Blog

Q: Dr. Eppley, I had a breast augmentation six months ago with silicone implants placed under the muscle through a lower fold incision. I developed a hematoma which needed to be drained by the next day. Now that all has settled down and healed, my breasts are asymmetric. They were not asymmetric prior to surgery […]

Q: Dr. Eppley, I have a very large head that sticks out in the back (about one inch), is pointy on top, and comes out on each top-corner as well. This has caused me much mental distress ever since I was a chiold, and now that I am in my late twenties, and my hairline […]

Q: Dr. Eppley, I have a double upper problem but am not sure if a lip reduction of the redundant mucosa would be all that is needed to correct the problem. I am being told the underlying issue is the orbicularis oris muscle, although some surgeons want to just excise the extra tissue that is […]

Q: Dr. Eppley, Do you use pre-jowl implants for the chin? A: I have used every commercially available chin implant style available and many custom fabricated ones. The choice of chin implant style depends on the problem and what the patient needs. A prejowl implant is best used when minimal horizontal chin augmentation is needed […]

Q: Dr. Eppley, I am going to have temporal implants next month and have a few questions. Will the silicone be cut and shaped after my physical consultation or prior? The reason I ask this is because the pictures I provided show less indentation than there is in reality. I feel I will need quite […]

Q: Dr. Eppley, the areas around my eyes is starting to look really bad over the past five years or so. My eyes used to be one of my best features but now they are just getting old looking. I am 47 years old and have wrinkles around my eyes and some extra skin on […]

Q: Dr. Eppley, I have had weight loss surgery and now need plastic surgery to reduce my mons pubis area. It is very large and sagging. It is uncomfortable and is creating self esteem and intimacy issues. A: The reduction of a large mons pubis can be done by two techniques, either liposuction or a […]

Q: Dr. Eppley, I have chin ptosis after the removal of a large chin implant. So what needs to be primarily done should be a mentalis resuspension. I am considering sliding genioplasty despite the risks of bone osteotomy, longer surgery time, and longer recovery time, only if it helps the result of the mentalis resuspension […]

Q: Dr. Eppley, Why is Sculptra not permanent although it stimulates the growth of the body´s own tissue? Is there a certain percentage of the augmentation effect, that can be considered permanent? A:  Sculptra creates its collagen effect through the implantation of small polmyer crystals known as PLA. This is a well known slowly dissolving […]

Q: Dr. Eppley, How much does rhinoplasty cost in your practice? A: This simple question unfortunately defies a single answer. There are many variables that affect the cost of rhinoplasty related to how much work is needed and how much time it takes to do it. These variables include whether it is a tip or […]

Q: Dr. Eppley, The Lifestyle Lift (lower 2/3 of face only) left me with bunching/folding of skin at the sides of my face next to my eyes when I smile, which looks very unnatural. They are now recommending a forehead or temporal lift to try to correct this problem at my expense. Do you think […]

Q: Dr. Eppley, Is there any upper lip lift procedure that you perform that successfully shortens the upper lip but does not increase the red lip (vermilion) (i.e. no roll out, no extra visible red upper lip)? I’m a male and the last thing I want is a fuller, more feminine red upper lip, although […]

Q: Dr. Eppley, I am really interested in  getting Brow Bone Augmentation surgery done.I am a 21 year old girl with big eyes. But my problem is that my eyeballs stick out from my upper eyelids making me look really ugly and scary to people. Now I want to get this surgery done but I […]

Q: Dr. Eppley, I am seeking revisional rhinoplasty. I have had two prior procedures in 2001 and 2007. I am seeking to make the following changes to my nose. First I want to eliminate the ethnicity of my Middle Eastern nose. I am seeking a more European looking nasal appearance with significant improvement in the […]

Q: Dr. Eppley,  I am interested in laser resurfacing to help reduce the growing number of wrinkles on my face. I don’t know much about laser surgery and how it works. I have seen some very good results and then read some bad stories about it. I know to get a really good result it […]

