Can I Get A LeFort I Impaction and a Custom Jawline Implant At The Same Time?

Q: Dr. Eppley, Hi, I’m looking to shorten the upper jaw (le fort 1 procedure) along with custom jaw/chin implant to give a chiseled jawline look. Ive had a few botched jaw/chin implant surgeries before and been through hell. I admire Dr Eppley’s work and looking to get the result i always desired. Looking forward to discussing further 

A:I am going to assume when you speak to shortening the upper jaw that the main objective is to close down your anterior open bite. This would be important not only from an occlusal standpoint but it also would allow the lower jaw to rotate a bit forward which would change any subsequent ijaw mplant considerations. While I have significant experience in such jaw osteotomies these are procedures that I no longer perform. Thus you would need to seek out a maxillofacial surgeon who performs these procedures regularly. Certainly in California there are a lot of surgical options. What I can say is that no form of facial implants should be considered until you have a corrected skeletal base. The only reason to consider implants now is if you are willing to accept your facial bone structure and the  open bite that you currently have.

Dr. Barry Eppley

World-Renowned Plastic Surgeon