Can I Get Custom Facial Implants For My Facial Asymmetry?

Q: Dr. Eppley, I am interested in a custom facial implants. I currently have a jaw/chin implant in place which I want removed and replaced with a wrap around, custom made jaw implant (and possibly a cheek implant replaced). Is this possible to do as one surgery, I was diagnosed with a mild case of hemifacial microsomia, so my cosmetic procedures were focused on only one side. I had a single jaw angle implant placed on the left side, and 1/2 of a chin implant with an extending wing place on the left side as well. I also has cheek implants placed on both sides, and one appears to be much more prominent than the other post-op. All of these implants were done during one surgery, and I believe they are all silicone implants. I would like to create more symmetry and balance in my entire lower face, and provide more jawline definition while maintaining a feminine look (no squareness in the jaw, as the left is now).

A: With your history of congenital facial asymmetry and an attempt using standard stock implants, the only way to really make significant improvement is to have custom facial implants made. With the computer, all bony asymmetries can be precisely corrected and precision fit of the implants can be obtained. You probably have a very good result from the prior surgery but it just shows the limitations of using standard-sized implants for a face that is not normally formed. (asymmetric)