Q: Dr. Eppley, I have a gummy smile that I don’t like. I would like to achieve four things: 1) straighten gum line 2) reduce amount of gums shown when smiling 3) improve lip seal at rest and 4) reduce horizontal protrusion of upper lip area in profile. (least important) I have attached some pictures. […]

Q: Dr. Eppley, I had a chin implant inserted 8 months ago, which turned out to be too big. I was very unsatisfied with the result and it was removed 2 months after the initial surgery, which is 6 months ago from now. The problem is that chin ptosis has developed. I am suspecting that […]

Q: Dr. Eppley, I am 5’6” and weigh 125lbs. I am fairly thin for my height but my thighs are just to big for my body. My lower half doesn’t fit my upper half and no amount of exercise or weight will change that. I now know that fir sure as I have tried for […]

Q: Dr. Eppley, Hi I am 18 yrs old and I have been insecure about my body for quite some time now. At the time I was born to the present I have been very depressed because I have a huge navel. (outie). I really find it hard to wear clothes without thinking about my […]

Q: Dr. Eppley, I have severe breast asymmetry. Left is a D cup and right is an A cup. I also have very large areolas and my breasts are pendulous. Because they are so uneven I have had upper back soreness and other aches and pains. Would insurance cover me at all? It is just […]

Q: Dr. Eppley, because of an accident at an early age I had some weak chin and facial asymmetry on the right side. Four years ago I had a chin implant whichi resulted in horrible deep hollows on the side of the chin. My chin implant was a button type. So I’ve had three fat […]

Q: Dr. Eppley, I planned for long time to get calf augmentation and feel that now is the time. I am 170 cm tall and weigh about 72 kg and am very athletic. But I have skinny calves and they haven’t grown like the rest of me. My calves are 34 cm around.  I am […]

Q: Dr. Eppley, I am a 33 year old male who has a very prominent brow which over hangs my eyes by at least a cm especially from the bridge of the nose to brow. This severely affects my looks. I have already had surgery where the surgeon shaved the area down after peeling the […]

Q: Dr. Eppley, I am a man who is 37 years old. I am bothered by nipples which stick out too far. It is not just that they stick out too far when I am cold but they protrude all the time. It is embarrassing and has been so for years. I wear shirts to […]

Q: Dr. Eppley, I have large earlobes and I want to get them reduced. I have always had them since I was child. I was constantly teased about them even by my parents and it has bothered me deeply ever since. They simply don’t fit with the rest of my ear. They are big, floppy […]

Q: Dr. Eppley, can excess skin be removed and remaining skin lifted up and under the eye? Can the outer corners of the eyes be lifted for “sad eyes” at this same time? How is this done? I have tired and sad looking eyes that need some help as they make me look so bad. […]

Q: Dr. Eppley, I want to do something with my tummy area but am confused as to what to do. I have had several consultations and have been repeatedly told that I need a tummy tuck. However I don’t want to have a tummy tuck as I am scared of being cut like that and […]

Q: Dr. Eppley, I have three areas of concern physically. I have a buffalo hump frm HIV meds, relatively severe gynecomastia and belly fat also mostly from HIV meds. Those are in order of priority for me. Any experience with any or all of those? Is it possible to address all three? Is there chance […]

Q: Dr. Eppley, in your blogs about temporal augmentation have you ever come across a patient whose hollowing us deepest 6 mm to 7mms above the zygomatic arch? I ask because that is my situation. Can temporal implants correct this area adequately. Do they go down to the zygomatic arch under the fascia that far? […]

Q: Dr. Eppley, I have a short midface and we had previously discussed using cheek, paranasal and premaxillary implants to give me more midface projection for an improved facial look.  At your suggestion, I also visited an orthodontist who advised me to have a Lefort 1 procedure because there is an issue with my tongue […]