Blog

Q: Dr. Eppley, I’ve been diagnosed with lupus and ITP. However, my platelet count was always low (lowest was 12) back in 2013 when I went for my blood work to have a rhinoplasty. I was prescribed steroids to take to increase the count and undergo surgery. So I think I had lupus back then […]

Q: Dr. Eppley, I am researching jaw angle implants and am seriously getting ready to choose a doctor. I consider you to be one of the top few in the nation, and have read your blog on how you’ve never experienced a tear with the masseter sling with jaw angle implants. However, is there still […]

Q: Dr. Eppley, Can a corner lip lift combined with a subnasal lip lift bring about the same results as a gullwing lip lift if you want to try to do avoid as large of a scar at the vermillion border as possible? How much can alar retraction be corrected in millimeters? If oyu have […]

Q: Dr. Eppley, I am interested in getting breast implants but am uncertain if I need a breast lift also. I saw a breast augmentation patient you had done who looked somewhat similar to me and she was able to have a good result with large implants alone. I was wondering if I might obtain […]

Q: Dr. Eppley, I am interested in facial plate removal as part of other cosmetic facial work being done. But I have four titanium plates in the left side of my face from a previous facial trauma. Can I have those facial plates removed at the same time as the cosmetic work as well. A: […]

Q: Dr. Eppley, I am interested in occipital and forehead augmentation. I am aware of custom forehead and occipital implants but I have several questions for which iIhope to get answers. 1. I do know through research that there are alternative material called PMMA, how does this compare with pre fabricated silicone ? 2. Which […]

Q: Dr. Eppley, I just got buttock  implants done (425cc), but they are no where near the size I want. I was wondering is there anyway for you to add to my hip/ butt area maybe with more implants? I can’t do a fat transfer  as I am too thin. A: Thank you for sending […]

Q: Dr. Eppley, I am seeking vertical facial lengthening.  I am told and agree, that my face is short and looks clamped. My dad has a bite issue and his face also is short but not as short as mine. I was told by an orthodontist that it was a borderline deformity. I have noticed […]

Q: Dr. Eppley, I had a sliding genioplasty done two months ago and I think that it has shifted. I am not sure if there is a gap on part of it because of the shift. I would like your opinion and evaluation.  A: Thank you for your inquiry. I understand that you think your […]

Q: Dr. Eppley, I am seeking a skull implant. The crown of my head is flattened out in the back and I would like to have the back of my head have a more rounded shape to it. I’m bald and wear a hair system that’s adhered to my scalp right now. But I am […]

Q: Dr. Eppley, I need advice for facial reconstruction. I had surgery consisting of a left partial maxillectomy to remove a muco-epidermoid carcinoma. (intermediate grade). Since then, my face have partially distorted as per current picture. Could you please suggest what type of procedure is good for me , to have a better natural handsome […]

Q: Dr. Eppley, I am interested in a breast reduction but my situation is a bit unusual. I currently have breast implants but gained weight after surgery with my third child. That was over ten years ago. I would like a breast reduction with my implants removed. I do not want to be bigger than […]

Q: Dr. Eppley, I am interested in forehead recontouring but all of your case studies of the procedure show people with hair. I can see how an incision made for forehead recontouring along the hairline is great if you have hair and can hide the incision. But what if you don’t have hair, how would […]

Q: D. Eppley, I need advice on a facelift result. I am a 63 year old female, who has lost 125 lbs from gastric bypass surgery over two years ago and had a facelift done two months ago. Sadly, my neck wattle has partially returned and both I and my plastic surgeon are very disappointed. […]

Q: Dr. Eppley, I have a severe tear trough deformity and am interested in the implant procedure. However there does not seem to be anyone in my area that will use implants for correction???? A: Thank you for your inquiry and seconding your picture. I think you are referring to a complete infraorbital rim implant […]

Q: Dr. Eppley, I am interested in correcting my chin dimple. My chin really bothers me the most right now. Once we meet in person I think it will be easier to assess. I have researched for two years now the options to get rid of the dimple in the chin. I have read a […]

