Can A Second Custom Jawline Implant Be Done?
Q: Dr. Eppley, Here you have some pictures 3 months post op from my custom malar-infraorbital and custom jawline implants. As you can see all (or almost all) of the swelling in the jaw and chin area has subsided. There is still some swelling (or puffiness) under my eyes but that is slowly improving. To this date is a bit better than in the pictures. The scar under the chin is almost imperceptible and I can shave without feeling anything.The blepharoplasty scar at the corner of my eyes are less noticeable. I am happy with the result and I think it definitely is an improvement. I’d like to ask you about your opinion on a second implant advancing my chin still a bit and pushing the jaw angle a bit backwards (I am happy with the width of the jaw but I wonder how feasible it would be to take it a bit lower and backwards)
A: Thank you for the followup. In looking at your before and after pictures, I would agree that there has been overall improvement in both the eye/cheek area as well as the jawline. It looks natural and not overdone. I would also agree that we certainly did not overdo the jawline (which was an initial concern) and there is room for further chin and jaw angle improvement through a redesigned implant. The good news is that a new custom jawline implant is so much easier the second time because there is already a pocket in place so the trauma of extensive soft tissue dissection is over. Also we have the advantage now of knowing what the existing custom jawline implant does and that makes it much more predictable in terms of how to redesign a new one for added augmentation benefits.
Dr. Barry Eppley