Blog

Q: Dr. Eppley, if I was to have a rhinoplasty to augment the bridge of my nose and a forehead/eyebrow augmentation, which should be done first? Will having the raising of the nose bridge first and then the forehead/ brow augmentation mess up the profile of the nose together with the brow ? Which procedures […]

Q: Dr. Eppley, I am interested in buttock augmentation. However, looking at the before and after pictures, it doesn’t look like much of a difference. I would like a really big butt. A: While the definition of a really big butt is open to various opinions, let me give you the overview of buttock augmentation […]

Q: Dr. Eppley, I had a rhinoplasty done in 2008 which was the worst decision I ever made. The surgeon overresected my dorsum, leaving me with an unsightly saddle nose deformity. I lost many friends and my confidence suffered for years because the nose was simply wrong. I am considering your diced cartilage injection technique […]

Q: Dr. Eppley, I know I have an asymmetric face. Do you think that I’m going to benefit from a  buccal fat removal or my problem is the bone structure? I’m 5’3, 120 pounds and 36 years old. I have these chubby cheeks my whole life. At home, when no one is around, I suck my cheeks in. My definition for […]

Q: Dr. Eppley, I’m interested in occipital cranioplasty, and I have a couple of questions. The flat area is on the upper part of my head. I will be having hair transplant surgery and right now I’m probably a Class V. If I want to go ahead with the cranioplasty should I do it before […]

Q: Dr. Eppley, I am one month post surgery for chin implant done through the mouth. There has been a lump on one side right below the jaw line that is very hard, size of a pencil eraser. My sugeon want to correct it in the office under local anesthesia but plans on taking it […]

Q: Dr. Eppley, right now I have 250 cc mentor smooth round moderate profile implants. I had the surgery 7 years ago and have been in pain all these years. I am finally able to get a revision and switch over to silicone gel implants. I would like to be a bit larger, but very […]

Q: Dr. Eppley, I have bad stretch marks on my stomach and a lot of skin hang over. I’m 5’2 and weigh 159lbs. I have lost 20 pounds and now I’m at a stand still. What can I do now and no amount of exercise seems to work? A: The skin hangover to which you […]

Q: Dr. Eppley, I need to remove excess skin from below my belly button and lift my breasts. I breast fed all four of my children and had a set of twins that stretched my stomach out tremendously. I have tried situps but they won’t take care of this loose skin. A: Multiple pregnancies, particularly […]

Q: Dr. Eppley, I have some questions about jawline implants. I work in extreme environments overseas and, in addition, my group trains in hand-to-hand combat as well as boxes. Would I be able to take blunt force to the implants as well as I can without any implants?  A: Obviously you are in the military. That is a […]

Q: Dr. Eppley, My face is twisted with the right side smaller than the left. Honestly, I’m not exactly sure what all I will need done. I want a softer look overall, less square, more symmetry, and a more youthful appearance. I am a 35 year old female. I know perfect symmetry is unnatural but […]

Q: Dr. Eppley, I would like to have a much better jawline that I currently have. I have attached a picture which shows the perfect jawline for me as well as a picture of myself. What is the best way for me to get this result? A: To no surprise, every male who wants a […]

Q: Dr. Eppley, I am a plastic surgeon in New Mexico and need your thoughts on a facelift patient that I did six months ago. She is a 65 year-old woman that I did a full facelift on. Despite pulling and getting her as tight as I could, she is now left with some loose […]

Q: Dr. Eppley, I see that you perform gynecomastia surgeries and wonder whether you also perform mastectomies for FtM transsexual patients. I am investigating surgeons for the procedure who are closer to my home than the big-name options often reccomended to trans men. Thanks for your time. A: Maximal breast reduction, often called Top Surgery […]

Q: Dr. Eppley, I am interested in a variety if procedures including brown bone reduction, rhinoplasty, chin augmentation and correction of my chest which I think is a pectus excavatum deformity. I have attached a variety of pictures so you can see all of the problems. I would like to know what you think.  A: […]

