Is A Custom Jawline Implant My Best Option For V Line Surgery Reversal?

Q: Dr. Eppley, My initial V line surgery was done over six months ago. The surgery has left me in a similar place as one of your patients in the gallery. She also suffered from an over done Asian V line surgery.

One of the side effects of having so much taken off is that my bottom lip comes up a lot more than it used to. It complicates many things and is still numb in the center. It looks like I am having, or had, a stroke when I talk or smile now.

That as well as the obvious asymmetry that was already there. My hypothesis is that the asymmetry is from continued pressure supporting my face whilst reading over many years combined with an anxious habit of clenching my teeth, though I am certainly no doctor.

A: Thank you for sending all of your pictures and x-rays after V line surgery. I must say that the V line surgery you had is the most aggressive jaw bone removal that I have ever seen. To call it an overdone V line surgery is an understatement…and I have seen many. While I could have a discussion about how that was the wrong type of V line surgery for you with a natural high jaw angles (which is why the bone cut was so steep and severe) that issue is irrelevant now. Your surgeon should have known better, that was poor judgment on them.

You have correctly surmised that restoration of some of your jawline can only be done by a custom implant design to re-establish some inferior border length from the chin back to the jaw angles bilaterally.

Dr. Barry Eppley

World-Renowned Plastic Surgeon