Blog

Q: Dr. Eppley, I have facial tics from Tourette’s syndrome. The facial signs that I have are that I blink frequently and occasionally will wrinkle my nose. I have researched Botox for facial tics and would like to know what you’re experience is with this. I can get past the social awkwardness the tics cause […]

Q: Dr. Eppley, you have written that the collagen stimulated by the Sculptra injections disappears once the Sculptra crystals are all gone. Since the effects of Sculptra last on average 2 years, your implication is that the crystals remain on the face for up to 2 years. However, in almost every piece of literature/opinions, I […]

Q: Dr. Eppley, I had a custom jawline implant placed three months ago and I think it is a fine result. However, I would like to make just a few changes to the size and shape of the chin implant portion. Can this be done? Is it a complicated surgery? Recovery time? Can these modifications […]

Q: Dr. Eppley, I have severe breast sagging/ptosis I believe. I would like a breast reduction or lift without implants if possible. I have udnergone a 150lb weight loss which has ruined my breasts! I’m 33 years old with 90 year old bags for breasts. They are heavy,ugly sagging breasts. I currently weigh 220lbs with […]

Q: Dr. Eppley, I am interested in having a lip scar revision for my daughter. But I have a couple of questions,. I am really worried about administering anesthesia to her.  Is it safe to do on a child who weighs just 35 pounds?  Since this is a common type of lip scar revision, do […]

Q: Dr. Eppley, would the following make me a favorable candidate for migraine surgery? I have a history of chronic migraines for over 15 years. It is well controlled for the past 5 years with Botox injections in four areas (forehead, above ears, back of head, and around eyes) and manual therapy. I have noted […]

Q: Dr. Eppley, I am inquiring about lip scar revision for my child. She suffered a fall a year ago and had a laceration of the upper lip. It went on to heal  but has done so with a noticeable bump on the lip. I would like an opinion if this could be fixed or […]

Q: Dr. Eppley, I am extremely concerned about sagging after cheekbone reduction surgery. The doctor reduced a large amount of my zygoma, about 6 to 8mms. Would this increase my chance of cheek sagging? I had previous buccal fat and facial liposuction. I am worried that I have a higher chance of sagging now. Also, […]

Q: Dr. Eppley, I am interested in jaw angle implants. I’v attached some photos of my face. As you can see my jawline narrows inward as it comes down from my cheekbones. With that being said, I do not want the big, thick, extra wide looking jawline. I would like slight width and definition. I […]

Q: Dr. Eppley, I am interested in migraine surgery. I have been suffering from disabling, chronic migraines since 1991. However, I have been suffering from migraines daily since 2011. My neurologist prescribed different types of medicines, but nothing helped. The neurologist also performed several tests including MRIs and CTs but could not find the cause […]

Q: Dr. Eppley, I had a custom jawline implant (done by Implantech) placed last year, but there are some areas that haven’t been addressed adequately. Assuming that the design file is still available, can I just check if it would be possible to modify the previous implant design? Also, would it end up costing as much as […]

Q: Dr. Eppley, I am interested in forehead augmentation as well as temporal and back of the head augmentation. I like the way I look when I have hair, but sadly my hairline has began to recede. My forehead slopes back and I feel my head lacks the mass to balance my face (forehead and […]

Q: Dr. Eppley, I am wondering if I am a candidate for custom chin implant as I want both vertical and lateral projection (as opposed to simply lateral with most implants) Also if I decided to go ahead with a large chin implant would jaw angle implants be needed to add balance? A: There is […]

Q: Dr. Eppley, I am looking for some insight as to what to do with my undereye hollows. I am 50 years old and starting to show a little hollowing under eyes.  I think the fat has shifted and there is less volume. I’m looking for ideas as to the best and least invasive way […]

Q: Dr. Eppley, I have a very deep labiomental fold that I seek improved.  That is what I am seeking your opinion about. What labiomental fold reduction procedure do you recommend? If so do you believe this procedure would bring long term improvement for me. Also, have you successfully performed this procedure in the past? […]

