Blog

Q: Dr. Eppley, Hello, if I choose to get a genioplasty. Should I remove the plates and screws? If I don’t remove them would I be able to get fillers or Botox in the future? Would there be a potential risk for infection? In addition, how long after genioplasty would you recommend getting fillers or […]

Q: Dr. Eppley, I’ll explain more in depth what is going on and what I want to accomplish. Implant used – implantech terino style II size large Method – inserted from under the chin Imaging – whatever a maxillifacial surgeon uses. I don’t know the name  I had the implant placed in October 2020. Haven’t […]

Q: Dr. Eppley, what procedure is the best for me? My eyes is too bulgy and flat I want feminine eyes how to achieve that? A: You have a significant undereye (infraorbital-anterior malar) bone deficiency with excessive scleral show (due to lack of lower eyelid vertical height) This makes your eyes appear bulging but the […]

Q: Dr. Eppley, Hi there, I’m a 27 year old male, recently gone bald to reveal what seems to me to be a mild case of brachycephaly. It seems like you have treated patients with the same problem to some great results. Looking to discuss possible solutions. I consulted with a craniofacial specialist in the […]

Q: Dr. Eppley, I am due to have calf augmentation post Achilles tendon repair due to severe fatty atrophy of the soleus muscle. I saw that you have done this surgery before and the patient is in your photo gallery under Body Implants – Patient 21. Dr Eppley used 2 implants in this circumstance and […]

Q: Dr. Eppley, I’m considering the removal of a silastic implant that was placed under the chin (6mm anterior projection), what realistic complications are there to expect? It was placed 2ish years ago. It’s hard to know what to expect with ptosis, chin balling, nerve damage, and all sorts of complications being thrown around on […]

Q: Dr. Eppley, Really want a consultation for the back of  my neck , you were the only one that seemed available  A: The ‘triple roll ‘neck poses significant challenges in terms of improvement. One approach is a middle roll excision with undermining on the superior and inferior rolls to bring it together creating an […]

Q: Dr. Eppley, I am interested in a scapha reduction (macrotia surgery) on both ears. I saw a previous reply on your website to someone interested in the same procedure that the helical rim is crucial for this procedure in order to be able to hide the scar. While I do feel that I have […]

Q: Dr. Eppley, Sustained a cheek fracture last year and hospital did not want to intervene! I notice a big difference in facial symmetry with malar depression. Just looking for help because it has caused emotional pain. A: This is a classic depressed ZMC fracture. At one year after the injury the depressed cheekbone is […]

Q: Dr. Eppley, I have a large head with a dent in the back of my head. I know it’s not possible to make my head smaller, but I want the dent fixed. If I get the dent fixed will it make my head larger? A: That would depend on the size of the dent […]

Q: Dr. Eppley, In determining the best jaw angle width for my custom jawline implant I have read that it is usually better to keep it less side than that of my cheeks. Is that good way to do it? A: To anatomically understand cheek bone anatomy it has two components which have an anteroposterior […]

Q: Dr. Eppley, I am wondering if you could help.My son had ear pinning one year ago. I was not happy with the results straight away, however, the surgeon told me it was impossible to undo the surgery as it would require a rib cartilage to be inserted into my son’s ears and would be too […]

Q: Dr. Eppley, I am reaching out to seek advice from you who has a rare expertise in fat grafting and lip surgery. I am 63 years old and underwent a secondary face lift along with lip fat grafting a year and a half ago. Unfortunately, I have been left with a noticeable lump on […]

Q: Dr. Eppley, 27 yo female who is unhappy with smile/avoid being in pictures. Desire for upturn of corners of mouth when smiling/more even smile. A: Smiling is a dynamic facial movement while surgery is a static procedure. Thus at rest the corners must appear more upturned and the mouth wider for a bigger more […]

Q: Dr. Eppley, I have very droopy eyelids and I was wondering if a brow bone implant would raise my eyelids? Because I do want my eyelids reduced sometime in the future and I’m not sure how it would affect it. A: A brow bone implant is unlikely to improve droopy eyelids to any significant […]

