Blog

Q: Dr. Eppley, I am interested in a sliding genioplasty for functional purposes. I am a 40 year old female with moderate obstructive sleep apnea with an AHI of 24 and 90% oxygen saturation at night while sleeping. I also have a very recessed chin and need a sliding genioplasty to both improve my obstructive […]

Q: Dr. Eppley, I am interested in cheekbone reduction surgery. I am a 26 year old male and I am quite self conscious about my cheekbone width. They span almost 16cm and I am wandering if it would be possible to take about half a centimeter off on each side to make my eyes (pupilliary […]

Q: Dr. Eppley, I have a question about midface implants. A  maxillofacial surgeon recommended to me maxillary advancement to correct midface hypoplasia. Can you produce similar results through midface implants?  A: The aesthetic benefits of onlay midface implants can rival if not be superior to maxillary advancement surgery. The only area in which the deficiency […]

Q: Dr. Eppley, I see you prefer to secure your chin implants with screws. I’ve searched all over my area for a doctor who does this and can’t find a single one. Do you know why this is? Is it inexperience? Is there some added risk of using screws of which I’m unaware? Do you […]

Dr. Eppley, For midface augmentation, should I choose paranasal filler (my maxilla is quite forward, my midface is flat and doesn’t point forward as you see in my picture) and cheek filler, or should I get an implant? The second question: how do I change my eye shape? As you see, I got strong dark circles […]

Q: Dr. Eppley, I am interested in removal surgery.  I was born with pectus excavatum and significant rib protrusion. I have been advised by a thoracic surgeon that the worst ribs are 7-9. The deformities seem to be limiting my lung expansion. My insurance will cover cosmetic procedures to correct congenital deformities, as well as, […]

Q: Dr. Eppley, I have a few questions about faclal implants. Can cheek implants be done with local or non general anesthesia? Also I have a short face and need to add lateral width and height but I worry about the big wrap around jaw implants involving the masseter muscle. So can we do a […]

Q: Dr. Eppley, I am interested in getting breast implants. I am a 29 year old female who has not had any children yet (would like to eventually), but has always wanted larger breasts. I am more than ready (financially and otherwise) to pursue surgery now, but am wondering if you recommend waiting until after […]

Q: Dr. Eppley, I am interested in making my chin vertically longer.  I consulted a Oral and Maxillofacial Surgeon where he took x-rays and he said that I should probably do jaw surgery because he cannot do a sliding genioplasty of more than 3 mm without any hip bone grafts. Is this true? I definitely […]

Q: Dr. Eppley, I am interested in a custom jawline implant. I have a weak jawline. I have had braces in the past so I do not think it is related to an overbite. My face is vary narrow and I am hoping that I can add some lower jaw width. I really like that […]

Q: Dr. Eppley, I have developed a neuroma after a facelift three years ago.I first noticed it when driving and my shirt collar rubbed against it and it felt as though there was something tickling my right ear.  The surgeon treated the neuroma with a steroid shot.  Although the numbness and sensitivity went down it […]

Q: Dr. Eppley, I was wondering if you have performed this type of skull reduction surgery before. I have a very pronounced bump on the top of my head near the back as you can see. I would like to have the spot reduced down to make my head shape a little rounder. I am […]

Q: Dr. Eppley, I read one of your posts about reversing cheek dimple surgery and I would like to set up a consultation with you. I had cheek dimple surgery on my left smile groove about 2 years ago. The day after the surgery I knew it was a mistake and asked the surgeon to […]

Q: Dr. Eppley,  I was wondering if you did the ‘chin wing osteotomy’ surgery which is different from a genioplasty where they move the jaw forward ? I saw your response to someone else asking the same question on Real Self and you said you’ve done it before and I was interested. Not a genioplasty […]

Q: Dr. Eppley, I would like a more elongated lower 3rd of my face with less of a square look. I previously had liposuction done underneath my chin but it has never improved. Will the chin augmentation improve this area? Also, approximately how much length in mm is needed to achieve what I am looking […]

