Blog

Q: Dr. Eppley, I had a lip reduction six months ago which, quite frankly, did very little. It may have resulted in a 10% reduction of my lip size. I am now considering further lip reduction surgery for better results but have a few questions. 1) I’m looking for very specific results so I need to […]

Q: Dr. Eppley, I’m considering getting the custom skull implant for skull augmentation to build up the back of my head. Can you please share your experience of this type of skull implant surgery you have performed? A: When considering preformed silicone implants for occipital or any skull augmentation, there are two basic methods to […]

Q: Dr. Eppley, I’m very interested in pursuing skull reshaping surgery to fix a congenital defect involving the right side of my skull. For as long as I can remember, it has been both a cosmetic concern and one of comfort. (causing pain/discomfort with prolonged lying on the right side or with wearing helmets of […]

Q: Dr. Eppley, I am interested in a lip lift. I have very thin lips and a long upper lip. I want them to have more shape and size although I don’t want them to be too big. I have read about lip lifts but am not sure what I really need. I would like […]

Q: Dr. Eppley, I am interested in custom cheek implants.  I has severe sleep obstructive apnea and it took maxillomandibular advancement surgery where both jaws were advanced about 8 MM) to finally cure me.  As you can from the attached photos the maxillomandibular advancement surgery changed my face for the worse. Some people do not […]

Q: Dr. Eppley, I have had rhinoplasty, Medpor jaw angle implants (11mm projection) and silicone chin implant (medium 7mm). But I want a stronger look that is more masculine. I  also want cheek augmentation and I want a stronger chin. But the biggest chin implant I can find only gives 8mm horizontal projection so I’m […]

Q: Dr. Eppley, I’ve been looking for a more permanent solution for a lip augmentation. I was looking into fat grafting, but I understand that that procedure may not turn out as well as I would like if not done by a surgeon who is very experienced in that procedure. I’ve also been looking into […]

Q: Dr. Eppley, I have a problem with the mentalis “balling up” when I try to elevate my lip after having a genioplasty. Prior to the genioplasty I had an indentation (not really a cleft but a small ridge) in the lower middle of my chin, this since is gone and simply looks like a […]

Q: Dr. Eppley, After doing some more research, I’ve also wondered about the possibility of facial liposuction or a buccal lipectomy with my vertical chin lengthening procedure.. I know that buccal lipectomy has to be done selectively, because it can cause a gaunt look. Do you think that buccal lipectomy or some cheek liposuction would […]

Q: Dr. Eppley, I feel my chin is strong and I like my cheekbones, but they are wider than my jaw rami. I would simply like to add width to the lower third of my face by jaw angle implants. How can that be done? I have attached some pictures of my face so you […]

Q: Dr. Eppley, can I get a wrap around jawline implant made of Medpor material? A: There are two basic types of wrap around Medpor implants depending upon how you choose to have them preoperatively prepared. There are preformed implants (a variety of chin and RZ angle styles (also known as the Matrix system) and […]

Q: Dr. Eppley, I came across your website in search of a surgical procedure that would add more volume to the back of my head. (occipital augmentation) I have essentially a flat head, and would like to change that. My question is; what is the average price (I know they are not all the same) […]

Q: Dr. Eppley, I would be pleased if you could tell me if in my case whether an endoscopic midface lift would help to get rid of the sagging face after cheekbone reduction? A: I have read through many explanations of facial sagging and its causes and treatments after cheekbone reduction surgery and find very […]

Q: Dr. Eppley, I have thought about liposuction a long time on my abdominal area which has always had a roll, even as a child. I would like to consult on liposuction and perhaps breast augmentation. I am going on vacation by the middle of June and did not know if it is even possible […]

Q: Dr. Eppley, from my research and various consultations, I believe Medpor facial implants is the way to go. I have heard that with silicone it will eat away the bone’s density as it has shown on my latest CT scan. (which was sent to you also)  Over years will the bone keep deteriorating from […]

