Custom Facial Implants
Q: Dr. Eppley, In regards to my custom facial implants (midface and jawline) I have soe design questions. 1) how much forwardness do you think my midface/premaxillary implant would need? 2) Would it look like the example photograph I sent you through Skype? 3) And how much vertical length would you think I’ll be getting in my chin and jaw angle implants? 4) Could the midface implant also give me natural looking high cheekbones in the process? Thank you Doc for you’re time.
A: IN ANSWER TO YOUR CUSTOM FACIAL IMPLANTS QUESTIONS. 1) I WOULD THINK SOMEWHERE BETWEEN 4 AND 6MMS OF MIDFACE AUGMENTATION IS NEEDED. I HAVE NOT SEEN ANYONE THAT NEEDS MORE THAN 7MMS. THERE IS ALSO THE ISSUE OF BEING ABLE TO HAVE A COMPETENT MAXILLARY VESTIBULAR INCISIONAL CLOSURE. IF THE IMPLANT IS TOO BIG TERE IS AN INCREASED RISK OF POSTOPERATIVE WOUND DEHISCENCE. 2) AS TO THE RESULT OBTAINABLE, YOU CAN’T MAKE ANYONE LIKE LOOK LIKE SOMEONE ELSE. YOI CAN ONLY MAKE YOU LOOK BETTER AND MORE PROPORTIONED. 3) YOUR CHIN PROBABLY NEEDS TO COME DOWN ABOUT 5MMS WHILE THE JAW ANGLES WOULD BE CLOSER TO 15MMS. 4) LIKE MOST MALES THEY ALL WANT A HIGH NOT A LOW CHEEK AUGMENTATION EFFECT SO YOUR REQUESTS ARE SIMILAR TO WHAT EVERY OTHER YOUNG MALE SEEKS.
Dr. Barry Eppley