Can My Custom Jawline Implant Design Be Improved?

Q: Dr. Eppley, This is my current jawline implant design that I had implanted and I have a few issues with it. The front profile doesn’t have enough chisel/definition(width) and the implant has added roundness rather than sharp angles like I wanted. The Gonial angle should be a little wider and have more back projection and create a straight line to the tip of the chin, along with more chin projection outward.  The biggest issue though is on the right side there is a protruding ball below the masseter muscle because of the shape of the “highlight point” I think this should actually be broad and flat instead of spherical. I’d love to talk about this more in depth. Thanks for reaching out and talk soon.

A: The effects of any custom facial implant depends on three factors; 1) implant design, 2) implant placement and 3) the influence of the overlying soft tissues. Don’t ever assume that the implant has been placed as it is designed. Thus you never undergo any implant revision/replacement until you understand how the implant looks on the bone. (need a postop 3D CT scan)

I can see multiple components of the existing implant design that contribute to your concerns.

It is also important to point out that secondary custom jawline implant surgery is a lot harder rthan the first one and comes with increased risks. The existing jawline implant is encased in scar and bone overgrowths that did not exist during the first surgery.

Dr. Barry Eppley

World Renowned Plastic Surgeon