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Q : I have heard that regular use of Botox and injectable fillers over years can reduce the need to do them so often. Is that true or just wishful thinking? A: Recent research presented at plastic surgery meetings have indicated that such a ‘rumor’ may have some truth to it. A study out of […]

Q: I suffer from a condition called Geniospasm, which affects the mentalis muscle. I have read that it might be possible to treat this condition with Botox injections. Have you had any experiences with this condition? What are your thoughts? A: Geniospasm is a rare movement or tremor disorder of the mentalis muscle of the chin. […]

Q: The procedure that interests me is the one that will reduce the size of my buttocks.  I am in good shape and target workouts to the area, but my  buttocks hangs down over the gluteal crease and no matter how much I strengthen those muscles, I am not getting the results I want. I would […]

Q: I was looking at having breast augmentation done. One of my breasts is larger than the other. But I was woundering if you could use instead of saline implants fat from somewhere else on my body, like my stomach area?? That would solve two problems at once! A: The appeal of using fat instead […]

Q:Hi Dr Eppley i just read your”The Advantages of a Chin Osteotomy Vs a Chin Implant ” paper. I have a medium to small chin deficiency and am a  male  that is 41 years old. Is bone resorption something to worry about in the long time results with silicone chin implant? Thanks a lot! A: The phenomenon […]

Q: I am very interested in breast augmentation.  I have been pregnant four times and between weight gain and loss my breasts are in need of some repair.  Do you think I will need a breast lift also? A: The anatomic determination of whether any breast needs lifting is based on where the nipple is sitting relative to […]

Q: I have had an overaggressive weir excision to my nostrils, causing my nose to look unbalanced. I also have difficulties breathing as my nostrils are always flaring. I have read your website and other studies with regards to fixing the problem with concha cartilage. In your opinions, is that a feasible option aesthetically or will […]

Q: I have two scars, one on each side of my head from previous surgery (about 1.25 inches by 0.25). I was wondering if it was possible to make them less noticeable? A: While all lacerations and surgical incisions leave scars, scalp scars are unique in what makes them visible. That is the fact that […]

Q : I have a medpor chin implant as part of some cosmetic surgery 4 years ago.  The implant is eroding the bone and my oral surgeon says it must come out.  He doesn’t want to replace it.  I am in no pain and I like the way I look.  Do I have to have […]

Q: Can a chin implant be an alternative route to mandibular advancement? I went to the orthodontist today for my overbite and excessively gummy smile and was told that my options are to get the Lefort maxillary surgery (or place 2 screws on my upper jaw and have wires pull my teeth-in  sections via braces- upwards […]

Q: I was wondering if a scar on my forehead can be improved by plastic surgery. Two years ago, I fell and had a deep cut into between my eyebrows. Even though it was stitched up in an emergency room, it has still left a very noticeable scar. Because of where it is located next […]

Q: I am a 58 year old female who is looking for a highly qualified plastic surgeon to perform a breast reduction surgery.  I need to be able to work with someone who can help me get my insurance plan to cover the cost as I feel this is medically necessary.  I honestly don’t have […]

The first of the month of July marks the first visible sign of the recently passed Health Care Reform Act. You might not notice it unless you are paying to get a tan. The 10% tax on tanning salons has gone into effect and it will cost you that much more to get one now. […]

Q: Hi, I’m an Asian female in my late 20s. Over recent years, my jaws have become really prominent, making me look somewhat masculine and heavy. Looking for a way to reduce the angle of my jaw, I found the masseter reduction with botox injection on the web. Since I don’t want to change my bone […]

Q: I was very impressed by your comments on lip lift. I feel confident that you understand more about this procedure and the possible things that can go wrong than other plastic surgery websites I have seen. Since I have had two prior rhinoplasty surgeries, will this procedure affect my nose? Some surgeons have said that […]

Q: Hi Dr Eppley, I was wondering if fillers can be used on a sagging elbow area instead of the surgical procedure? A: Sagging of skin around the elbow area can be the result of age, body type, and weight loss. Most commonly I have seen it to be an issue in the extreme weight loss […]

Q: I have a deep vertical line in between my eyebrows that is still noticeable despite having Botox injections. I was wondering if endoscopic browlift could correct this. Im only 27 years old. Please help. A: The development of vertical wrinkles between your eyebrows, known as the glabellar area, is common and is the result […]

Q: I have multiple lipomas over my arms and legs. Is there anything new to having them removed? A: The standard treatment for lipomas remains excisional, making a small incision over the lipoma and pushing it out. While effective, this does result in a very small skin scar. While this approach is fine for several […]

Q: I am interested in getting an inner thigh and knee lift procedure but am concerned about the scarring. I have looked on the internet but pictures of these type of scars seem hard to find. Do you have any suggestions about how I should make the decision for this kind of surgery? A: Body contouring […]

Q: I had jaw angle reduction surgery three months ago and I am unhappy with it. I wanted to make the thickness of my jaw angles more narrow and thought that Botox injections to the muscle would work. Instead the doctor told me that I needed bone removed instead. During surgery, the doctor cut off […]

Q: How come with breast augmentation the work seems flawless with no scarring at all. But with a breast lift, there appear to be scarring and are not always even. Your augmentation is beautiful, the best i’ve seen so far. I dont think I need an implant because I am already a DD. A: Breast […]

Q:  I recently had cheek implants but now one side of my face has hollowed out and both sides of my mouth have developed drooping pouches of tissue .  It looks very uneven and has  distressed me greatly.  I would like your opinion  about this. A: This is certainly a very unusual type of mouth result […]

Q:  My breasts are in terrible shape after having had 4 children and nursing them all. They are saggy and disgusting. I think they need a total breast overall. They look so bad I don’t even know if they can be helped. I have read about breast implants, breast lifts, and breast reductions and I […]

Q: I am interested in a Thyroid cartilage reduction. I am a male but this is not for any kind of transgender procedure, I just have an oversized adam’ s apple and I do not like it. i am in my 30’s and I’m not looking to have it removed just made smaller. Is it possible to have […]

Q: I had a bullhorn lip lift three weeks ago and feel that the scar under my nose is quite hard (harder when I start talking) and still visible. Can you please tell me if the scar will soften and dissappear eventually? I much appreciate a second opinion. A: The healing of scars from a […]

Q:  Hi, I’m an Asian female in my late 20s. Over recent years, my jaws have become really prominent, making me look somewhat masculine and heavy. In ooking for a way to reduce the angle of my jaw, I found the masseter reduction technique with botox injections on the internet. Since I don’t want to change […]

While my parents, and their parents, have lived much of their lives with fairly similar methods of doing business, the present world has seen a near total transformation in just the past decade. The merging of two initially unrelated technologies, electronic communication (now wireless) and social networking, have created a paradigm shift in societal thinking […]

Q: I had a chin surgery in the past with a silicone implant  placed from inside my mouth. I didn’t like it so the doctor removed it two weeks later. Within a few days after its removal, I could feel fluid inside. The doctor removed it by a needle and it looked fine. But five days later I had […]

Q: I got the mole on my nasal bridge removed by elliptical excesion. The wound got infected (pus). The stitches were removed after five days of operation. Because the pus was still there the wound opened up. Now 15 days after the removal of stitches, I am left with 1mm deep large hole in place […]

Q:  I had saline breast implants placed three years ago. I went from a A to a C cup. While I like the results, there are ripples along the bottom and the sides of the implant. I know some people have them and can feel them, but in me you can actually see them. They are […]