Blog

Q: Dr. Eppley, My rhinoplasty is tricky as my stiff columella is my main complaint. wonder if the actual columella bone can be shaved without addressing the tip of the nose.  I have read about anterior nasal spine reduction but I am not sure what that is. I am open to suggestion. A: The reason […]

Q: Dr. Eppley, I want a reductionrhinoplasty that will really make my nose smaller. I have attached a picture which shows how much reduction I want. Is this possible? A: The limitations of a reduction rhinoplasty are largely skin thickness based. In thick skin more major support reduction (osteocartilaginous structures) can be met with ‘skin […]

Q: Dr. Eppley, What is the cost of start to finish with Breast Augmentation. I am concerned that I may need a breast lift as well but I see you have a before and after photo on your website when you click on the breast tab and below its says large breast implants there is […]

Q: Dr. Eppley, I am jnterested in rib removal surgery.I will like to slim my waist. I’m a bikini fitness competitor and my waist is very width. Off season (photo) I have 70 cm, in season I have 67 cm. I don’t know is there is another procedure that can help me slim my waist. […]

Q: Dr. Eppley, I am interested in transgender buttock implants. I’m looking for assistance in achieving an hourglass figure, fat transfer and/or liposuction are not an option as I have always had minimal body fat. I know that some surgeons do not like to operate on transgender women. I am transgender, and have lived “full […]

Q: Dr. Eppley, I am a 55 year old female who was on the oral bisphosphonate, Actonel, for about 5 years. I last took this medication about 5 years ago. I had a CTX test done in October (level was 215), because I was contemplating jaw surgery to correct a midline issue. Neither local oral […]

Q: Dr. Eppley, I am interested in cheek implant replacements. I had cheek implants placed two years ago. As a result, my cheeks are uneven and prominent in the wrong place. I want high cheekbones and also the uneveness of the current submalars makes one cheek look higher and more prominent and throws my jawline […]

Q: Dr. Eppley, I am a 28 female with bad dark circles. I would like to have hyaluraunic acid injectable filler to improve the look of my under eyes. I have attached some pictures without makeup for your consideration. I have never had any procedure performed before. Am I a good candidate for the under […]

Q: Dr. Eppley, I understand that you are the inventor of the Brink Peri-Pyriform implant. I am writing you to inform you that this implant improved my speech and my life. I am American-born Chinese, and English is my native language. However, until I had the Peri-Pyriform implant put in, I always had a significant amount […]

Q: Dr. Eppley, I am interested in a breast implant exchange. I want to change from Mentor moderate plus silicone breast implants to moderate classic profile silicone implants with the same submuscular placement.(dual plane) I want only Mentor smooth round moderate classic profiles in size 385cc or 405cc. I want the most natural natural results […]

Q: Dr. Eppley, I’m concerned about my right buttock implant. I had large buttock implants (625ccs) placed above the muscle about one year ago. My right buttock implant seems to be lower than my left and it seems to continue dropping. As shown in the attached pictures the left is the perfect buttock while the […]

Q: Dr. Eppley, I have some questions about custom facial implants. 1. How long is the standard recovery process after chin/jaw surgery? Is one week reasonable to plan? Please note, I´m not looking for an exact number of days, only an estimation. 2. The webpages you provided, while helpful in delineating different procedures, do not […]

Q: Dr. Eppley, I stumbled upon your case study for vertical orbital dystopia when researching potential corrective procedures for just that. I’m a 27 year old male who has orbital dystopia with about the same severity as the guy in your study and I’m curious what the ballpark price would be for such a procedure. I’ll gladly […]

Q: Dr. Eppley, I notice you also do a surgery that can increase the width of your mouth. (mouth widening surgery) Can this be combined with a corner lip lift? Also does the procedure that increases the size of the mouth help the smile out? I notice when I smile I only have about 4 […]

Q: Dr. Eppley, I am interested in occipital knob reduction surgery. I have an occipital knob I would like removed on the back of my head. My initial questions are: 1) would I need to arrange a scan or something similar over here to send to you or would you be able to see enough […]

