Facial Asymmetry

Q: Dr. Eppley, I am looking to do multiple surgeries to correct issues with my face structure. I have a receded chin and a round, weak jawline. I’ve seen a few pictures of a custom jaw angle wrap around, and think this might be ideal to fix these issues. How much would this procedure improve my chin projection, would I be able to have the chin in front of lips? Looking at my photos, is it possible to get an angular jawline?

My nose has a low radix, and looks very off to me. I don’t really know if anything can be done, what are your thoughts?

I’m not sure about this, but it seems I have a recessed mid-face and very recessed under eye area. Would a custom midface implant be ideal for me? Would I get enough projection to have a positive orbital vector? Would this implant do anything significant to orbital rims?

A: Thank you for your inquiry and sending your pictures. I would agree that a custom wrap around jawline implant would make a big difference for you. Custom infraorbital-malar implants could be designed to give you a positive orbital vector and higher infraorbital rims. A custom paranasal-maxillary implants would add projection to the midface. The nose could be improved by dorsal augmentation to build up the bridge and low nasal radix.

I will have my assistant pass along the cost of the procedures you on Monday

Dr. Barry Eppley

Indianapolis, Indiana