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Q: I have some questions about the lip lift. I know that this procedure is quite controversial in cosmetic medicine. The plastic surgeons in my area will not perform it. However, after doing some research I have found that there are ways for it to be done successfully without cutting the orbicularis  muscle. What is your […]

Q:  I have scleroderma and there are quite a few things that bother me about my face. Because of the scleroderma, it has caused a lot of damage to my appearance and the whole left side of my body is smaller than the right. If I could change how I look, I would want to look […]

Q:   I have a question about jumping genioplasty. I am curious, if you have had previous chin surgery with indwelling plates and screws as well as possible internal scarring of the muscle that causes creases in your chin when you smile, can you still undertake a jumping genioplasty? Or would the scar tissue and plates […]

Q:  Hi there, I was interested in your lip lift procedure and wondering if you did fat transfer to the face for reshaping/volumizing, and a butt lift using fat transfer.  I’ve been researching for several months and I’m ready to have it done, but I’m wanting to find the right surgeon for me. A:I do […]

Q: I am a 35 year old mother of two. I’m 5’4″ and 144 lbs. I have been planning my mommy makeover for a while now and have put a alot of thought and research into it. I need a breast makeover with a lift and implants and a tummy tuck. The other area that […]

Q: My forehead sticks out from the side is there anyway you could make it flat and look at least normal? I have attached s side view of my forehead so you can see how far it really sticks out. A: Thank you for sending your picture. It does show a fair amount of convexity […]

Q:  Is a cheek implant that is placed high (near the orbital rim) and lateral, that extends to the orbital rim and that provides a significant augmentation (5 mm or more), able to lift the portion between the iris and the lateral canthus (not the lateral canthus itself) of the lower eyelid a little bit? […]

Q:  I have a very high jaw angle. My goal is to have a jaw implant that will lower my jaw angle as much as possible. The problem is that the biggest implant I have seen only has 35mms of vertical length and the inferior ridge is just under 10mms. Does a bigger jaw angle […]

Q: I am interested, I think, in some fillers, Botox and perhaps a partial facelift. What I would like to achieve is a firmer jawline, reduce my crow;t feet and just have a refreshed look. I am attaching some pictures for you to review and give me your recommendations. Thanks! A: Thank you for sending […]

Q: Six years ago I had a mandibular implant placed as well as malar implants.  I am unhappy with the end result and do not feel  the result was what I requested.  I think, as I did then, that a geniomandibular groove implant with extended malar implants would provide my desired results. A: I am […]

Q: I’m planning on having a tummy tuck and have read that they can be done without using any drains. I don’t want a drain because it creeps me out thinking about a tube coming out of my body. I have also read that some plastic surgeons still use drains because they think it is […]

Q:  I have a 3 years old with mild plagiocephaly. I’m very interested in kyptonite injection to correct that problem in the future. Here’s my question about that technique: what is the method you are using to determine where (on the head) and how many (what quantity) kyptonite you will inject? Can we see a […]

Q: Hi Dr. Eppley, I emailed you about a month ago about getting 5-FU injections for lumpy scar tissue underneath my nipple for a revision gynecomastia surgery I had about 4 1/2 months ago.  I have been really busy at work and unable to get time off to make an appt.  Last time you emailed […]

Q: Dr. Eppley, I had a rhinoplasty six months ago. My main goal was to make my nose larger in the middle. I have breathing problems and when I use nasal strips it makes me  breathe better. I didn’t want to change my nose very much but just add support and width to the middle […]

Q:  Dear Dr. Eppley, I am interested in both malar and paranasal implants and I have learned a lot about facial implants on your homepage! In one article you stated that some areas in the face are more sensitive to implant size than others. For example, the orbital rim is one of these areas where […]

The large number of stem cells in fat has led to a new wave of treatments in plastic surgery that hopes to harness the potential of this ‘wonder’ cell. Since a stem cell can turn into any type of cell if properly stimulated, it is not hard to see why any treatment attached to it […]

Q:  I am interested in a corner of the mouth lift. I have checked in my area but have been unable to find anyone as of yet.  How would it work if I was to choose to see you? How many trips would I need to make? Have you done many of the corner mouth […]

Q: I am a 24 year old male who was born with a right cleft lip and palate and have been through five surgeries so far in my life.  Besides my inital cleft lip and palate repairs, I underwent iliac crest bone grafting at age 11 and a Lefort 1 osteotomy combined with alveolar cleft […]

Q: I am an 18 year old looking to correct “witch’s chin” deformity or chin ptosis. I do not know of any doctors in my area who have experience with this procedure, so I am seeking your advice and hopefully you can educate me a bit more about my case. The problem is that I have […]

Q: My 14 year-old son has developed breast enlargement that is quite troubling to him. Do you know if insurance will cover gynecomastia surgery? A: There is no way to predict whether any insurance company will or will not cover an adolecent’s gynecomastia surgery. I have seen numerous cases over the years that has been […]

Q: I am studying to become a radiology technologist at a local community college and I am preparing a powerpoint presentation on the skull.  I’d like to play Dr. Eppley’s HTR/PMI Cranial Implant Reconstruction video as seen on YouTube during my classroom presentation to demonstrate current medical procedures to repair and reconstruct features of the […]

Q: I want to thin out my face  and am thinking of having a facelift to initially tighten my skin and then my cheekbones (zygomas) cut and narrowed. The reason I am considering zygomatic reduction and face lift is to first “trim” excess skin for maximum tightening of the jowls, nasolabial region, cheeks and neck. […]

Q: I am interested in changing the shape of my neck. I want a visible Adams apple as my neck is too flat and feminine. Can it be done? How would it be done? Imperative to get an answer please! A: When it comes to tracheal or thyroid cartilage (Adam’s apple) surgery, the standard operation […]

Q: I have a 14 year old boy with gynecomastia. It is hereditary. He is a thin boy but his chest is overdeveloped. If he has a liposuction done now, what are the chances he may need to do it again in the future? A: The classic teaching in plastic surgery is to do gynecomastia […]

Q: I have very dark circles under my eyes that bothers me a great deal. I have tried all sorts of creams and lotions without any improvement. Are there any more result-oriented surgical approaches that will work? A:Some of the best results for dark circles improvement is based on volume addition, either using injectable fillers […]

Q: I hate my  deepening nasolabial folds that are developing. I was looking for something more long-lasting to treat them. I have read about the wire release method. At what age can you perform the new wire-release method for nasolabial folds? A: Deepening nasolabial folds is a result of the cheek tissue above the lip […]

Q: Dr. Eppley ! My question to you is that I have a very short face. My midface is short and my ramus and lower jaw is also short which makes my face long horizontol and very short vertically. Also, my teeth of my upper jaw is way forward which is making my life miserable […]

Q: I desire to have cosmetic surgery next year with the wishes of making my forehead larger both in length and width. Can you inform me with what this procedure is called and also with all the information there is to know on this surgery (including risks, the type of implants used, how long it […]

Q: My 13 year-old daughter was bitten by a bull mastiff just 4 days. She has a lot of jagged lacerations across the nose and just under the left eye. There were no lacerations on her left eyelid or any eyeball trauma. She was repaired in our hospital’s emergency room with a lot of stitches. […]

Q: Hello Dr. Eppley, I was considering zygomatic reduction surgery to narrow the sides of my face. I am also considering SMAS facelift or modified SMAS like MACS-Face Lift to be done later this year. Could facelift interfere with zygomatic arch reduction surgery? Could you give me a second opinion if either or both procedures […]