Blog

Q: Dr. Eppley, I am inquiring about a possible reduction in the “chin pad” on my chin. I actually previously had an actual chin reduction where the bone was burred down, and I was quite happy with the results of this compared to what it was before.  The surgeon did the reduction via submental incision, […]

Q: Dr. Eppley, I had a fat graft 4 years ago that I am unhappy with. I have too much fat particularly along the jowl line and near my masseter/jaw area. It feels as if some of the fat near the sides of my jaw/masseter has calcified. Do you think that either 5FU or diluted […]

Q: Dr. Eppley, Should I take out a 10 year old chin implant (silicone button type) first several months before a sliding genioplasty? Or can it be done at the same session as the genioplasty? If the latter (keep chin implant in until genioplasty operation), will it affect the accuracy of the cephalometric analysis? What […]

Q: Dr. Eppley, I am interested in cheek implant removal surgery.What techniques are used in Medpor removal to avoid any tissue sag? Does Medpor hinder the face returning to normal after removal. A: Any cheek implant removal has the potential for a soft tissue sag thereafter, regardless of the material composition of the cheek implant. […]

Q: Dr. Eppley, I have a prominent sagittal ridge on my skull that has bothered me greatly since I began losing my hair several years ago. I’ve viewed your before-and-after sagittal ridge reduction photos, and have a couple questions for you: As you can see from my attached profile photo, the midline ridge on my […]

Q: Dr. Eppley, I had my only child two years ago and since then have lost 50 pounds. Although I am working to lose weight, I am only seeing my tummy continue to sag. As a type 1 diabetic, the saggy skin on my tummy has now gotten to the point I can’t attach my […]

Q: Dr. Eppley, I am interested in the following procedures: 1) Lateral commisuroplasty 2) Bullhorn lip lift My questions are: 1) Is it possible to have the procedures in the same setting? 2) Are the procedures done under local anasthesia or twilight sedation? 3) What are the costs involved with the procedures? My main concerns […]

Q: Dr. Eppley, I have had cheek implants for four months now and dislike them and want cheek implant removal. I’m sure this is a common story. The implants are Design M Malar by Medpor and I would like them removed by yourself. I had a bad experience with my surgeon and don’t want to […]

Q: Dr. Eppley, I had a stomach stapling done in June  and have lost 56 pounds. I have had a tummy tuck, breast reduction and a brachioplasty ten years ago but have obviously ruined that. But now I’m on a healthy eating plan for life. I’m 64 years old and wondering what you would recommend […]

Q: Dr. Eppley, I had a rhinoplasty done a week ago and my nose splint is still stuck tight despite my repeated showers and letting water run over my face. Do you have any suggestions that will help me remove it? A: Sometimes the nasal splint gets very loose and other times it can be […]

Q: Dr. Eppley, I am at a stage where I am set on receiving a frontal jaw width reduction procedure, but the question really comes down to which procedure. I thought jaw reduction surgery will be the answer to my problems, but I know that I also have quite large masseter muscles. Will jaw reduction […]

Q: Dr. Eppley, I lost my frontal, temporal, parital skull due to an accident. My surgeon used peek polymer for a skull reconstruction. I am not pleased with the sides and it feels like screws are sticking out all over and hurts. I’m not sure what to expect from such a large cranial reconstruction and […]

Q: Dr. Eppley, Do you have experience with facial feminization surgery? Particularly with forehead recontouring, rhinoplasty, adam’s apple shaving, and hair line lowering? A: I have considerable experience with facial feminization surgery (FFS) procedures, particularly the four that you have mentioned which are some of the most common FFS operations. All can make very successful […]

Q: Dr. Eppley, I am interested in a less complicated process to nose reshaping. I have researched non surgical rhinoplasty. Can I achieve the same results using Restalyne as with a surgical rhinoplasty? I’d like to raise my drooping tip, then straight/sharpen my bridge to give appearance of thinning?  A: Injectable fillers in the nose […]