Q: Dr. Eppley, I spoke to you this last summer on Skype regarding forehead augmentation. I  favor using bone cement as opposed to a silicone implant. Do you think burring of my supraorbital ridge will be necessary? If so, would the charge me extra? and is there a risk of damage to my sinus cavity? A: When […]

Q: Dr. Eppley, I am interested in a corner of mouth lift. I have had fillers and Dysport to lift the corners of my mouth. I don’t believe the doctor who did my filler placed it right. I have a puffy place then it goes flat and it didn’t raise the corners of my mouth […]

Q: Dr. Eppley, I am interested in chin ptosis repair surgery. I am emailing you to see if you are able to correct my chin deformity from a previous surgery five years ago. I had a chin implant removed from twenty five years ago because it made my chin look very wide and bulky. The […]

Q: Dr. Eppley, I am interested in a full tummy tuck. I believe I would accept the trade off of the scar for the results of the tummy tuck. My loose skin bothers me so much I do not take my shirt off in front of anyone and I will not wear a bathing suit. I find […]

Q: Dr. Eppley, I am interested in some type of shoulder implants. I want to correct my body shape. All of the doctors I have seen suggest liposuction from belly and then inject that fat to shoulder areas but I think this is temporary solution. I dream something like silicone implants which are created custom […]

Q: Dr. Eppley, I am interested in vermilion border advancement (lip advancement) in the sides/ corners of my upper and lower lips. I would also like to pair this with large permalip implants. I have several questions. Can these two procedures be done at the same time? What would the down time be? What is […]

Q: Dr. Eppley, I am interested in a sliding genioplasty revision. I am a young male who underwent a sliding genioplasty six months ago to fix some minor facial asymmetry. The idea was to move the chin 1to 2 mms upward and 3 to 4 mms forward. Unfortunately, this didn’t happen. Instead, the right side […]

Q: Dr. Eppley, I am interested in revision of an otoplasty reversal procedure that I had just a few weeks ago. I had an otoplasty twenty years ago where the ears were over corrected and pulled back too far. I had an otoplasty reversal done two weeks ago to project the ears further out from […]

Q: Dr. Eppley, I am interested in facial asymmetry correction. My son was born with torticollis. He had physical therapy for a few years but he still is self conscious about his eyes and the fact that his nose and chin don’t align. Is this something that you could improve? A: It can be seen […]

Q: Dr. Eppley, I want to get orbital rim implants to correct my negative vector (it bothers me a lot), and being that it’s an obscure procedure (I’ve only found you and one other doctor that performs it), my biggest concern is the implants’ safety, considering their proximity to the eyeball, and chance of migration. […]

Q: Dr. Eppley, I have an ethnic rhinoplasty question. Is there a medical term for putting a building block or supporting structure under the nose tip if you don’t have much under there? (i.e such as that in Asian and African American noses)  I thought it was a nasal strut but I don’t think that […]

Q: Dr. Eppley, This is a strange question but is it possible to get donor grafts from the part of the head that isn’t considered a donor area? I know your average person has around 8K hair grafts available from the DONOR area, but if someone wanted to access the grafts from the other areas, would […]

Q: Dr. Eppley, I am interested in revision rhinoplasty. I had a rib graft placed last year and now it is quite deviated. I want to straighten my nose and it should be a bit higher. What I don’t understand is why the rib graft was ok in the beginning and now it has deviated […]

Q: Dr. Eppley, I am interested in a nasal hump reduction rhinoplasty. I have been looking into various options to achieve a straight nose in profile. As you’ll note from my photos this really is VERY minor – I’m under no illusion that this is not the case. Despite that I’m still very apprehensive about […]

Q: Dr. Eppley, I am interested in revision rhinoplasty. I have a problem with my deviated nose. This is the result of the rib cartilage placed in my nose which has become deviated. I had a nose job done in 2011 in Korea. It was fine at that time but now the deviation of the […]