What Can Be One To Prevent A Custom Jawline Implant From Shifting?
Q: Dr. Eppley, I had custom jaw/mandibular angle implants installed by another surgeon. My right and left sides naturally had some asymmetry, the left a fair bit more deficient. The right implant worked out well, but the left came loose and shifted forward. The surgeon performed a revision on the left. He shaved it down a little bit and placed it once again, this time with bigger screws. But it looks like it has shifted a second time! The implant isn’t super ambitious in size at all so I’m wondering what my options are? Is it reasonable to try again? Should I go to a different surgeon? Is there anything else my surgeon can do to guarantee it doesn’t shift again? I’m quite distressed and I know Dr Eppley is a master of the field so I’m just looking for any answers or expertise he can share. I feel like I should have gone to him to begin with!
A:What you need to answer your question is three pieces of information to provide a qualified opinion:
1) Before and after patient photos
2) The original implant design file
3) a current 3D Ct scan of the lower jaw
Any comment or decision made on less than this information would be an uninformed one.
Dr. Barry Eppley
North Meridian Medical Building
12188-A North Meridian St.
Carmel, IN 46032
Phone: (317) 706-4444
WhatsApp: (317) 941-8237