Can I Get Custom Jawline and MIdface Implants?

Q: Dr. Eppley,  i am interested in getting custom jaw implants and upper maxilla implants with Dr Eppley. i’m a transgender woman and previously have had a few jaw surgery procedures during my transition including double jaw surgery and also mandible shaving (all done in Korea) i’m from the UK. i got these done years ago and i never was so happy with the results as i feel the surgeon shaved off too much of my mandible and as i am aging all the definition is now gone in that area. i want to get more of a western ideal squarer jaw, and also correct the asymmetries i have in my upper mandible as i have had some bone loss in this area due to the jaw surgeries and want more projection using a custom implant in the midface/nasolabial fold/upper maxilla area

A: Thank you for your inquiry and detailing your surgery history and current objectives. Your V line surgery history is not uncommon as such surgery can only be done one way,,,significant bone removal due to the intraoral access used to perform it. A custom jawline is the only way to achieve partial or complete restoration of the jawline. Foe the midface it is yet unclear whether a custom implant approach is needed as opposed to standard ePTFE premaxillary-paranasal implants. For now I will. assume the former.

Dr. Barry Eppley

World-Renowned Plastic Surgeon