Blog

Q: Dr. Eppley, I have had off the shelf Medpor chin and mandibular angle implants in for the last decade and desire a greater degree of augmentation and resolution of underlying asymmetries that could only be achieved with custom implants. My two questions are; 1) can 3D CT modeling be done with the current implants […]

Q: Dr. Eppley,   I just underwent breast implant revision with new and larger implants. I just wanted to follow up with you on my revision. No pain to complain about. No pain meds needed just the antibiotic. I was a bit worried about the shape of the right implant as it still looked a bit odd […]

Q: Dr. Eppley, I’m thinking about having a custom jaw implant or a custom wrap around jawline implant. I’m a male who has a round short chin with a smooth jaw. I want my lower third of the face to be longer and wider. Not so much of a horizontal projection on chin but a […]

Q: Dr. Eppley,  I am interested in enlarging the current size of my testicles. (testicular enlargement implants) Do you perform soft testicular implants that go around the testicle to enlarge them up to 3 inches in size? A: In regards to testicular implants, you are referring to a testicular enlargement procedure that uses an implant that […]

Q: Dr. Eppley, I believe my upper third of my head is excessively wide so I’m considering temporal muscle reduction surgery. ]But my jaw is also small relative to the rest of my face so my question is. Is itt possible to combine jaw implants with temporal muscle reduction surgery, or could the extra mass […]

Q: Dr. Eppley, I am interested in ankle fat grafting. I would like to know if fat augmenting will be good for my leg and ankles. I have very thin legs and ankles and I’m unable to wear heels because it hurts. I am also ashamed of not being able to wear skirts and dresses […]

Q: Dr. Eppley, I have noticed that you have some bone cement skull reshaping before and after pictures and in some Real DSelf posts of the past. I have noticed you suggesting bone cement to fix flat heads. 1) Has your opinion on bone cement changed over time due to the subpar results from it? […]

Q: Dr. Eppley, I am interested in jaw angle augmentation. I understand it is not a good idea to extend the jaw angle implant back closer to the ear.  I have few question for you. Hope that’s okay?  You mentioned standard jaw angle augmentation implants may be suffice.  I assume custom made is other option? What is the difference/advantage between […]

Q: Dr. Eppley, I have a couple of questions regarding the custom midface implant that we have previously discussed. Firstly I would want the implant to cover the whole midface including the  infraorbital area and extend to the sides of my eyes. However I have previous history of hypertrophic scarring and I am not sure whether just […]

Q: Dr. Eppley, I am interested in secondary rib graft rhinoplasty. I had silicone rhinoplasty done seven years ago. (they used silicone for the bridge and septal cartilage for the tip).Although I am very happy with it aesthetically, I also started getting autoimmune problems shortly afterwards and now have full-blown Lupus. While the link between […]

Q: Dr. Eppley, I have been reading a lot of your posts online. It seems like you have a lot of knowledge when it comes to facial implants. I am interested in jaw implant revision. I had silicone chin and jaw angle implants sic weeks ago and I went too small. I want bigger all […]

Q: Dr. Eppley, I was wanting to know if there is anything you could recommend to remove what I have read as forehead horns. They are wide and stick out of the left and right side of my forehead. They get bright when light shines on them and I feel more insecure as I grow […]

Q: Dr. Eppley, I had large deltoid implants placed over a year. After the swelling went down, they’ve given me a rather deformed appearance. I can send you pictures. Is there anything that can be done to give me a less deformed appearance? Someone recommended a fat graft would be the least risky alternative but […]

Q: Dr. Eppley, I had microtia reconstruction of my right ear back in 2006. I am not happy with the results especially looking at the pictures you have posted in your Instagram accounts. The quality of your performance is stunning. While I am now 42 years old I am not ready to say this is the […]

Dr. Eppley, I am interested in either chin implant removal or chin implant modification. I had a square medium chin implant placed three years ago from an incision under my chin. I’m strongly considering having it revised or removed. Ever since the implant was first placed I disliked it and have felt there are problems. […]

