Blog

Q: Dr. Eppley, I have some questions about facial implants.  I had a square chin implant and paranasal plus midface rim implants placed one month ago. I’m happy with the augmentation they’ve provided, but they haven’t exactly addressed the areas I really wanted augmented. I’m aware that there’s still quite a bit of swelling, but […]

Q: Dr. Eppley,  I had my buccal fat pad extracted a few years back when I was younger. I liked the look initially, but it has now made me look a little too gaunt. Anyway, I’m looking to add more volume back to the buccal region. I’m not sure how to describe it, but imagine […]

Q: Dr. Eppley, I am looking to do something for my lower lip asymmetry. My bottom right lip pulls down. It is worse appearing when I smile. What type of lower lip symmetry surgery may solve my problem? Would a corner lift help this? I have had Botox injections, which definitely made it look better […]

Q: Dr. Eppley, I am looking to achieve more definition and masculine features. I want a more defined jawline, neck and cheekbones. I actually am even more dissatisfied with how my face looks from the side or profile view. Do you think that liposuction of any area of the neck or cheeks would be beneficial? […]

Q: Dr. Eppley, I recently had a bilateral sagittal split ramus mandibular osteotomy with a sliding genioplasty. My bottom lip (and perhaps top) have thinned considerably. It seems the bottom lip flips in somewhat. It was always very full and pouty. Can something be done? In addition, my jaw angles used to be much more […]

Q: Dr. Eppley, I am interested in getting a body lift. I have had bariatric surgery two years ago and I need to get rid of excess skin. This excess skin around my waistline is causing severe chafing. My insurance won’t cover ‘cosmetic’ surgery. My question is this: can we get insurance to cover it […]

Q: Dr. Eppley, I am 38 years old and have horrible bags under my eyes despite good sleep and a healthy diet. Can you tell me what the best option would be to get rid of them and down time for the surgery? A: Despite the fact that you are relatively young, your lower eyelids […]

Q: Dr. Eppley, I had an operation on my lips in order to have bigger ones. I had the operation about six months ago. I did not like the result of the operation and two months later I had a second operation. I had scar and asymmetric shape so I did not like the result […]

Q: Dr. Eppley, I honestly need an abdominal panniculectomy and need a price. I do have Medicare and Medicaid. I live in Indiana. How much do they cover and how much would it cost out of pocket. I get rashes and yeast infections because of it. It hangs down to lower pelvic area. A: There […]

Q: Dr. Eppley, How feasible would it be for a healthy 70-year-old female to undergo a “turkey neck, jowl, eyelid” lift?  I’m on Medicare and a fixed income.  A: Feasibility for any type of facial rejuvenation procedure(s) (such as a lower facelift and eyelid lifts) is determined by two factors. First, age is really an […]

Q: Dr. Eppley, Two years ago I got lateral supraorbital rim implants made of Medpor.There is only one design of supraorbital rim implants available from this company (Porex/Stryker). They were placed through the upper lid crease. About 4 weeks after surgery the implant on the left side got infected. The pus was drained through a […]

Q: Dr. Eppley, I am scheduled to have a sliding genioplasty next month and I just wanted to clarify some things. Is there some sort of guarantee I get that this procedure it would improve or completelyy resolve my sleep apnea? Otherwise I don’t see any other benefit other than the profile improvement which would […]

Q: Dr. Eppley, I am interested in a chin reduction. have always had a unique chin with over-protruding bone, an excessive soft tissue pad and deep labiomental crease. It almost looks like I have a bottle cap lodged onto my chin. I am very curious as to what you feel would the best approach here. […]

Q: Dr. Eppley, I am seeking a revision rhinoplasty. I had an open rhinoplasty about five years ago and I am unhappy with the results. It was a very conservative rhinoplasty little to no changes were noticed. Even my friends and family see no difference. I would love to have the tip refined (made thinner […]

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 […]