Q: Dr. Eppley, Firstly, I would like to say it’s great to get in touch with you. I wanted to ask a question about fillers. I like the the idea of custom wraparound jaw implant and custom Malar-zygo implant, but I wanted to ask if you could do a filler that would emulate the look of those two implants? I feel that it would be a good try on for the look, and if i like it, I could get implants down the road later. My goal is just to add get a decent result without too much deviation. Would fillers be able to let’s say add mass in the jaw and make zygos look more projected? Do you have fillers for this option?
A: The simple answer is injectable fillers are not going to replicate what implants do, particularly of the jawline and along the infraorbital area. They are materials that have rvery different chemical structures and degrees of hardness/softness and are placed at different tissue levels. Fillers produce indistinct amorphous voluminization while implants produce a more distinct and defined look.
Dr. Barry Eppley