Blog

Q: Dr. Eppley, I am interested in cheek implant replacements. My current cheek implants are a medium combination submalar and malar midface implant. It’s opaque, blue and a rubbery material. The side that is placed on the bone has small tentacle like projections.  I’m not sure if it caused by improper placement, sizing, implant shape […]

Q: Dr. Eppley, One year ago I had a sliding genioplasty (along with LeFort 1) that horizontally advanced my chin 6mm. Although the projection of my chin improved, I was still unsatisfied by it, so on Friday, I was scheduled to have another 6mm genioplasty (for more horizontal advancement), as well as wisdom teeth extracted. […]

Q: Dr. Eppley, I recently got Medpor jaw angle implants (1 month ago) 7.5 mm but already I wish I had went larger to the 1cm ones to have more flare. Would it be possible say in a year or so time to place a small custom silicone implant over the polyethylene implant without removal […]

Q: Dr. Eppley, I am curious about custom titanium facial implants. Seeing a lot of fear mongering on the internet regarding bone re-absorption, infection, etc. Can you update me with the latest information on risk? How long do titanium implants last before complications are possible? Possibility of muscle or nerve damage, or large scarring? Is […]

Q: Dr. Eppley, I’m emailing you regarding coral hydroxyapatite/Interpore.  It is a porous, non-degradable granular mixture of hydroxyapatite from coral in the sea. It is perfect for facial augmentation, I believe.  Do you use this material or happen to have any of it on the shelf? I don’t like the idea of a traditional implant […]

Q: Dr. Eppley, I had mandibular body implants, placed bilaterally without complication, around 20 years ago. The projection of my chin was also reduced at that same time. There  were no screws, the mandibular body implants were the largest size available.  At  that time it was very uncommon to lower the mandibular jaw angle , so […]

Q: Dr. Eppley, I am a 22-year old male. My temporalis muscles bulge at the sides which makes me look like an alien. Because of the my protruding posterior temporalis, my hat size is 58cm, and even that feels a little tight.  I heard that you’re one of the few surgeons that can surgically excise […]

Q: Dr. Eppley, I just would like to know if you can help me with a procedure. So, I would like to have a silicone implant in my head to grow 2.5 cm for my job and my career. My career requires me to have at least 166, but my size is a 163.5 . […]

Q: Dr. Eppley, I have a very long face, it’s actually long through out and while i am looking into hairline lowering/hair transplant , and have already had a chin reduction , the mid face and the part of the lower face that is between the lips and the nose appear to be harder to […]

Q: Dr. Eppley, I’ve had decent results from Botox to correct temporal hypertrophy, but the results are always temporary unfortunately, so I’m looking for something more permanent. I have a few questions please .. .1) I think the muscle is thickened in both anterior and posterior aspects, but I think in my case its more […]

Q: Dr. Eppley, I am searching for a doctor well experienced in sliding genioplasty revision. I had a sliding genioplasty reduction 6 months ago as I wanted to reduce the protrusion of my chin when I smiled. I am happy w the results, the problem is the dynamic ptosis my chin manifests every time I […]

Q: Dr. Eppley, I have been following a lot of your work and you seem to know a lot about computer imaging. I think I will have to go with you for my next procedure because my current doctor doesn’t seem as informed as you. I had off the shelf cheek implants inserted by a […]

Q: Dr. Eppley, I have been thinking about getting custom made jaw implants to compliment my cheek implants, but the ONLY thing that scares me is an infection. I am terrified of infections, which is why I had the cheek implants inserted through the eye lid. Which brings me to this series of questions: 1. […]

Q: Dr. Eppley, I’ve been carefully considering everything and I think I am going to put off getting calf augmentation and custom infraorbital-malar implants until future procedures, if I choose to do so. I am still interested in the following: -Custom Jawline -Buccal Lipectomies with Perioral Mound Liposuction: Bilateral -Septorhinoplasty -Fat Grafting to: Labiomental Fold […]

Q: Dr. Eppley, I am an international patient and am interested in a custom wraparound jaw implant. I have a few questions:  1. As I am an international patient, will it be possible for Dr Eppley to design the implant just off the 3D ct scans or will i have to physically be present for […]