Q: Dr. Eppley, I really need an opinion on what I should do to correct facial sagging or ‘bulging’ around my perioral area. I had upper jaw surgery six months ago which was a maxillary impaction. Since then, the left side of my face looks normal but the right side looks ‘pouchy’ and droopy to […]

Q: Dr. Eppley, I am interested in a cranioplasty. I have a depression in my forehead for the past twelve years. I am twenty-two years of age and this depression started showing around age ten and has just been there ever since. It makes me feel alien, I don’t like taking pictures, I only comb […]

Q: Dr. Eppley, I am inquiring about temporal muscle reduction surgery. My husband’s temporalis is very prominent when he chews and I was wondering if this is something to be worried about. He’s a healthy 25 year old and has no symptoms. Can this be fixed? A: Having prominent, large or hyperactive temporalis muscles is […]

Q: Dr. Eppley, I would like to find out if I am a good candidate for chin ptosis repair. I have been doing some research online and found your name. I am interested in a possible facelift later but wanted to address my chin at this time as it is a problem I have had […]

Q: Dr. Eppley, I have a question about perioral mound liposuction. Do these mounds include the triangle from the corner of the mouth down to the jaw line? I was wandering if the jaw can be reached through the same procedure (I read on realself that you liposuction through the inside of the corners of […]

Q: Dr. Eppley, I am seeking a chin implant revision. I had a Medpor round chin implant six months ago. I’m not satisfied with the thick sides with visible edges at the end and round shape. I want a square front but with shorter thinner more blended wings. About 1 months ago, I went back […]

Q: Dr. Eppley, I am seeking a chin implant revision. I had a Medpor extended large chin implant and I’m seeking for a revision. One reason I’m not satisfied is the sides are very wide and do not blend in my own jawline and I can feel the edges where it ends. Another reason I’m […]

Q: Dr. Eppley, I’m looking for some lip scar revision. Years ago I had Goretex strips implanted. Doctors finally took the implants out but tubular scar tissue remains that has not gone away even after shots of Kenalog for at least a year. I’ve also used mouth stretchers and massaged which has helped somewhat. However […]

Q: Dr. Eppley, I am interested in temporal artery ligation. I have an artery (or arteries) with small broken capillaries around it on the right side of my forehead. It weekly bulges and swells, then goes down a little over five to seven days. This has been going on since January. It never completely disappears. […]

Q: Dr. Eppley, I am interested in temple augmentation I have a narrow forehead and narrow temporal region but the length of my forehead is fine. I was wondering if theres a procedure to widen the forehead and temporal muscle permanently as its really bothering me? I have provided an example in the photos of […]

Q: Dr. Eppley, I am seeking a revisional rhinoplasty. I have had three nose surgeries, the last two years ago. Five years ago I had a rhinoplasty and revision by one surgeon but I was left with a bone spur on the bridge and a long nose with a heavy tip. I then had a […]

Q: Dr. Eppley, Can you tell me the difference between custom skull implants vs bone cement skull augmentation? Which method is safer, how do they compare in costs, and the long term outcomes of both methods.  How long can custom implants stay in without complication? Does bone cement break down?  Does one method seem to […]

Q: Dr. Eppley, I am inquiring about a cheek lift procedure. I had cheek implants placed four years ago. The right cheek had to be redone less than a month after placement because the implant had gotten loose and falling. Now that same cheek is loose and detached and sags and I also have a […]

Q: Dr. Eppley, I recently had lower buttock lifts performed and I am concerned. I had a  banana roll deformity and I had the skin removed and a scar line created. At two months after surgery there are ripples by the incision line. While the incision line is thin I can’t help but notice, feel […]

Q: Dr. Eppley, I have pretty substantial acne scarring and I would really like to have a procedure to remedy this. My scars cover a large area of my face, most of them are small indented scars but there are a few larger ones. I’ve looked into laser scar removal and chemical peels, but I’m […]