Q: Dr. Eppley, I would like to enquire about skull reshaping. I’m a 38 year old male and I remember from when I was a teenager that my skull changed shape on top. I developed a ridge at the top near the crown. It looks similar to the person on your website who you treated […]

Q: Dr. Eppley, I wanted to know if during brow bone reduction will the top of my eye socket orbit be addressed as well to better define and make my eyes pop a little more? Could the protrusion of my forehead upper and mid section be burred down also as the bulging extends beyond the […]

Q: Dr. Eppley, I am going to undergo a variety of plastic surgery procedures on my face in the next few months but I have one big concern. I fear that everyone will know that I had surgery and I will have an obvious look that I have had plastic surgery. While I see the […]

Q: Dr. Eppley, the sides of my head stick out and are very round. But if I pull my jaw down the sides go flatter as shown in the attached picture. Hopefully this could be corrected with some type of temporal manipulation? Also I have a pointy sagittal ridge which hopefully could be rounded off. […]

Q: Dr. Eppley, I would like to create a more deep-set look to my eyes. That is, the nose between the eyes is not visible in the profile view. I was thinking of having a custom forehead and brow ridge implant to bring them in front of the eyes, and a Le Fort II osteotomy […]

Q: Dr. Eppley, I had done a facial scar revision on my jaw bone at mandibular line by w-plasty method because I have the problem in past my scar get created to hypertrophic scar after some month so i choose w-plasty option. Now it is 7 month completed kindly find the attach photo of my […]

Q: Dr. Eppley, I had a skull reconstruction due to a golf ball size defect on the back of my head where the bones meet. I had a Medpor implant placed and it had gotten infected and then caused a skull osteomyelitis. I’ve been told that only fat grafting now is the only treatment option. […]

Q: Dr. Eppley, I am interested in forehead augmentation but I am unsure what the ideal is so I want to ask you the expert. What in your opinion is the ideal forehead shape? I have two thoughts: 1) A strong straight vertical type forehead with no brow ridge, just straight up and down and […]

Q: Dr. Eppley, I would like to get a tummy tuck, breast lift and aug, as well as some liposuction. I have a vacation in April that I would like to look like a million dollars for!! What is the best time to have this surgery? A: Your description of plastic surgery to help reverse […]

Q: Dr. Eppley, What type of procedure may work to reduce lower cheek fat. I have gotten filler in my cheeks, but it made no difference. I would prefer non surgical. I provided two photos for you to view, one at rest and one smiling. As you can see the smiling photo shows the problem […]

Q: Dr. Eppley, I have a crooked chin after genioplasty 6 weeks ago. After the swelling went down, the shape veers to the left. It looks lower than the right. My chin originally is very small and after this procedure it looks more sharp and just goes to the left. before surgery, i had slight […]

Q: Dr. Eppley, I have read on your website that it is sometimes possible to remove about 5mms or so of a skull protrusion. Is this sometimes possible with a protrusion on the back of the skull? I have attached some pictures that will hopefully be helpful. I don’t think of it as a knot […]

Q: Dr. Eppley, After my multiple body contouring procedures, just checking in to see if what I’m feeling right now is normal. I can’t seem to muster up any amount of energy and I’m feeling very lethargic and the overall discomfort is quite exhausting.  Also the backs of my hands where the fat was injected […]

Q: Dr. Eppley, what can I do to make sure my breasts won’t be too far apart after getting breast implants? I know that breast augmentation doesn’t change where your natural breasts sit and that it only enlarges them. But I simply don’t want my new breasts to be too far apart. What can I […]

Q: Dr. Eppley, I was wondering if it would be possible for you to perform a genioplasty subtle enough that my friends and family will not instantly wonder what happened to my face. I plan to not tell anyone about my surgery, so this is important. I really only want it moved forward a couple […]

Q: Dr. Eppley, I’m very interested in deltoid implants. I have a very narrow biacromial width and an ectomorphic body type. Tendonitis in the wrists for years has lead me to be unable to engage in hypertrophy training with free weights so I’m looking for an alternative solution to help overcome the insecurity that comes […]