Blog

Q: Dr. Eppley, I am looking at building up the back of my head. In reading your blogs you say that you usually add about 60 grams of material. But I don’t know how that would look and whether that is enough. I went on with my experiments, but rather than water I used plasticine […]

Q: Dr. Eppley, I had malar and para-nasal implants, also infra-orbital porex placed in 2006, and six months ago removed because the malar increased my gaunt look, provided only lateral projection, and started to show through my thin skin. The paranasal implants didn’t really do much for me in terms of anterior volume, since they were placed so low on my […]

Q: Dr. Eppley, I am looking for a nicer more natural-looking side profile. I saw a before and after picture of a hispanic lady you did and like the result. I’m considering the following surgeries – brow bone augmentation, forehead augmentation and nasal bridge augmentation (higher nose bridge) to go with the newly adjusted brow […]

Q: Dr. Eppley, I am 55 years old and am interested in getting my saddle bags reduced that have bothered me my entire life. I am concerned, however, that I may end up with skin that is saggy afterwards given my age and the little bit of cellulite that already exists there. What do you […]

  Q: Dr. Eppley, I am sending you photos of my eye. I will let you know that about 13 years ago I went to a surgeon and he said it was the eye lid that was at fault and ‘drooping’, I did not agree, but I was 22 and I went with it in […]

Q: Dr. Eppley, I have spent considerable amount of time in researching fat transfers believing it to be the most viable option when done correctly, especially for thin older women. The stem cell benefits of properly done fat grafting add tremendous benefits as well. I understand although fat grafting has been around for a number of […]

Q: Dr. Eppley, I was interested in getting my hairline lowered as well as brow and frontal bone reduction. However I have a very thin hairline due to constant damage to my hair follicles. Any suggestions and how long after would I have to wait to get a separate surgery. A: If I understand your […]

Q: Dr. Eppley, I would love to smooth out the under eye area- fill in the depressions created when I smile, and add an over-all fullness that I have lost, most recently in the last year as I have gone through menopause. I experienced a rapid and major estrogen deficiency that truly took a toll, […]

Q: Dr. Eppley, I had a chin implant put in and removed within a few months about 4 years ago. I have slight chin ptosis, and read about “routine” procedures to reattach/tighten/lift the chin pad, like what you discuss above, but when I google search, I find no one who does this . I have […]

Q: Dr. Eppley, I would like to get a new shape to my eye that is more narrow and uplifted. I have attached a picture of the kind of eye look that I would like. I was able to create that look by using elastic bands attached to tapes as was seen in a video […]

Q: Dr. Eppley, Please see the photos I have included regarding my interest for a breast lift and abdominal procedure. I am a fit individual in that I work out 5 days a week, and try to keep a balanced diet. Your advice and expertise would be appreciated. A: Thank you for sending your pictures. […]

Q: Dr. Eppley, I have had two cheek implant surgeries. Initially I had 4mm malar shell implants which were barely noticeable. Then I switched to 6mms implants which are now too big. I have a question regarding projection size.  I’ve attached two photos showing my face with Conform Terino Malar Shell medium implants with 4mm projection. […]

Q: Dr. Eppley, two months ago I got 6 mm silicone malar shell implants put in. I have flat cheekbones and full cheeks so the goal was to achieve higher, chiseled cheekbones (without placing them too laterally because I didn’t want the overall width of my face to look wider). To be clear, I do […]

Q: Dr. Eppley, I have got a knife scar on my face since I was 5 years old. It is about one and half inch long, is not very deep by any means. I can really see it from 3 feet away. However, it still bothers me sometimes. Is there a way to make it […]

 Q: Dr. Eppley, I saw a doctor for a genioplasty consultation and he is supposedly a guru in the field. I have Class II, deep v shaped labiomental fold and my lower lip is behind my upper and my chin height is short and retruded back. He said a sliding genioplasty to horizontally and vertically […]

