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Q: Dr. Eppley, I am a 24 year-old guy looking out for skull reduction surgery. I have very wide skull especially above ears, also muscle over the portion is so hard and overdeveloped it is creating very absurd symmetry. I don’t want to have Botox reduction as it is temporary solution hence looking for permanent […]

Q: Dr. Eppley, I had chin and cheek computer imaging done to show me what the effects of this surgery would be on my face. I notice in looking at the images that there is some asymmetry with one side being different than the other. Is this what I can expect from the outcome of […]

Q: Dr. Eppley, does the mandibular angle implant bond to the bone through time?  Or is it just the screws that hold it in place for the rest of my life? A: There is no synthetic facial implant materials that truly bond to the bone in the truest sense of the word. Bonding denotes an […]

Q: Dr. Eppley, I have a large bump on my forehead that has bothered me all my life. I am a 25 year-old man and this kind of gives me a ‘horned’ appearance. What are my options for getting rid of it? I have attached some pictures from different angles and it becomes really prominent […]

Q: Dr. Eppley, I have a gummy smile. I would like to see what options are out there to correct this issue. I have attached pictures of me smiling and not smiling for you to see how much gummy smile I have. A: Thank you for sending your pictures. The first thing I can say […]

Q: Dr. Eppley, I had buccal fat removal upon the misleading instruction of a doctor . Now my cheeks look sunken and dented. After reading your article “Contemporary Cheek Enhancement – Malar and Submalar Zone Considerations”, I have the following questions which are consistently suffering me.: 1. Will the removal of buccal fat pad lead […]

Q: Dr. Eppley, I am very excited about my upcoming breast augmentation procedure. I am sending you some photos of the breasts in which I DO like and some in which I DONT~ let me know your thoughts when you get the chance. I want a round high full look but I don’t want the […]

Q: Dr. Eppley, I am looking for an experienced surgeon to preform gynecomastia surgery. I have hard tissue build up under the nipples caused from weight lifting supplements. I have a muscular body but I am self conscious about taking my shirt off and people staring at my nipples. A: Supplement-induced gynecomastia is an increasingly […]

Q: Dr. Eppley, I had silicone 4.5mm Malar implants place 9 years ago. I have never been happy with the implant look after placement due to their large size but have been scared of the unpredictable result if they were removed. (i.e. facial sagging) Unfortunately I developed an infection due to a facial injury and […]

Q: Dr. Eppley,  I am 26 years old and have a really flat area at the back of my head. I am very self-conscious about this since I was 18.I want to kill myself to get rid of this pain. You would be my last hope. Please let me know if there is any way […]

Q: Dr. Eppley, I am a 29 year old female that received liposuction in 2009 to the outer and inner thigh area because of stubborn fat that was left after a weight loss.. Immediately afterwards I had “banana rolls” or a double butt line that has gotten worse throughout the years. Plastic surgeons in my […]

Q: Dr. Eppley, I am interested in seeing what the jaw angle implants could do, as I feel that I have very little definition of my jawbone (it’s almost just a continuation of my neck). I would especially be interested in seeing what some width (towards the back of my jaw) could do. I would […]

Q: Dr. Eppley, I’m a 21 year-old female with a frontal bone that is raised higher than the parietal bone in my skull which appears to be flat. I’ve developed really bad anxiety over the issue and refuse to wear my hair in any other hairstyle than a bun on top of my head to […]

Q: Dr. Eppley, I want more angularity to my face. I want high cheekbones, a stronger jaw, an enhanced chin, and possibly removing fat from around my mouth. Do you this will give me what I want? I have attached pictures so you can show me what this may look like after. A:I have done […]

Q: Dr. Eppley, the question is that I have a flat head. I mean the back of my head is very flat and it really bothers me so that I can’t have short hair. I look very funny or deformed if my hair is too short, what can I do about it? I went through […]

