Blog

Q: Dr. Eppley, I am a 28 yr old who was born with a unilateral cleft lip and palate and have undergone a diced rib cartilage rhinoplasty within the past 6 months. Although I am very happy with the rhinoplasty, I feel a midface augmentation would very much improve any midface deficiency caused by the […]

Q: Dr. Eppley, I am interested in rib shave surgery. I think what I have what is called costal cartilage protrusion on my left ribcage. My right ribcage is normal. I have done some research and some say it can be shaved down. If possible, I  would like to have my rib shaved down so […]

Q: Dr. Eppley, I am interested in occipital augmentation. The back of my head looks exactly like the picture that I have attached and the issue is the protruding occipital bun at the back of the head of which I am concerned. However my skull is quite small or a man (22.5 inches circumference) and […]

Q: Dr. Eppley, I have had small cheek implants placed last year, but they are definitely too small. I’m looking to get some fillers for further augmentation. I just have a couple of questions: 1) Can a filler like Radiesse be placed over the implant safely? 2) My malar deficiency seems to be causing some […]

Q: Dr. Eppley, I have a very large and disproportionate face. My brows are hugely overgrown and my jawline is equally as big. I look like a Neanderthal! What type of facial reshaping or facial reduction surgery would be beneficial for me? A: Thank you for sending your pictures and I can clearly see your […]

Q: Dr. Eppley, I am interested in some form of cheek augmentation. I have a concave portion of my face that I would like augmented. From the semi profile view, I find the circled area below may have missing volume. I found someone that had a similar shape in this area and had it fixed […]

Q: Dr. Eppley, I have chin asymmetry and am looking to get it corrected.  I am a 31 year old trans woman who has been on hormone therapy for about a year. The hormones have significantly feminized my face, however one thing that has been “revealed” in the softening and rounding of the jaw/chin is […]

Q: Dr. Eppley, For the past year, I have been having frequent sometimes heavy nose bleeds three to five times a week. I wanted to mention this to you. Is this a cause for concern going into rhinoplasty surgery? It usually stops easily if I pinch the bridge of my nose. I’ve noticed it is […]

Q: Dr. Eppley, I’ve gotten a skull reconstruction cranioplasty done while on active duty following a stroke/craniectomy and I have 1) a concave dent on my left temple, 2) a bulging muscle underneath the dent (surgeon said the muscle couldn’t be reattached to the titanium plate, and 3) have an irregular protruding spot where the […]

Q: Dr. Eppley, I am interested in a brow bone reduction. Given the strong prominence of my forehead, and based on everything I have seen on Dr. Eppley’s website, my brow bone will probably need to be removed, reshaped, and reattached. If this is the case, how many days will I need to take off […]

Q: Dr. Eppley, I am interested in scalp scar revision. This is a 37 cm by 2 mm scar by a hair transplant that was done 15 year ago. My main goal is to be able to cut my hair short so I can wear it like in the pictures without being noticed. It is […]

Q: Dr. Eppley, I am writing to enquire about chin lengthening surgery. I have a fairly round face which to me lacks length , I am hoping to achieve a more heart shaped appearance , I do not have a recessive chin although it is quite “round”. I’m not sure if that is the best […]

Q: Dr. Eppley,I am looking to get double jaw surgery for functional reasons related to sleep apnea and I have been doing a lot of research on the aesthetic benefits that double jaw surgery can bring. I believe that if I am going to be getting double jaw surgery, I might as well maximzse the […]

Q: Dr. Eppley, I am wondering if surgery could correct my facial asymmetry? I have multiple scars across my forehead, most notably over my right eye. I lost skin and underlying tissue in the area and the eyebrow sits higher and at an odd angle compared to the left eyebrow. Due to the lost skin […]

Q: Dr. Eppley, I have for a few years been researching rib removal for cosmetic reasons, but was unable to find surgeons doing this procedure. The only surgeon I found with information about this procedure said the rib removal alone would not make the waist look smaller. I found you when reading about the model […]

