What Are My Revision Options For My Custom Jawline Implant?

Q: Dr. Eppley, I am interested in revision options for my custom jawline implant. During my last discussion with Dr. Eppley, he mentioned several options beyond a full revision. One option involved adding additional components to the existing implant to enhance projection and angles. He also suggested a soft tissue graft to address and cover the bulging near the masseter muscles.

Could you please provide more details about this approach? Specifically:

• Would the current implant need to be removed to incorporate the new components, or can they be added without removal?

• How are the additional parts secured—are surgical screws or adhesive methods used?

A:‘During my last discussion with Dr. Eppley, he mentioned several options beyond a full revision’

FYI it would be a full implant replacement….not a revision. A revision is when you are taking what you have and try to modify it. Plus a revision relates to the primary surgeon wo did the original work. When a new surgeon assumes that initial work it is a secondary procedure not a revision. While a bit semantical there are very different implication between the two.

‘One option involved adding additional components to the existing implant to enhance projection and angles’

You are referring to Transcutaneous Soft Tissue Jaw Angle Implants. A common technique that I employ to treat masseteric muscle dehiscence with implant reveal. It is the only technique that works if one desires to keep their current jaw angle implant shape. The alternative is to change the implant with a new design that doesn’t have such a square jaw angle shape…which is what caused the problem in the first place.