Blog

Q: Dr Eppley, I just read a reply you wrote to a patient inquiring about forehead and orbital rim with either implants or hydroxyapatite paste to which you reply that Kryptonite Bone Cement would be a better option. I want to get your opinion on which material is the best choice for filling out the […]

Q: My four year-old child had a surgery for repair of an elbow fracture. Screws were initially inserted to fix the upper arm bone where it attaches to the elbow. It went on to heal well and the screws were  removed three months later through the same incision. Now he has an ugly wide scar […]

Q: I have recently consulted with a maxillofacial surgeon who has recommended performing a chin osteotomy procedure. He intends to remove a 3mm wedge (for vertical reduction) as well as a 3mm advancement, with the osteotomy performed at a slight upward angle. I seem to have the unique situation of anterior mandibular vertical excess with […]

Q:  I had an injury and got a little scar over my right eyebrow. Because of this I have slightly lees eyebrow hair over that eyebrow. Is this something you can fix? I only need to fix 5-10% of the eyebrow hair on the right side. A: Lacerations that cross into and through the eyebrow […]

Q: I am in the military.  I am 40 years old and have been  selected for promotion to Commissioned Officer.  I have a large build and constantly struggle with the military’s height vs. weight standards.  A secondary circumferential method is used for the neck and waist.  I am always just at or above the limit.  […]

The Book entitled ‘I Feel Bad About My Neck’, that came out a few years ago, bespoke of an inevitable aging problem. Necks unfortunately don’t lie. The folds of skin hanging down from one’s jawline are like rings on a tree. While Botox, injectable fillers and lasers can do a lot for the face above […]

Q: I just had a large chin implant placed two weeks ago with neck liposuction. I didn’t really feel I needed the implant in tyhe first place as I had a good chin. The implant is way too large and I don’t like how it feels. I am going to have it removed and I […]

Q: I would like to know some information for breast augmentation. Specifically I need to know about the recovery time as well as any long term problems associated with breast implants. A: Depending upon what kind of work you do affects recovery time after breast augmentation. For a less active sit-down occupation, one could return […]

The recent tragic events that are ongoing in Libya actually have some plastic surgery implications. It was recently reported that a Brazilian plastic surgeon says he performed cosmetic surgery on Libyan leader Moammar Gadhafi in 1995. This included harvesting fat from Gadhafi’s belly and injecting it into his face to smooth wrinkles as well as […]

Q:  While I don’t think that I am bad looking, I feel that my jaw line is weak and small. My receding chin greatly distracts from my features and I am hoping a jaw and chin augmentation can help balance my lower face and give me a stronger, more masculine appearance. Ideally I would like […]

Q:  My daughter fell when she was 18 months old. Since then she has had a dimple in her left cheek. It has seemed to be getting worse as she loses baby fat. Is there anyway we can fix this? I do not want to implant any foreign body into her face. A: Trauma to […]

Q:  I have had two mastopexy procedures for my breasts with gamma radiation for hypertrophic scars. Which was great but funny enough I was a flat chested as a teenager and loved it. I am now postmenopausal and without a gall bladder.  I weigh 170lbs although others say they cannot tell.. My breasts have now […]

Q: You have mentioned that there are some risk with smoothness issues with injectable Kryptonite cranioplasty. If the cement were to not feel smooth once set, could it still be smoothed out later? Is there a more appropriate age to do the kryptonite procedure? Is 4 years old too young to have it done? A: […]

Q: I was wondering what kind of doctors perform septoplasty?  Are plastic surgeons the only types of doctors that can perform septoplasty?  I was reading that some health insurance can cover a septoplasty but you have to prove to them that your deviated septum is causing you breathing problems.  Is it safe to get a […]

Q: Hi Dr. Eppley, my question is about the Kryptonite used on plagiocephaly. My 3 yr old son has plagiocephaly with a very flat head which is a little asymmetrical. I have been told that his head is still growing and changing and that it could improve, but I don’t think so. In the past […]