Q: Dr. Eppley, About eight years ago I had a jaw implant that I was very happy with the result. However, as I’ve aged and my face has lost volume, I’m interested in slightly increasing the implants to (slightly) widen my face. I understand that one option may be to insert a “chip” underneath the […]

Q: Dr. Eppley, Please see CT scans for my current face bones of the right and left side. Also, photos before surgery and after surgery. I went for jaw reduction but the doctor talked me into also having cheekbone reduction. The results were a strange shape face from the outside and deep burns from surgical […]

Q: Dr. Eppley, I am a plastic surgeon practicing in Slovakia. I recall that you place your buttock implants intramuscular…..I am seeing a patient soon interested in gluteal implants. If you have a moment I have a few questions for you since my experience was limited in buttock augmentation. 1.  Must I have the tool […]

Q: Dr. Eppley, The more I sit here the more I am feeling like I would just like to come and see you for a 3D CT scan of my face. The sliding genioplasty and lip issues is one thing but I am seeing marked asymmetry in my whole face (the one side literally looks […]

Q: Dr. Eppley, I am interested in getting the masseter muscle reduction and the upper trapezius muscle reduction and I am looking for a more permanent solution.  Here are a few of my questions… – What to expect on results – Recovery Time – Healing and when can I leave to go back home to […]

Q: Dr. Eppley, Following a chin implant being removed via an intra-oral incision six years ago, I have lower lip incompetence and chin ptosis.Is it possible to have a successful outcome with mentalis muscle resuspension without inserting another chin implant? Also is it possible to achieve a good result with absorbable Mitek sutures as opposed […]

Q: Dr. Eppley, I would like to schedule an appointment to have something done to my undereye wrinkles. I have attached pictures of me smiling and not smiling and you can see the big difference as to how many undereye wrinkles occur when I am smiling. A:Thank you for sending your pictures. Under eye wrinkles […]

Q: Dr. Eppley, I am interested in a skull widening procedure.I have a narrow skull/ head and was wondering if its possible to widen the sides of skull and forehead with Alloderm instead of implants? Im not comfortable with implants and was hoping instead that Alloderm could be used for such large areas. And if […]

Q: Dr. Eppley, What is the maximum amount of projection in mm that off the shelf submalar cheek implants can give and how much projection can custom implants realistically give? I am looking for a pretty decent amount of projection in order to give me a more rounded apple cheek look. A: The submalar cheek […]

Q: Dr. Eppley, I am interested in arm lift surgery. I have attached two pictures for consideration of my possible candidacy for brachioplasty which I think is the formal name for an arm lift. There is loose skin on my forearm that I am interested in addressing as well. I am 20lbs. from my goal […]

Q: Dr. Eppley, I am interested in rib removal surgery. I have a deformity on the bottom edge of my rib cage. It is on the front left side and it is about 2″ by 2″ in size. I was wondering if it would be a bad idea to have that deformity removed or to […]

Q: Dr. Eppley, My problem is the buttocks augmentation I did 10 years ago with permanent fillers. The plastic surgeon did an awkward shape, he filled the flanks and the upper buttocks, which as a consequence made may back look shorter. Before buttocks augmentation, I originally have shorter torso comparing to my long legs, even though, I used to […]

Q: Dr. Eppley, Hi! i have been interested in vertical chin lengthening for awhile and I came across your site and liked your work. My chin is horizontally deficient but the vertical length bothers me the most. When I push my chin down about 5mm to 7mms I like the way my face looks. I […]

Q: Dr. Eppley, I’m interested in the custom midface implant (that looks like a “mask”) you’ve recently fabricated and posted about on your Explore Plastic Surgery blog and I’m also interested in a procedure to change the width of my lips. However, I have some questions about both procedures : For the custom midface implant […]

Q: Dr. Eppley, I am interested in chin (vertical chin lengthening)  and jaw augmentation surgery, particularly, adding vertical length by means of a sliding genioplasty. I have an overbite, however, I consciously usually just move my jaw forward so that is is properly aligned so I have included 3 pictures in which you can see […]