Q: Dr. Eppley, I am only 56 years old but have a chronic infection of the skin below the corners of my mouth. I’ve been running for 36 years, so maybe that contributed to the sagging.  More likely it’s a combination of things including the effects of menopause. The skin below the edges of my […]

Q: Dr. Eppley, I had an alar cinch suture placed because I had a premaxillary implant put in and then removed 12 months ago (implant was in for less than a month) that resulted in subtle widening and flare of the nostrils. It was used to bring the nostrils and base closer back to pre […]

Q: Dr. Eppley, I have a step-down of about 3-4mm from the rim of the orbital bone under my eyes straight down to the eyeball. There is no fat. Post after blepharoplasty about 6 years ago. I don’t like the look. Any help available? I am 56 years old and healthy with good skin. Thank […]

Q: Dr. Eppley, I had an alar cinch suture to reduce nostril flare and widening. What is the recovery like from a alar cinch suture. I had one a week ago and see no change. Nostrils actually look wider, should I expect it to look worse before it looks better? The surgeon overcorrected but it […]

Q: Dr. Eppley, I have some skull and face asymmetry from positional plagiocephaly. The main issue is that the right side of my forehead bulges, is it possible to reduce this bulging so my forehead doesnt have such a broad appearance when viewed from one side? Also the left side of my face is less […]

Q: Dr. Eppley, I am looking to fill the dent in the back of my head to achieve a more normal, round head. My flat spot/indentation is very obvious and noticeable from certain angles. It is located in the back left side of my head, a bit higher and closer to the top of the […]

Q: Dr. Eppley, I am considering having Lasik eye surgery. If I did get it, how long after Lasik should I wait until being able to safely have a rhinoplasty. Would it be safer to wait to do Lasik until after having the nose surgery? A: Rhinoplasty does not affect Lasik (corneal) eye surgery in […]

Q: Dr. Eppley, I am a 63 year-old female who just recently had a facelift. Because I am thin, I really had no fat just loose kin in the neck and jowls. Now that I have gotten the skin tightened up, how can I keep the facelift in place? I have read about a lot […]

Q: Dr. Eppley, This may be a very very unrealistic but part of my head is flat and I am 21 years. I was wondering whether there was literally anything you could do to improve it at all. I am willing to pay anything for it. Maybe even a material to fill some of it […]

Q: Dr. Eppley, I read about you on Real Self and would like to have surgery under you. I have an short face (abnormally short lower third of face) but, oddly, also mandibular prognathism. Could you push my jaw back and at the same time lengthen my face?  I have attached my original front and […]

Q: Dr. Eppley, I had liposuction on my stomach in 2009. I work out 3 to 4 times a week with a trainer. I actually look bigger than I did before the liposuction. I have gained fat in my back and my breasts went from 34B to a 36C. I look like an ogre. My […]

Q: Dr. Eppley, I am interested in a more structured feminized face. I am 40 years old and have wanted to balance my face my entire life. The fat never dissipated with age so I now find it agonizing. I also think chin augmentation would help but I am not sure about that. A: In […]

Q: Dr. Eppley, I suffer from sever temporal wasting. It’s rather noticeable. I’ve heard fillers are recommended but are they for minor filling and not severe cases of hollowing of the temples? Can they really fill my temples? A: While injectable fillers or fat can be very good for more minor or moderate cases of […]

Q: Dr. Eppley, I lost a chunk of my nose — right on the bridge. It was not a cut — a chunk of skin is missing – down past epidermis and dermis into subQ.  It has a nice granular base. I know it will have to scar — is there any way to help […]

Q: Dr. Eppley, I am getting forehead augmentation and I have some questions. How much can the forehead be built out? I am thinking 10mms is the perfect amount. Is that too much? As a female I want to make sure I get a good convex shape with a largely vertical inclination to my new […]