Q:  I am interested in exploring the option of using Botox to help with my migraines.  I have had them since I was a teenager and am now on Topomax twice a day and rotate with Treximet, Imitrex, and Maxalt.  I am 42 now.  Is there any chance insurance would pay to try this? A: […]

Q: Good Day! I am Miss Ameena Williams living in United Arab Emirates. I want to book for breast reduction surgery in your clinic. I and 6 of my colleagues will be spending our vacation in your country for three weeks in the month of May 2011 and I want to use this opportunity to […]

Q: Several years ago I was involved in a cycling accident in which I landed on my face and broke a lot of my facial bones, including my jaw, nose and cheeks. My face was initially reconstructed and looked quite good, almost like it was before the accident. But after 6 months, I began to […]

The eyes are the focal point of the face, at least in everyday conversation, and a more youthful appearance contributes substantially to the impression a person makes. Bags beneath the eyes, wrinkled and drooping layers of skin on the eyelids, and sagging eyebrows give the entire face a perpetually tired and sad expression. Blepharoplasty (eyelid […]

Q: I am a 46 year-old male who has lived with HIV for over 20 years. Due to the medications I take, they have caused  fat to collect under my jowlws and into my chin and neck area. I look like I have a small tire underneath my jawline that wraps around to the back […]

Q: Hello Dr. Eppley, I am interested in having a stronger structured jawline. I have been wanting this and am now prepared to have this done. I am tired of seeing a round fat face and with your expertise I think I can get the sculpted jawine that I have always desired. Here are some […]

Q: Dr. Eppley, I feel like my cheeks are flat and that makes my face very non-descript and uninteresting. I think cheek implants would help but I have also read that you get get better cheeks with injectable fillers also. Which do you think is better? I have attached two pictures of my face as […]

Q: Do you do fat injections for breast augmentations? I read your article and have already been in to be seen and I am planning to have surgery in June. Is this a possibility for me? I did not know about this before the time I had my breast augmentation consultation or I would have […]

Q: Dr. Eppley, I am interested in having breast augmentation. I have had several plastic surgery consults and they have left me confused. One doctor told me that silicone implants do in fact appear more natural (less rippling on the breast) than saline after surgery. Another doctor told me that it doesn’t matter and I […]

Q: I am a 24 year-old male. I believe that I might have sagittal synostosis (scaphocephaly) and it has been quite a burden throughout my life. Furthermore, I have an extremely long face. I know that options are very limited for adults but I wanted to explore possible solutions (if any) to perhaps lessen the […]

Q:  I am 32 years of age and I have breastfed 3 children. I am 5’ 4” and weight 127 lbs. My current breast size is a 36B which measures about 7” I want to get bigger breasts but also want them to look natural. I don’t want my breasts to look like big round […]

Q:  I am very interested in buttock implants. I was initially treated with fat grafting and spent a lot of money but the results did not last. This is why I don’t trust fat grafting and won’t do it again. I was greatly disappointed when I looked the same 3 months after the procedure. Any […]

The Guinness Book of World Records has a lot of peculiar and  unusual human achievements. Plastic surgery makes up but a few of them. One such record is that of a 55 year-old woman from Ohio who has had the most number of cosmetic surgeries. With 52 plastic surgery procedures to her credit, she appears […]

Q:  I want butt implants to give me a much larger butt. I was told that’s 400cc implant would give me the size I want but I think that’s too small. Can I send a picture of my butt and a picture of the size I want? Can you tell me what size implant would […]

Q: I am 22 year old male who is seeking multiple procedures because I really do have numerous facial structures that need improvement as clearly evident in my pictures (attached).  My concerns and procedure desires are as follows: 1. Rhinoplasty: I’d like nasal hump reduction, narrowing of wide nasal bridge, and nasal tip contouring. I’d […]