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Q: D. Eppley, I am a 30 year old and have had prominent eyes that are congenital but not hereditary. I have no medical problems and the thyroid readings are normal. My eyesight is very good. I have a negative vector and shallow orbits . Will I need both cheek and orbital implants? Could you please […]

Q: Dr. Eppley, do you think temporal implants is gonna have a positive change to my face? I want my upper face be wider than the lower part but I don’t want it to look fake or obvious. Lastly, can the temporal implants be fixed permanently so there is no risk of displacement? A: I would […]

Q: Dr. Eppley, I am considering a facelift and have consulted with three different plastic surgeons. From these consults, I got two different basic opinions. One option was a more traditional facelift with incisions in front of and behind the ear. The other approach presented was a mini facelift with an incision mainly on the […]

Q: Dr. Eppley, What I am most interested in is the cheek enhancement.  I feel like creating volume there will help balance everything else out.  If I still want to make other enhancements after, I suppose we can do them at separate times.  My question at this point is, considering how many different variations for cheek shapes […]

Q: Dr. Eppley, how many years does the sutures used to tie the muscles together in a tummy tuck last? A: The type of sutures used for rectus muscle fascial plication in a tummy tuck are variable and dependent on each plastic surgeon’s preference. Most commonly large O gauge permanent sutures are used composed of […]

Q: Dr. Eppley, My Dr suggested that I can benefit from Rib Graft rhinoplasty about a year and half ago. At that time I did not exactly what that consist of, and I figured he knew best, so he went on and performed it. I hated the way it looked and felt. So a year […]

Q: Dr. Eppley, In the process of researching procedures on skull reshaping, I found and read your entries about skull reshaping/reconstruction on exploreplasticsurgery.com. I have an interested in getting a procedure done. My head is shaped like a triangle. The width and length of my forehead is very small. My overall head is small compared […]

Q: Dr. Eppley, do you offer Dysport injections? If so, what is the cost per unit? Do you think Dysport is better than Botox? And if so, why? A:  I do both Botox and Dysport injections for aesthetic facial wrinkle treatments. In my opinion, they are essentially equivalent and Dysport has no significant advantages over […]

Q: Dr. Eppley, . I am currently 24 years of age. For several years now, after maintaining a short haircut, I have received comments from several peers that the back of my head is flat and that the posterior is slightly raised. It has come to the point where I felt I needed to do something about it. After […]

Q: Dr. Eppley, I have a long chin that goes straight down as apposed to sticking out a little bit. I would like to have my chin shaved down so it’s shorter and somehow have it stick out instead of going straight down. Another reason this problem is so severe is because I have an […]

Q: Dr. Eppley, I am 5’ 9” tall and fairly skinny. I have no extra fat but some loose skin from my three pregnancies. While I am not crazy about the loose skin, what bothers me the most are the many stretch marks that I have. They are around my belly button and lower as […]

Q: Dr. Eppley,  I am a transgendered MTF and had botched silicone injections in my face in the cheeks years ago.  Over the years it has enlarged especially my right side.  Will 5-FU/kenalog shots work to bring down this very noticeable mass in my cheeks?  How much are each shot?  A: I am assuming that […]

Q: Dr. Eppley, I had my upper and lower jaw advancement done 7 months ago and was not too happy with the results. I recently had chin and jaw implants together with a rhinoplasty done. I have also had some facial fillers placed under the lower eyelids and on the upper cheeks. Regardless, I still […]

Q: Dr. Eppley,  I feel my brow is too prominent/large. I had one surgeon tell me only a full “sinus setback/type III” will be the only way to fix it. However, can the bones be modified/burred enough to make a difference? I want the side/profile to be more flat and less prominent. I feel my […]

Q: Dr. Eppley, My nose has been broken a couple of times, and I have a deviated septum. I am curious what it would take to straighten everything out–and what it would look like. A: Based on this one picture, I have done some imaging based on what I think is achieveable in an open […]