Q: Dr. Eppley, The rib removal surgery has me interested and I would really like to ask some questions. Is it possible for the waistline to become very indented after rib removal surgery and by many centimetres? For example, would a person with a straight, rectangular waistline/torso be able to have a more curvier waistline […]

Q: Dr. Eppley, I have Caliber-Persistent Labial Artery (CPLA) in my lips with visible pulsating on middle upper lip on the right side. I am curious to know if you heard of the more conservative methods in treating CPLA? Would you be willing to try these two simple methods before doing a surgery? A couple […]

Q: Dr. Eppley, i have arranged a surgery with you for bilateral posterior temporalis muscle removal later this year. I have asked you before if will have any problems with chewing or jaw movement after the surgery, your answer was no. When I am chewing food though, with my back teeth(mostly), I am feeling the movement […]

Q: Dr. Eppley, I am interested in a reverse frenulectomy procedure. About one month ago while my tooth was being filled a dentist without my knowledge and permission did lower a lower lip frenulectomy with laser. This has caused lower lip ptosis. My orofacial esthetics is altered in a very bad way. And since most […]

Q: Dr. Eppley, I am interested in ear reconstruction. I got bit by a dog a year ago and lost the lower third of my ear. I have attached pictures for your review. A: Thank you for your inquiry and sending your pictures. Your traumatic injury represents a classic case of reconstruction of the lower […]

Q: Dr. Eppley, I have researched Coolsculpting and Smartlipo and feel that Smartlipo is better for me. I go to the gym three to five times a week and for years have been trying to get my abs looking better.  I’ve tried many diets and working out but nothing works. A: Thank you for the inquiry […]

Q: Dr. Eppley, I went to get a lower face lift. I felt like I was starting to look “loose” around my neck and jawline. The doctor suggested a genioplasty because he felt it would give me a better result than a lower facelift. I told him that I didn’t like the sharp edge of […]

Q: Dr. Eppley, I am interested in extreme facial reshaping. I want a well defined chin and jawline with high cheekbones and sucked in cheeks between them. I have taken my pictures and did some computer imaging for the facial changes I am seeking. What are your thoughts? A: Thank you for  supplying your imaged […]

Q: Dr. Eppley, I’m planning on doing a chin augmentation late this year and, for that reason, have some questions that if possible would like to be cleared out. My questions are: 1 – Judging by the photo attached, how much augmentation do you believe I’m going to need? 2 – Will the procedure change […]

Q: Dr. Eppley, i come from Europe but would love to be your patient. I have a question about rib removal. Is it possible to remove all of the so called fake ribs? I can conclude that it is very extreme but wearing a corset would make up fort them missing since I don’t work […]

Q: Dr. Eppley, I am interested in brow bone reduction due to the overly prominent ridge which gives me a Neanderthal look. I have researched the different methods this is done, but I am hoping there is another option  that does not leave a large scar since I will most likely experience hair loss.  I […]

Q: Dr. Eppley, My questions on facial plastic surgery: 1. I plan to go on a course of Accutane but I understand this impairs wound healing. As a result, it is advised not to have elective surgery for 12 yo 18 months after one finishes the medication. I cannot wait that long. Also I have […]

Q: Dr. Eppley, I’ve been looking at getting some work done on my lower third for a few months now. After doing some research, I’ve heard I would best benefit from different two things, and I’m not sure which I would benefit more from: 1. Bimaxillary Osteotomies  (Lefort 1+ BSSO) with CCW rotation and sliding […]

Q: Dr. Eppley,  I would like hip implants. I made a huge mistake and had silicone injected by a unlicensed injector several years ago that caused a bad reaction in my body. My hips turned black and became hard as a rock. Fast forward to last year where I had the material, hardness and discoloration […]

Q: Dr. Eppley, I need your opinion for my very specific facial implant selection needs describe d below. I also posted photos of my face (front – side view & oblique) in order for you to understand better my situation. The 3 photos are real, as I am (the before) and the modified photos are fake (modified in Photoshop) and […]