Material for Custom Wraparound Jaw and Cheek Implants

Q: Dr. Eppley, I am just recovering from my rhinoplasty and am very happy with the results so I am starting to plan and save for my wraparound jaw implants and cheek implants with you.

I apologize if I have asked this before, but which material will you be using for the implant and what is the probability of these implants having to be removed down the line? Is it something that happens often?

I remember you mentioned that some photos without my beard would be good to send you. I took some when I shaved my beard for my rhinoplasty. Man oh man, my chin is severely recessed – I realized after shaving my beard.

I really hope that the wraparound jaw implant can give me a result similar to the guy I forwarded you images of in my last email. I have attached to this email a morph of what I hope my jaw will look like as well as several photos of different angles of my face without a beard.

Do you still think, given how recessed my whole mandible is, that a significant deviation and improvement is possible?

Thank you very much for your time.

A: The material for custom facial implants that is easiest to place AND secondarily remove or modify is by far solid silicone. It is also the most economical.

I don’t see anything unrealistic about the imaging you have done with the exception of that of the depth of the labiomental fold which will not forward with the chin as you have imaged. But overall, by my experience, that is not an extreme or large jawline augmentation.

Dr. Barry Eppley

Indianapolis, Indiana