Q: Dr. Eppley, why are tear trough implants such a rare procedure? Can the implants pop out of place? What are some bad things that could happen with tear through implants? I am very young with very dark eye circles and I look terrible and need to do something about it. A: Tear trough implants are very uncommon […]

Q: Dr. Eppley, I am interested in getting liposuction to reduce the size of my waist and hips. Attached are some pictures of my waist and hips. I am after achieving very specific circumferential measurements in these areas. I have a measurement of 34 inches on my waist, and 46 inches on the widest part […]

Q: Dr. Eppley, Oh dear, my pictures show how bad my neck really is. It looks worse in pictures than in real life! How you are going to fix it I don’t know. But I suppose you’ll be able to figure it out. The horizontal necklines I’ve had all my life. I recall a closeup […]

Q: Dr. Eppley, I am interested in jaw angle reduction surgery but I am worried about the risk of asymmetries. In most before and after pictures that I have seen, I do notice asymmetries… one side of the jaw is thinner than the other. Why is that happening since X rays are being taken before surgery? Is it difficult to see […]

Q: Dr. Eppley, can jaw angle implants be custom made out of Porex? I had Porex jaw angle implants placed to restore my jaw bone deformity after jaw reduction surgery. but I am not happy with the result. I realized off- the self implants do not suffice in my case. I am considering my implant […]

Q: Dr. Eppley, At the age of 23, I am in the Navy, and I have always had a tough time with the tape measuring. I was doing some research for liposuction reduction on my butt, thighs, and waist, so I wouldn’t have to worry about the measuring around my hips and waist. And I […]

Q: Dr. Eppley, I am possibly interested in a limited facelift. I am generally taken for younger than my 64 years and have been told by physicians that I have very good skin. But my neck, to me, is hideous. There are some other signs of aging about my face, but in general I can […]

Q: Dr. Eppley, I have very little earlobes. Can I increase their size and shape using dermal fillers?? A: The size of your earlobe can be increased (expanded) by the use of either injectable fillers, fat injections or even a small dermal-fat graft placed from an incision on the backside of the earlobe. Which technique […]

Q: Dr. Eppley, I’m currently 30 years old and after a long career of modeling I see that I’m not longer as popular as when I was younger. Since I have seen good plastic surgery turn people 5 to 10 years younger, I was wondering if the same thing could be done for me. Could […]

Q: Dr. Eppley, I have had lumbar spondylolisthesis from birth. I had gastric bypass to help with weight on my lower back. I didn’t lose the 100lbs requested to get tummy tuck but the lumbar pain is still horrible every day and night. Can insurance cover a tummy tuck as medically necessary ? A: The […]

Q: Dr. Eppley, My 19 year old daughter has some facial deformity and atrophy secondary to scleroderma. Although we are still in the early stages of diagnosis and treatment we are beginning to look for an experienced cosmetic surgeon that has dealt with this unfortunate condition. She has one side of her chin that is […]

Q: Dr. Eppley, I am interested in surgery to improve my skull shape, I would just like to clarify some things first. You mentioned 60 grams of PMMA to obtain the predictive image results which would indeed be quite good for me. However I’m wondering if this quantity would be enough to make this aesthetic […]

Q: Dr. Eppley, my mother has a grade 5 abdominal pannus that covers her knees and below and 2 years ago developed a lymphedematous mass and hernia through the abdominal wall. It drains fluid off and on chronically and she has been taking antibiotics chronically off and on for years. She is on Medicare and […]

Q: Dr. Eppley, is there a procedure to reposition the lateral canthal area into an uptited eye or narrow eye? If so what is the price range? Thank you. A: Such an eye reshaping as you have described is one in which the outer corner of the eye is more narrow and slightly longer to […]

Q: Dr. Eppley, will ObamaCare affect the cost of any of your services? I know it impacts in some ways the cost of general medical care but I assume that in cosmetic surgery and cosmetic services that it will be unaffected since these are cash and not insurance-reimbursed procedures. A: Unfortunately, your assumption is incorrect. […]