Q: Dr. Eppley, I am thinking about getting a custom jaw/chin implant. I think I have a small chin, vertically small jaw as well as narrow. Since I live in another city I can’t find any experienced surgeon. (or simply one I can’t trust) Would it be possible to get a CT scan done (of […]

Q: Dr. Eppley, I am a 55 year-old male that underwent a pectus excavatum correction for a severe deformity. Although initially thrilled with the results, I have experienced a disappointing recurrence as is evidenced by the photos. I would do about anything at this point to have a normal looking chest. I am active and […]

Q: Dr. Eppley, I had breast implants placed 12 years ago. One of my implants is encapsulated. That breast nipple is leaking an oily green substance. Can this be a leak? A: Since your breast implants were originally placed in 2000, you have saline breast implants if they were placed solely for cosmetic reasons. The […]

Q: Dr. Eppley, I have narrow forehead and temporal area and I have wide jaw line. I want to get a wider upper face to equalize my wide lower face. Can temporal implants help me? Because of my deep set eyes, I am concerned that any such widening may make them look even deeper. A: […]

Q: Dr. Eppley, I wrote you about orbital rim implants some time ago. I am 42 years old and am interested in rim implants or canthopey or both. Do you see any problem in having only canthopexy to reduce scleral show and slightly tilt the eyes? The thing is when I tried fillers (which didnt […]

Q: Dr. Eppley, I’m 38 years old and had 3 children by age 22 that I breastfed. I have small breasts which is cool with me, I just want them a little perkier. My tummy and love handles need to go. I can work on my legs in the gym and they have always been […]

Q: Dr. Eppley, I have some questions about the best material to use in an ethnic rhinoplasty. (I happen to be Asian) Surgeons seem to prefer rib cartilage because they feel it is safer. How big would the scar to take it be? Could you provide me with more information about using rib cartilage. I […]

Q: Dr. Eppley, I have a receding chin and wonder if you can help me get a reolution for this problem. I guess a sliding genioplasty will benefit me and it will also correct the vertical growth of the chin which a chin implant will not. And will this surgery make my already narrow chin […]

Q: Dr. Eppley, I am hoping you can help me with my situation: Long story short, I had my upper lip overfilled with silicone injections years ago and I just underwent a lip reduction two months ago. Now I am left with multiple hard and misshapen lumps on my lip and I am very embarrassed […]

Q: Dr. Eppley, I am considering more about the chin implant and appreciate the computer imaging that you have done. My question is do I really need to enlarge my chin so much? Actually as far as I know the largest chin implant by Medpor enlarges chin by 7mm. Actually it looks better from the side […]

Q: Dr. Eppley, I have a small area on my left breast of gynenemastia from use of steroids years ago. The lump is approximately 3/4 inch round 1/2 inch thick. Its not very noticeable but I would like to have it taken out. How is ti done and how easy is it to do? A: […]

Q: Dr. Eppley, I had Mentor saline breast implants placed in 1994 and now one has deflated. I need to find out what my options are to replace them. A:Having a current saline implant deflation, regardless of when they were placed, leaves you with several options. First, you could simply replace the deflated implant only. […]

Q: Dr. Eppley, do you feel it is possible to create an aesthetic male face even with my Class 1 hypertelorism? I understand that it can be found to be an attractive feature in women (such as Jackie Kennedy), but I can’t really seem to find any examples of good looking male face with hypertelorism. […]

Q: Dr. Eppley, I have a question regarding injectable scar treatments. What is the difference between 5-FU and Kenalog? What do each of them do to help a scar/scar tissue? A: There are two types of scar injections that are currently available. The use of steroids, specifically triamcinolone (kenalog), is an historic and classic injectable […]

Q: Dr. Eppley, I have an acquaintance who recommends your work and I very much look forward to seeing your ‘predict my face’ response and getting work done in the near future. I am looking to significantly increase the masculinity of my face by doing dramatic work on my jaw, chin, and lower third of […]