Eppley, Over one year ago I had a facelift and damage occurred in both great auricular nerves. My ears have been horrible since then. I have trouble sleeping on them and I am aware of the pain on most days. Do you do a repair on the nerves? I would like to see […]

Q: Dr. Eppley, I had forehead/brow ridge and cheek implants placed a year ago with satisfactory results. I am looking for a surgeon for injectable fillers. While I am mostly happy with the implants, I’m hoping to get some fillers to ‘top up’ the aesthetic results.Anyway, I’m hoping to have the fillers injected to 3 […]

Q: Dr. Eppley, I am interested in injectable filler stop build up my brows and glabellar areas. My only concern is the risk of blindness when injecting the filler into the radix/glabella region. A few questions: 1) Would using a micro-cannula help mitigate these risks?  2) Would using a thinner filler like Restylane be recommended, […]

Q: Dr. Eppley, I am a male with two enlarged bony frontal sinus and recessed forehead above it, creating a dramatic big V above my mid brow. When I was younger I would grow my hair to cover it, but now that my hairline has receded, I can no longer hide these horrible forehead bumps […]

Q: Dr. Eppley,I am interested in facial reshaping of multiple areas. I have some questions: 1)  Ideally which order should the following operations be done?  – genioplasty  – custom jaw implants  – rhinoplasty  – custom midface implant  – brow bone/forehead implant (mimic deep set eyes with lower brow)  2) Also state which procedures can be […]

Dr. Eppley, I am interested in a custom jawline implant that extends the entire vertical length of the jawline. I wanted to know if I would be a good candidate without orthographic surgery. I just want more vertical length and do you do any kind of computer generated simulations of expected results.  Also can someone […]

Q: Dr. Eppley, Do you offer tear trough implant via transconjunctival approach? If so do you still use a screw to anchor the implant? I had both lower eye lid blepharoplasty via transconjunctival approach in 2010. Now I have a moderate amount of tear trough deformity. I am considering implant not filler. Is this procedure […]

Q: Dr. Eppley, I am interested in jaw angle implant revision surgery. I had Medpor jaw angle implants put in to correct asymmetry and enhance my small jaw several years after corrective jaw surgery. After jaw surgery my plate came off on the right side and needed to be replaced and I lost some bone. […]

Q: Dr. Eppley, My question is about the possibility of ribcage expansion surgery. Would it be possible to lengthen the bone of each rib and the clavicle in order to increase the width and overall size of the chest? In a similar to fashion to Jaw advancement surgery? Aside from cosmetic reasons I would think […]

Q: Dr. Eppley,I am interested in exploring corrective surgical measures in order to minimize a facial asymmetry. I have attached a current photograph, in addition to two x-rays taken several years ago for dental work. These illustrates the cant of the maxillia & mandible. There is also a front/back asymmetry to the cheek bones as […]

Q: Dr. Eppley, I have attached a before and after computer morph of my desired rhinoplasty changes. I understand that the aim is very ambitious, my question is whether what this change is possible. I would like the following done: 1) Flattening of the dorsal hump and increasing the nasofrontal angle, 2) Decreasing tip projection […]

Q: Dr. Eppley, I am interested in Medpor chin implant removal. I had a Medpor chin implant placed over 10 years ago and I really hate it. It is too big and is not in line (literally) with my overall facial features. Moreover, the implant is visible when I smile. While my profile looks pretty […]