Q: Dr. Eppley, I am interested in temporal and brow bone augmentation. I was wondering what you would suggest for a 26 year old patient with weak temple and brown bones that make me look tired. I want the brow and temple area to be smoother and flatter and my eyes to look less protruding. […]

Q: Dr. Eppley, I am interested in lip reconstruction. Attached are photos of my lips.  Two years ago, I had a vermillion lip advancement. However, the surgeon did a v/y to the central portion of my upper lip…something that was never discussed beforehand.  I’m left with no cupid’s bow and no philtrum.  My lower lip […]

Q: Dr. Eppley, I had cheek implants placed two years ago. As a result, my cheeks are uneven and prominent in the wrong place. I want high cheekbones and also the uneveness of the current submalars makes one cheek look higher and more prominent and throws my jawline off making it look wider on one […]

Q: Dr. Eppley, I had a gastric bypass surgery three years ago to lose weight. I have lost nearly 200 pounds. I am a 50 year-old female. My primary insurance is Medicare and my secondary is Champ VA. i did not have to pay a penny for my gastric bypass. I saw a story on […]

Q: Dr. Eppley, I had a sliding genioplasty done two months ago and I think that it has shifted. I am not sure if there is a gap on part of it because of the shift. I would like your opinion and evaluation.  A: Thank you for your inquiry. I understand that you think your […]

Q: Dr. Eppley, I had a sliding genioplasty and jaw recontouring (after I had upper and lower jaw surgery previously with a different doctor). After the sliding genioplasty and jaw recontouring my chin still wasn’t in the middle and I am unhappy with the shape of my jawline,. It seems to have a lot of […]

Q: Dr. Eppley, I’ve been considering a breast augmentation but I have a few questions. I’m 21, and I’ve read that you cannot do silicone breast implants until you are 22. I’ve also read that it’s illegal to get silicone done under 22, but I’m not wanting to do saline. I’m curious if it’s possible […]

Q: Dr. Eppley, I am interested in a septorhinoplasty procedure. I previously have undergone balloon sinus surgery in order to correct breathing issues. I have been to an ENT doctor and he suggested further reduction of the turbinates. I also have a problem with the sides of my nose collapsing when I breath in heavily. […]

Q: Dr. Eppley, I am interested in pectoral implants. I had gynecomastia reduction done twice in the last 10 years. I still have divets because I think too much tissue was removed on the outside areas of my pecs. I am also considering pectoral implants to even this out and provide a more contoured even […]

Q: Dr. Eppley, I am interested in a jawline implant I am a 50 year old male in good shape. I had liposuction under my chin for the first time at age 35. About ten years ago I had a neck lift and liposuction under my chin. At 50 years of age, I am interested […]

Q: Dr. Eppley, I am interested in alar base repositioning. I read in a Real Self post you commented on regarding a lady who had one ala that was higher than the other side. You mentioned that you can lower the high alar sidewall through a simple technique. I have the same issue: my left […]

Q: Dr. Eppley, I had sliding genioplasty surgery couple of days ago and moved forward 8-9mm.I hate my bottom lip got 1/4 size of my original one! It’s a heart attack and I loved my lips! Did you see any improvement in lip’s size after a while? Should I reverse the surgery?Attached are some picture […]

Q: Dr. Eppley, I’m wanting to have jaw angle reduction to make the face slimmer. 1.Is it correct that if the jaw angles get cut; then the periosteum that covers the jaw angles will also get detached or cut, correct? 2. The “standard “ jaw reduction surgery would ensure that the periosteum is intact to […]

Q: Dr. Eppley, I have some questions about rhinoplasty and how it it planned and performed. How do cosmetic surgeons measure the profile of the face? From where to where? Is there a ratio that is considered perfect? Was it derived from the great medieval sculptors? A: Contrary to popular perception, plastic surgeons do not […]