Q: Dr. Eppley, I have really been mulling a facial reshaping procedure for some time.  I am interested in getting a more heart shaped face. High, defined ogee curve – so delicate cheekbones and a V like chin. I am unclear on if I need to touch my chin at all. I am also unclear […]

Q: Dr Eppley, I am interested in custom infraorbital cheek implants. However, I have scleral show and don’t want to run the risk of amplifying it through insertion via the eyelid. Could the custom implant be inserted though the mouth? Thanks. A: The intraoral route for custom infraorbital-malar implants can be used IF the implant […]

Q: Dr. Eppley, I am two days after custom infraorbital-malar and jawline implants. I’m feeling OK, pain is tolerable. However I have significant facial swelling, right face greater than left (I notice that this is far more than what I had my Lefort 1 surgeries). I have started medrol dose pack. Is this common to […]

Q: Dr. Eppley, I was thinking about brow bone reduction surgery and I have two questions: 1) Will the screw/plate/etc in my skull interfere with airport security? 2) Is the brow bone reduction surgery something that is often re-done or come with complications? I was a bit startled when the form said 15% of patients […]

Q: Dr. Eppley, I’m interested in getting cheek implants after unfavourable results from zygoma reduction surgery. I am very much interested in getting custom implants to get the most desirable results, but this would entail going overseas as no plastic surgeon offers custom implants for aesthetic purposes in my home country. How often or what […]

Q: Dr. Eppley, What type of cheeklift did I have done when my Medpor cheek implants were removed? A: Cheeklifts are done to either treat a difficult ectropion, as a prevention of ectropion or cheek tissue sagging such as may occur from cheek implant removal, or do a cheeklift for sagging from aging or as […]

Q: Dr. Eppley, I am interested in rib removal surgery for waistline reduction. I want to make way since I’m not near you for an in person consult and email should be enough for now. 1: Referencing the picture of the ribs in this reply could you tell me precisely what the surgery entails? Is […]

Q: Dr. Eppley, I had a Mittleman chin implant three weeks ago via a submental incision. It initially looked to me despite the swelling and had no sigs of infection. I had some lip numbness on both sides and occasional shooting/electric shots on the chin during the second week after surgery. But all of his […]

Q: Dr. Eppley, After my 2nd open heart surgery my sternum never healed. It’s been almost 3 years since my surgery and I’m still in pain. I had my wires removed in 2017, that didn’t resolve my issues. Is the sternal plate rigid fixation something that could help me? My pain management doctor said he […]

Q: Dr. Eppley, I had a jawline reduction surgery five years ago, but I think the surgeon may have trimmed the bone a lot. I don’t like the looks that the jawline is very high on the angle now. I want to have an implant that brings the jawline down just a little but without […]

Q: Dr. Eppley, A couple of months ago, I had my masseter muscle trimmed which I totally regretted. Now I have depression on both sides where the muscle was trimmed. I see that the skin is going in a little. How do I fix this problem? Would fat transfer work?  A: In answer to your […]

Q: Dr. Eppley, I’m contacting your office hoping to set up some sort of consultation for a Chin Augmentation procedure. I’m aware you do quick 10-minute pre-consultations over Skype, so perhaps that would be a starting point? However, I’m more than willing to move forward with a regular consultation if that would be most appropriate. […]

Q: Dr. Eppley, Can you analyze a patients soft tissue during a consult to tell them if they can achieve the angularity they hope for with facial implants? A genioplasty and chin implant will have the same amount of angularity then, I suppose, right? Also, does material matter? Do harder materials like PEEK or more […]

Q: Dr. Eppley, When it comes to the “short face syndrome” characterized with a shorter lower third compared to middle and upper third, this is often present without any problems in chewing or overbite / upperbite. In my case, my maxilla is very forward (almost as forward as the likes of Jordan Barrett) but my […]

Q: Dr. Eppley, I had a rhinoplasty where they lowered my columella and used a premaxillary implant at the base of my nose where the incision was in my upper gum line similar to the way you insert them. I didn’t care for the premaxillary implant and had it removed. I now notice my upper […]