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Q: Dr. Eppley, I am an HIV positive 56 year old male. My CD4 count is near 500 and my viral load has been undetectable for over 15 years. I have severe facial lipoatrophy as a result of the adverse effects of antiretroviral therapies. I wish to explore the possibility of cheek implants. A: By […]

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? A: Thank you for your inquiry. You may well be correct that temporal widening alone using temporal implants or combined […]

Q: Dr. Eppley, I am looking for a correction for my hypertelorism (wide set eyes). I have measured my intercanthal distance at 36 mm, which I believe puts me in the “mild/moderate” range. While I will pursue it if it is the only option possible, I would love to avoid large-scale craniofacial surgery if I […]

Q: Dr. Eppley, I’m unhappy with my asymmetric face and would like to have a nose job and chin implant to correct it. Would it be possible to correct it with standard Medpor chin implants? Which chin implant it would suit to me better to correct it and can I get a view how would […]

Q: Dr. Eppley, I want a fuller butt to compliment the rest of my body. I don’t have any pictures at this time but I’m a black female with what they call a flat butt that doesn’t go with the rest of my body. What are my options for getting a bigger butt? A: Buttock […]

Q: Dr. Eppley, I have some questions about the lateral commissuroplasty procedure. Could a corner lip lift be done in a manner which would not shorten the upper lip or “plumpen” the lips (these things are mentioned as coming along with a corner lip lift but I would rather not have them as I think […]

Q: Dr. Eppley, I am interested in implants to correct my jaw asymmetry. My jaw angles are very asymmetric and I feel I would be more attractive if my facial asymmetry was corrected. I have always been curious about art with respect to beauty.  What is beauty?  I’ve concluded that beauty is not only in […]

Q: Dr. Eppley, The right side of my skull is caved in and bulging therefore causing an asymmetrical appearance on my facial profile. From my right temple area, the skull leans towards the right, almost appearing to sag to the right side of my head. I wish to straighten that side so that both sides […]

Q: Dr. Eppley,  You have a great website and blog! I especially enjoyed reading about the mandibular angle implant procedures that you’ve done and your sensitivity to avoid asymmetrical results. My biggest concern is to correct my asymmetrical jaw.  The left vertical side extends to cause the horizontal jaw line to extend about a 1/2 […]

Q: Dr. Eppley,  I came across your site, and was looking through the breast augmentation surgery, the results look really great. I’m a transsexual, I do have some breasts after being on hormones for about 4 years, and I was wondering would it to be too hard to do breast implants to someone who doesn’t […]

Q: Dr. Eppley, I have been interested in maybe some breast implants with a lift, but also a tummy tuck. I am 46, with three c-sections and have had laparoscopies and I have a tendency to keloid.  For many years, my belly button has developed keloids, and my Ob/Gyn would attempt to remove them permanently, […]

Q: Dr. Eppley, I am currently going through menopause and I am considering a tummy tuck and I am on hormone replacements. I am having a lot of difficulty loosing the belly weight. Should I wait till menopause is over? Will the weight come back somewhere else as I have read this is what happens? […]

Q: Dr. Eppley, I would like a more toned looking armpit, upper back, and upper arm. I feel that, although I am relatively lean and well proportioned throughout the rest of my body, where my arms attaches to my shoulder and chest is just too thick. I have attached some pictures so you can see […]

Q: Dr. Eppley, there is an overall lack of definition to my face (flat cheeks and very prominent and long chin) which you will notice here.  It’s my belief that with some cheek contouring and possibly jaw as well, I may look as beautiful as I feel.  When I smile and when the lighting is even I have a […]

Q: Dr. Eppley, I was just wondering do you do liposuction on teenagers? If so, will you guys take payments or do I have to pay it all at once?? A: Liposuction can be performed on many body areas regardless of patient age. Any cosmetic surgery, including liposuction, can be done under the age if […]

Q: Dr. Eppley, I have a double chin that I hate. I am only 32 years old but my neck makes me look much older and heavier than I really am. I am interested in a double chin reduction surgery that I have read about. My question is does the double chin reduction grow back […]

Q: Dr. Eppley,  I am interested in having one ear of my previous otoplasty partially reversed. It is pulled back too far and needs to come out 4 or 5mms so the helical rim is seen again. I have a few questions about the specifics of the operation. 1) Could it be performed under local […]

Q: Dr. Eppley, I am interested in having the upper and lower lip advancement like the woman featured on your site who found that fillers did not make her lips large enough. I have this same problem. I am also interested in the price. A: In thin lips, injectable fillers often produce unsatisfactory results as […]

Q: Dr. Eppley, I had saline implants placed under the muscle 12 years ago. There were fine until about three years ago when I noticed rippling on the undersides. I am a thin woman being 5’7” tall and weighing 126 lbs. Why has this rippling appeared now years after surgery? Will it get better or […]

Q: Dr. Eppley, I have indentations/notching at the sites of my previous mandibular osteotomies. (sagittal split advancements three years ago) I want to get implants to build the bone back out as well as make my jaw angles more prominent. Given the differences between the two sides, I think I will need custom-made implants. How […]

Q: Dr. Eppley, do you ever do a forehead burring/scalp advance/brow lifts without the sinus setback? I am a woman and my brow bones are not that big so I don’t think I need the frontal sinus setback. A: Most forehead reductions in women are actually done by burring and not osteotomies/sinus setbacks. That is […]

Q: Dr. Eppley, my daughter is turning 13 next month. She had cleft lip (not palate) and had it repaired when she was 4 months old. She is very self conscious about her appearance. There is a visible scar between the upper lip and nose and a lopsided nose. I want to know about the […]

Q: Dr. Eppley, How much does a breast augmentation procedure cost? On one site, I read about cohesive gel. What is that? Is it better than silicone or saline implants? A: The typical cost of breast augmentation varies based on whether one uses saline or breast implants. The cost of a pair of breast implants, […]

Q: Dr. Eppley, I feel like I have always had a weak chin amd jawline. It makes too feminine and disproportionate to the rest of my face. As a result, I have been considering getting a chin implant. My concern is that I am HIV positive but otherwise healthy. I have been on antiviral meds […]

Q: Dr. Eppley, I feel my face is a little weak down around my jawline area. Iwas hoping to have a more masculine jaw with out elongating my face any more… just maybe make it more full. Also as you can see on my photographs, my face is very asymmetrical. My right temple seems sunken […]

Q: Dr. Eppley, I underwent otoplasty done over ten years ago with a pretty good result. But I have felt ever since that the corrections on the ears were too pronounced, particularly on the left which now has a largely hidden helix.  The technique used consisted of some skin removal on the back of the […]

Q: Dr. Eppley,  I have suffered a jaw angle deformity since I had jaw surgery two years ago. There is a big notch along the border of my lower jaw in front of the jaw angles. I think jaw angle implants would make a massive difference. It is something that’s high on my list to […]

Q: Dr. Eppley, I am interested in a lip lift procedure and I have attached some pictures. I have several questions and concerns about the procedure. Is my columella retracted? Do I have an acute nasalabial angle? I am concerned about visible scarring. I read you use dissolvable sutures for out of town patients. I […]

Q: Dr. Eppley, I am 21 years old and want to have a better-shaped upper lip. Which  is better for reshaping the cupids bow, a v-y advancement or a lip lift? I have a short distance between nose and my upper lip. A: There is no question that the best way to reshape or accentuate […]

Q: Dr. Eppley, I have had prior jaw surgery which hasn’t gone so well. I was just wondering if you can have jaw angle implants put over a metal plate that was left in my face? I have bone scans which I can send to you to have a look at. A: I suspect what […]