Is A Custom Midface Mask Implant Better Than Double Jaw Surgery?

Q: Dr. Eppley, Hello, I would like to inquire about the pricing of your custom midface mask/saddled orbital implants. I presume they are a better option than a double jaw surgery, since I get the feeling a djs would not fix my insufficient undereye area or even the weak maxilla. I would also like to know what other procedures I could have done concurrently to fix my disharmonious side profile. Perhaps a forehead implant/brow shave? I am also concerned about the nose and upper eyelid exposure. Anyway, I can pay for a comprehensive multifarious approach and look forward to hearing from you

A:Thank you for your inquiry and sending your pictures. With a normal sagittal projection of your maxilla-mandibular skeletal unit double jaw surgery certainly would not address the, by comparison, significant upper midface horizontal recession. Even though some of the midface deficiency is at the LeFort I level double jaw surgery still is not appropriate. You have correctly surmised that onlay imlant  augmentation above the dentoalveolar level up to the infraorbital rims will be beneficial for which the midface mast concept is truly useful.

Dr. Barry Eppley

Plastic Surgeon