Q: Dr. Eppley, I’m inquiring about the brow bone augmentation. I’ve been trying to find a way to have deep set eyes. I went to a doctor in L.A. and he suggested orbital decompression, which sounds dangerous. So I’ve been searching around the internet and I found of Dr Eppley’s before/after picture of a patient […]

Q: Dr. Eppley, I am potentially interested in posterior temporal reduction surgery because I feel that my head is too large. I also feel that I could benefit from anterior temporal reduction surgery because the area from the side of my eye to my hairline is also a bit too large. I attached a photo […]

Q: Dr. Eppley, Hello there, just a quick question regarding aftercare post surgery from my custom forehead implant. Everywhere else seems to request the patient wears the head bandages after surgery for one week, can I ask why you suggest removal from the next day? A:I don’t suggest removal of the head dressing the next day, […]

Q: Dr. Eppley, I previously had iliac crest implant surgery and it has left me with very obvious hip dips/ indents, even after a fat transfer. I am very thin, so I need to gain weight before having another fat transfer. I was wondering it custom hip implants might be a better option than another […]

Q: Dr. Eppley, I would like to have an online consultation in relation to an osseous genioplasty procedure or jaw surgery. Over the past 3 years I have conducted some personal research, ~5 consultations, and also previously had a chin implant a number of years ago which I had removed after a few months of […]

Q: Dr. Eppley, Should I have a malar fat pad removed by a cosmetic surgeon? A: I assume you mean by a malar fat pad you mean the buccal fat pad…since that is the cheek fat that can be surgically removed. I can not speak for the experience of any other surgeon regardless of their […]

Q: Dr. Eppley, I’m now a year post double jaw surgery. I’m looking at midface implants to address midface recession. I attached a picture of myself from yesterday. I also attached a picture of an implant design I think I’ll need. Is it ok to put all these implants in at the same time as plate […]

Q: Dr. Eppley, I had read that a chin implant can also widen the chin or make it appear more square. One trade-off it sounds like is that the implant would not reach as much horizontal projection. But if my goal is to also make my chin/jaw appear more masculine overall, would I noticeably be “missing […]

Q: Dr. Eppley, Hi, I’m considering a sliding genioplasty to correct lower jaw asymmetry.Was considering a bsso but the procedure seems intensive.What would you suggest? A Forget about whether one procedure is more ‘intensive’ than the other. What counts is what procedure(s) is most effective for correcting the asymmetry. The first step in any facial […]

Q: Dr. Eppley, I have a forehead scar. Had an obagi blue peel for mild acne scars with good results. 4% hydroquinone for 4 weeks then bumped up to 10% compound for several weeks before procedure. Have been wanting scar revision. Assuming similar skin prep. Have had sever attempts at fillers with no results. Would […]

Q: Dr. Eppley, I have a very large bulbous-shaped head / large forehead that I have been derided all my life over. I never thought there was a corrective surgery though it has always been a dream. Would like to look into what’s available which would be a dream of mine. A:I believe you are […]

Q: Dr. Eppley, I’m a 34 y/o male interested in improving the horizontal projection of my chin and the contour of my chin/jawline overall. I’ve read about both chin implants and sliding genioplasty, is there one you would recommend more in my case for superior aesthetic result? Would liposuction be of any benefit in combination? […]

Q: Dr. Eppley,Can a supraorbital rim and infraorbital implants (periorbital augmentation) give 1.5cm forward projection or does it need to be combined with a forehead implant to avoid protrusion or bossing? A: That would depend on doing some side profile computer imaging to see what that change would look like. But as a general rule […]

Q: Dr. Eppley, I was considering a paranasal and premaxillary implant but came across a lot of negative reception regarding how the implants “ruin” your smile.  1) What kind of ruining would they be referring to? Is it the increased philtrum distance and flattening of the top lip? If so, could this be mitigated via […]

Q: Dr. Eppley, I found you online and I read about the reverse frenectomy question and that was exactly what happened to me. My smile has changed drastically and I’d like to see if there is a consult or get more information. A: You are referring to a central lowering vestibuloplasty procedure…which is the equivalent […]