Blog

Q: Dr. Eppley: I am planning to get cheekbone reduction and currently my biggest concern is skin sagging. But i already accepted the risk of skin sag i just want to minimize the severity. I read somewhere cheekbone reduction through coronal incision reduces the risk of skin sagging. Is it true? Which method is better? […]

Q: Dr. Eppley, I had a cheek implant put in 25 years ago. Due to stress I have been grinding my teeth at night. I do wear a mouthguard. Twice over the past few months, I have woken up in pain where the implant is located. The first time I thought I had an infection […]

Q: Dr. Eppley, I am interested in cheek implants hoping to eliminate the concave appearance of my cheeks and if possible strive for a more symmetrical appearance.I had cheek implants last year and think there’s plenty of room for improvement;). Thank you for your time and I look forward to hearing from you. A: Thank […]

Q: Dr. Eppley, I have a question. Is it possible to have a sliding genioplasty for the chin and create a custom wrap around jaw implant together. Reason I ask is that I think I need vertical length in my chin and it’s my understanding that chin implants only give horizontal lengthening.” A: Combined sliding […]

Q: Dr. Eppley, I believe I may have excess perioral fat, and I am writing to enquire exactly what these pockets of fat around the highlighted area is. I am situated in London England therefore I am asking to get an opinion on what exactly the right procedure could be. I have already had complete […]

Q: Dr. Eppley, My concerns are that my sagittal ridge reduction will be sufficient enough. That there will be no long term affects from having it done. And that I can fly home the day after the surgery as I was told at my virtual consultation. A: In answer to your questions: 1) In sagittal […]

Q: Dr. Eppley, I for two years I have been looking for a solution to my problem. I had a genioplasty (periosteal detachment of the mandible with milling of the chin bone relief with the pineapple ball). Since then, my chin is hyperdynamic (spasms all day long) and all the chin tissue is falling (including […]

Q: Dr. Eppley, , I’ve attached some pictures of my original nose before surgery and then some pictures of how my nostrils are shaped now after surgery due to the alar base reduction. I’ve labeled every single picture so that its clear which one is post op and pre op. I’ve also pointed out with […]

Q: Dr. Eppley, hey! i was looking to get a chin reduction, I have a wide and boxy chin, very prominent when I smile. how much would it cost to be able to fix it? I’ve heard it could cause jowls, how would that be avoided? thank you:) A: A chin reduction does not necessarily […]

Q: Dr. Eppley, I have some questions about temporal reduction”  1.  In regards to the convexity that starts above my ear, how much does the temporal bone contribute to the convexity, is the convexity all muscle whilst the temporal bone is straight. Please review my cat scans to confirm what my condition is. 2. Have […]

Q: Dr. Eppley, I had a genioplasty with you back in June. I am still happy with the results and everything healed up perfectly. My face no longer looks “short” to me with my new chin, but I still think it looks too chubby for my BMI. My BMI is about 23%, I am comfortable […]

Q: Dr. Eppley, Since I was about 15 I have had this bony growth around upper orbit and brow bone on the left side. It is quite noticeable, and I think it has pushed my left eyebrow down and caused one eye to appear “swollen” – there is a lot of extra skin above upper […]

Q: Dr. Eppley, Hello I’ve spoken to your office a few times and was wondering if getting a custom wrap around jaw implant and sliding genioplasty with some kind of lower/neck lift could all be performed at the same time.  Thank you  A: The question is not whether you can have a jaw implant, sliding […]

Q: Dr. Eppley, I had a lumpectomy and radiation on my right breast in 2013. I would like to have a breast lift and implants. Will radiation prevent me from being able to have surgery? A: Your question is very appropriate as radiation changes the quality of the tissues in its path and their ability […]

Q: Dr. Eppley, What is the height of the deltoid implant (the width that it adds to each shoulder)? Are there different sizes? Please kindly advise before I schedule a consultation. A: Since deltoid implants are custom made for each patient (there are no true standard deltoid implants) their width can be made to what […]