Q: Dr. Eppley,  my first pregnancy was one very big baby for my little body. My stomach was completely stretched out like a big balloon. It got so big at the top of my stomach that it fractured the end of my sternum. It now sticks out and I am told it is called the […]

Q: Dr. Eppley,  my jaw is small, not much of a jaw line, and have a slight receding chin. Wondering if an implant could achieve a balanced/symmetrical look or if I should pursue Orthognathic Surgery. Interested in Rhinoplasty as well. How long would recovery time be? Would the implant be permanent? A:In looking at your […]

Q: Dr. Eppley, when using diced cartilage graft for nose augmentation do you overgraft to compensate for potential resorption?  Did you use a columellar strut on your nasal augmentations and do you do anything for wide and flared nostrils? In some rib graft rhinoplasty results, the nose looks pinched. I have read that some doctors […]

Q: Dr. Eppley, I have found your website to be very helpful.  I was wondering if I could please make an inquiry on an important personal matter. My son is now 5 years old. He had a laceration in his scalp when he was 3, and the stitches were made by an emergency room doctor (not plastic […]

Q: Dr. Eppley, I am 37 years old and although I still have a fairly young looking face, I am beginning to develop a few bothersome issues. I am beginning to get some marionette lines and the very beginnings of jowling. I have tried some injectable fillers to improve these issues and all they did […]

Q: Dr. Eppley, what is the best way to correct skin discoloration above upper lip and to fix lines? A: Both hyperpigmentation and vertical wrinkles line of the upper lip are challenging problems. There is no ‘one best way’ or one single method that will work for every women afflicted with these lip concerns. Upper […]

Q: Dr. Eppley, I researched and read many articles and visited many websites before I had my Bullhorn procedure performed. Unfortunately, I don’t believe my plastic surgeon had much experience with the procedure. At first he removed an eliptical piece of skin inside the nostril (“italian lip lift”) which did nothing to decrease the distance […]

Q: Dr. Eppley, I’ve had two procedures done 20 yrs ago. I don’t know the name of the procedure but I had a large amount of gums showing when I used to smile. They cut my upper jaw and raised it up, so I didn’t have the “gummy” smile. I then had my chin moved […]

Q: Dr. Eppley, I am considering getting liposuction on my stomach and waistline but am curious how do you know how much fat to remove. In fact, why don’t or can’t you take all the fat that is there? I don’t want to you can just take it all? I have been searching for answer […]

Q: Dr. Eppley,I am really considering butt augmentation (but I’m nervous).  I am a 33 year old women, who was born with one leg longer than the other and mild scoliosis.  It was no problem in the begining because it was barely noticeable.  Now, however, my shorter leg is much bigger than the longer leg, […]

Q: Dr. Eppley, I am a long-time reader of your blog and it has been a terrific resource over the years, so thanks for all the great work that you do! I have a concern about the jaw angle implants I had placed about seven weeks ago. I wanted and thought I was getting Medpor […]

Q: Dr. Eppley, I am 33 years old and  my cheeks are coming forward creating deep folds around mouth. I hate fillers as they don’t help, they make the cheeks look worse. I like the look of the cheeks slightly pulled back giving me a more youthful look. Is this something you could do on […]

Q: Dr. Eppley, I had a mentalis muscle resuspension about 10 years ago. This was due to complications from a sliding genioplasty that made my chin huge, and a subsequent reduction a few years later. The suspension worked well but my lower gumline has slowly receded to the point where a few front teeth may […]

Q: Dr. Eppley,  why is diced cartilage used in rhinoplasty? What is the risk of cartilage graft resorption in the nose? Does diced cartilage resorb less than regular cartilage? In using diced cartilage wrapped in surgicel, I keep coming upon studies showing that when compared to a patient’s fascia, it is much more often reabsorbed, at a […]

Q: Dr. Eppley, I had a gummy smile procedure done about 3 years ago. I have attached a link so you can see what type of procedure the doctor did. Given that the soft tissue procedure did not work, I am thinking that I need the bone surgery instead. How long is the maxillary impaction […]