Q: Dr. Eppley, I am currently 21 years old, and wear around a size 36 H.  I am 5’1 and weight roughly around 210 pounds. The women in both sides of my family have large breasts. Both my aunt and my mother had breast reduction surgery. I do have discomfort while sitting which has caused […]

Q: Dr. Eppley, I am inquiring about how to get rid of some injectable filler I had placed. I had two rounds of Sulptra to my cheeks and upper face last year that produced a subtle but pleasant change. I then went in a third time for lines around my mouth and was injected with […]

Q: Dr. Eppley, If I had you take out my chin implant, would I get my original chin back, or will it look somewhat deformed from all the carving you have to do and all the ingrown tissue that has been produced since it was put it one year ago. A: What happens to the […]

Q: Dr. Eppley, I came across your website and am very impressed with your blogs on cheek bone reduction and jawlione shaving surgery. I underwent zygoma and jaw shaving both a month ago and am very worried regarding my decision. I have some questions to ask you, which I hope you can help me. 1) […]

Q: Dr. Eppley, I have a question about cheek bone reduction. I hope you can help me because I am very afraid. I had a zygoma reduction with the L-osteotomy. Now my cheeks are sagging. I can see it because of the swelling look around my mouth. Now my surgeon told me that he will do a […]

Q: Dr. Eppley, I have some more questions based on our previous discussions with skull implants. 1) What is your protocol, or what can I do, in the unlikely event (post op) , I develop an infection? 2) What if I’m unhappy with the outcome or placement? Do I have to pay for the corrections […]

Q: Dr. Eppley, I am interested in getting injectable fillers into my tear troughs (tear trough injections) but am very nervous about it. I have read numerous horror stories of significant bruising and clumps and irregularities in this area. What is the best way to inject the tear troughs and not have these problems? A:  […]

Q: Dr. Eppley,  I am interested in getting a rhinoplasty to reshape the tip of my nose. I have attached two pictures one picture being how my nose looks now (bulbous tip, very bulky in appearance) and a second picture of how I want it to be like. ( slim and straight) Would the result […]

Q: Dr. Eppley, How should I take care of my incisions and sutures after surgery? I had eyelid surgery yesterday and my doctor did not give my any directions as to how to take care of them. My friend told me I should clean them every day with hydrogen peroxide and then apply ointment. Is […]

Q: Dr. Eppley, I would like to have liposuction on my calfs, but,I have been told by several doctors not to do it? Is it safe? I see on your website you do calf and ankle liposuction. A: Liposuction can be done safely on the lower extremities, including calf and ankle liposuction. It is not […]

Q: Dr. Eppley, I am very interested in the head widening procedure displayed on your website.  ( http://www.exploreplasticsurgery.com/tag/head-widening/ ) I have a couple of questions: 1. Can this overall head widening procedure also widen the temporal hollows? Can one implant be used to widen both the front temples going all the way behind the ear? […]

Q: Dr. Eppley, I am interested in getting a custom skull implant made for the back of head to correct its flatness. But I have some basic questions if you don’t mind about the process and how it all works as well as some question about the surgery itself. 1) How many times do we […]

Q: Dr. Eppley, I am interested in thigh lifts. My inner thighs run together and there are several rolls of skin that meet and rub when I walk. Sometimes this causes irritation of the skin. I would like them reduced and lifted so there is a gap between them. I also have a pubic area […]

Q: Dr. Eppley, I am considering facial implants to rejuvenate my young but old-looking face. I am 37 years old and underwent gastric bypass surgery two years ago and it seems all the volume in my face went away. I hate the excess skin under and above the eye and the deep grove under the […]

Q: Dr. Eppley, I had custom chin and jaw angle implants placed four months ago and then I had them revised with new implants two months ago. While it is much improved and is almost what I want, I think I need another surgery. How soon should I have another jawline implant surgery again, I […]