Q: Dr. Eppley, I read that your office offers skull implants to grow an inch or so in height. I was wondering if it is safe for the implant to remain permanently and if it is okay to resume contact sports (football / kickboxing) after this procedure. A: Skull implants, once placed, are permanent and, […]

Q: Dr. Eppley, I have discussed in the past regarding his thoughts on whether orthognathic surgery could also be done in my case. While my bite is not far enough apart at this point (partly because my lower teeth have developed an forward angle to compensate) , I am considering potentially have my lower teeth […]

Q: Dr. Eppley, I am asking about breast reduction surgery for my overweight friend. She has a BMI of 43. Is it possible for her to get this surgery without losing weight? Her breasts are very large and saggy and cause her back and shoulder pain. She is much less concerned with aesthetics than she […]

Q: Dr. Eppley, Is it possible for the nose to be vertically lengthened, giving a philtrum – shortening effect similar to a lip lift? A: Your question is really whether a ‘reverse lift lift’ can be done where the nasal base moves downward instead of the upper lip moving up with a subnasal base tissue […]

Q: Dr. Eppley, I was wondering if the doctor does permanent lip filler removal? I’ll also need another procedure to give them shape and volume again.  A: Permanent lip filler, which are most commonly of silicone materials, have to be removed by an open procedure. Reshaping often involves changing the level/position of the vermilion border. […]

Q: Dr. Eppley, I am past 6 weeks since my second tummy tuck. I can see a difference however, it is not anywhere near what I was hoping for. I can still grab a hand-full of fat all around my abdomen, my measurements have not reduced at all and I still feel swollen on the […]

Q: Dr. Eppley, Hello, I am just inquiring if you are able to correct SCAPHOCEPHALY, which is when the head shape is slightly narrow and abnormally long?  If so, are you able to help children and adults?  Thank you A:I do have an approach to treat adult scaphycephaly as seen in the attachments which consists […]

Q: Dr. Eppley, Hi Dr, will I be able to move and rotate my shoulders and hands freely after clavicle shortening? And will I be able to play some simple hand sports?  And, is there a plastic surgery that can increase the vertical length of my chin? My chin is so small and short and […]

Q: Dr. Eppley, Hi I was wondering whether anterior and posterior temporal muscle reduction and temporal bone reduction can all be done in the same day, I know you prefer muscle reduction than bone reduction but are you able to have both done in the same day A:It is not that I ‘prefer’ temporal muscle […]

Q: Dr. Eppley, First off, thanks for being a pioneer in this field and paving the way for other surgeons to follow suit. My question is with regards to your blog: widening vs vertical jaw angle implants. In it you say, a widening implant can add a little bit of vertical dimension as well. How much […]

Q: Dr. Eppley,I did have a small size chin implant inserted several years ago which I am very happy with. I think a larger one would leave me with a boxy chin. I do not want to try to look younger either. But I do feel I have a somewhat weak lower facial profile and […]

Q: Dr. Eppley, I was wondering about follow-up to https://exploreplasticsurgery.com/plastic-surgery-case-study-outcome-assessment-of-transgender-male-to-female-shoulder-narrowing-surgery/?doing_wp_cron=1633484309.4748740196228027343750  Specifically,I was wondering if you had any photos showing a back view after the patient had time to recover from the surgery? In the “1 day after” photos, the patient appears to have extremely hunched posture which looks to compromise the aesthetics. A: As stated […]

Q: Dr. Eppley, As a trans woman considering iliac crest implants does one need to be on hormones prior to the surgery? A: While many transgender women are on hormone therapy, and I would consider this to be the normal, it does not have a beneficial or adverse role in successful implantation onto the iliac […]

Q: Dr. Eppley, what is the recovery time for iliac crest implants? A: The recovery time from iliac crest implants is a direct reflection of having raised part of the TFL fascia off of the iliac crest to place the implants. This causes some discomfort with walking as would be expected initially. This will take […]

Q: Dr. Eppley: I weigh 375lbs highest weight was 400. I am trying so hard to loose weight but my “fat appron” is causing a lot of issues for me. Rubbing raw and so painful when I try to exercise. I feel I hit a wall. I really want to get a panniculectomy and was […]