John Joseph recommended a chin implant to help with a slightly recessed chin. I had zero previous asymmetry. I was very unhappy to discover after the procedure that the implant was installed crooked, he did not affix the implant properly to the bone and left me with a noticeable deformity. Further, he did not shape the implant to match the contours of my face, but instead just shoved in (crookedly) an off the shelf generic implant with no modification. I brought this to his attention immediately and he suggests that since "it's not too bad" that he doesn't want to fix it. He suggests trying to hide the deformity using injectables. We tried this, it didn't work. What's more, he caused nerve damage which has left half of my mouth partially paralyzed. I pointed this out to him and he claims that this is normal and will go away. It's been a few years and has not resolved. Rather than filing a lawsuit (which I should have done) I gave him the opportunity to correct this. However, he refuses to do this and in fact became quite belligerent. His statement is "nobody will notice it." It is very noticeable if looking closely, and remarkable if you touch it. His response "well, just don't touch it." This is not something I would expect from a facial plastic surgeon. He apparently has no eye for symmetry and does not understand the art that should go into adjusting someone's facial contours. His lack of correcting a gross error on his part and his blatant disregard for his responsibility for his malpractice is shameful. If you seek a caring, compassionate, communicative facial plastic surgeon with a great eye and skill for beauty you really should stay away from John Joseph, M.D. I truly wish I had.