Q: Dr. Eppley, I am interested in getting facial implants and am gathering information about getting plastic surgery. My intention is to improve my facial features with facial implants and cosmetic plastic surgery. I would like to get your professional impression and advice to enhance my look.
The areas that I would like to improve are:
- Jawline. I think I have an elongated face. So, I am looking for a more square and strong jaw.
- Cheeks and Eye Hollows. I am starting to notice some eye hollows. I think I do not have a strong features in this area, they are somehow “flat”. At this time, it is not bad, but I believe with time they will get more pronounced.
- Upper Eyelids. I notice that I have extra skin on my eyes lids, especially on my left eye.
- Any suggestions to make the face more aesthetically balanced and harmonious with the rest of the face.
- I am concerned about the scars and the surgery around the eyes. I do not mind internal scars but external incisions concern me.
- What is the material used for the facial implants? I read about Silicone, Medpor and Gore-Tex. I would like to know your impressions about these materials, and their pros and cons, and why you use ones over the others.
- Asymmetry, implant shifting and/or misplacement (due to position, scarring, etc.)
- Final look. I would like to look natural and not “done”.
- Revisions. What is your policy in case of revisions?
- Complications during and/or after surgery. What is your policy in case of complications during the surgery and/or after the surgery? nerve damage?, secondary effects?, responsibility, cost, etc.
- Bone erosion with implants over time. What is going to happen with the implants when I get older. I am 30 years old at this time. What is going to happen with the implants and the bones when I am 85-90 years old? the implant, the screw, the bone. Is there any research done about this?
- I can imagine you have heard this before, but I would like to get the “model” look. Strong, symmetrical, pleasing features. I attached some photos of some ideal looks, by all means I don’t want to look exactly like a specific “celebrity” or “model”, it is just an idea of the look I am looking for.
- Could you provide me with your professional impressions about the surgery/ies that I will be benefiting from, their related costs and results?
- Do you provide any imaging about the possible results. I attached photos of my face in different angles.
- What are the difference between conventional and custom designed implants? what are their costs?
- How long will I have to stay in Indianapolis after the surgery?
- When would I be able to return to my normal life work, exercise, being in public, etc?
- How much discomfort should I be expecting in the surgery?
A: I have done some computer imaging on your face for the various facial implants for the following procedures:
1) Square chin augmentation
2) Vertical lengthening as a well as width expansion jaw angle implants
3) Cheek implants
4) Fat injections to the lower eye hollows/tear troughs
In answer to your questions:
- there would be no external incision with fat injections
- implants would be silicone, best because of better shapes and easily reversible or modifieable
- all implants would be screwed into place
- natural comes from not using too big of implants, particularly when multiple implants are being used.
- we have a complete page of the revision policy which you would get to read before surgery.
- bone erosion is a non-issue. The implants will look the same decades from now as they will one year after surgery.
- you are correct in assuming that every male who wants this kind of surgery wants the ‘male model’ look. Those who have a chance to come close to that look have to have thinner faces and some decent underlying facial bone structure…you are the uncommon one that actually fulfills these criteria.
- I have attached some imaging predictions for your review. I will have my assistant pass along the costs to you in a day or two.
- you should be fine with standard implants. Custom implants are always ideal but at the additional costs of $7500 they had better provide a real difference…which in your case they do not.
- 2 to 3 days, all based on how you feel.
- that is based on how you feel and look, somewhere between 10 and 21 days after surgery.
- jaw angle implants provide the most discomfort, the other procedures are much less.
Dr. Barry Eppley