Q: Dr. Eppley, I am interested in chin ptosis correction by reduction of bone through burring or shaving (to reduce blunt and  long chin) and chin resection for removal of excess soft tissue to correct my chin ptosis. I had a sliding genioplasty and ever since I have always had a problem when I talk […]

Q: Dr. Eppley, I am  interested in temporal implants. I wanted to know if you have picture of the scar like one year after surgery? Or just a picture of the scar, to know what it will look like. I like to keep my hair shorts, and I wonder what it will look like? As […]

Q: Dr. Eppley, We had previously discussed that a button chin implant would be an option for me if I wanted to make the bottom of my chin appear less squared off.  I tried the filler as you suggested and actually really liked the rounder/pointier shape… but since I feel like my face is already […]

Q: Dr. Eppley, I have some lateral brow questions. 1) What are the most common complications or patient complaints associated with a lateral brow lift in your practice? Are these permanent? 2)  Will the temples/forehead be numb after a lateral brow lift? 3)  Approximately how many millimeters of lift can I expect? 4) Will my […]

Q: Dr. Eppley, I’m about 6 weeks after placement of a custom jawline implant. To be honest, I’m not too thrilled about the results and would like to possibly schedule a revision surgery with yourself. First off I’d like to tell you the situation with my custom jawline implant. On the positive side, in terms […]

Q: Dr. Eppley, I’ve been diagnosed with lupus and ITP. However, my platelet count was always low (lowest was 12) back in 2013 when I went for my blood work to have a rhinoplasty. I was prescribed steroids to take to increase the count and undergo surgery. So I think I had lupus back then […]

Q: Dr. Eppley, I am researching jaw angle implants and am seriously getting ready to choose a doctor. I consider you to be one of the top few in the nation, and have read your blog on how you’ve never experienced a tear with the masseter sling with jaw angle implants. However, is there still […]

Q: Dr. Eppley, Can a corner lip lift combined with a subnasal lip lift bring about the same results as a gullwing lip lift if you want to try to do avoid as large of a scar at the vermillion border as possible? How much can alar retraction be corrected in millimeters? If oyu have […]

Q: Dr. Eppley, I am interested in getting breast implants but am uncertain if I need a breast lift also. I saw a breast augmentation patient you had done who looked somewhat similar to me and she was able to have a good result with large implants alone. I was wondering if I might obtain […]

Q: Dr. Eppley, I am interested in facial plate removal as part of other cosmetic facial work being done. But I have four titanium plates in the left side of my face from a previous facial trauma. Can I have those facial plates removed at the same time as the cosmetic work as well. A: […]

Q: Dr. Eppley, I am interested in occipital and forehead augmentation. I am aware of custom forehead and occipital implants but I have several questions for which iIhope to get answers. 1. I do know through research that there are alternative material called PMMA, how does this compare with pre fabricated silicone ? 2. Which […]

Q: Dr. Eppley, I just got buttock  implants done (425cc), but they are no where near the size I want. I was wondering is there anyway for you to add to my hip/ butt area maybe with more implants? I can’t do a fat transfer  as I am too thin. A: Thank you for sending […]

Q: Dr. Eppley, I am seeking vertical facial lengthening.  I am told and agree, that my face is short and looks clamped. My dad has a bite issue and his face also is short but not as short as mine. I was told by an orthodontist that it was a borderline deformity. I have noticed […]

Q: Dr. Eppley, I had a sliding genioplasty done two months ago and I think that it has shifted. I am not sure if there is a gap on part of it because of the shift. I would like your opinion and evaluation.  A: Thank you for your inquiry. I understand that you think your […]

Q: Dr. Eppley, I am seeking a skull implant. The crown of my head is flattened out in the back and I would like to have the back of my head have a more rounded shape to it. I’m bald and wear a hair system that’s adhered to my scalp right now. But I am […]