POSTED UNDER Chin Implant REVIEWS
31 Yr Old Male, Chin Implant, Jaw Angle Implants, Submental Lipectomy with Dr. Yaremchuk
ORIGINAL POST
Realself was an invaluable resource in deciding to...
CelticBeaverDecember 15, 2017
$17,000
Realself was an invaluable resource in deciding to do this procedure. I figured I'd return the favor to the RS community by providing a detailed post of my procedures.
COST. I got off-the-shelf porex implants. Consultation was $200, which seems to be standard in Boston. The chin implant procedure was $7500. The jaw angle implants were $7500. And a submental lipectomy was $2000 (while your skin is already open and accessible, Dr. Y. prefers direct excision of fat instead of cannula-based liposuction techniques). Unfortunately, no discount for getting these procedures all done at the same time, which I did to minimize recovery time, and also so the chin and mandibular angle implants could be selected to blend well into each other.
MOTIVATION. I like how I look in the mirror, straight-on, but photos from the side a smooth curve from the tip of the chin to my neck. While I have some fat (est. 20% bodyweight), this poorly defined chin was also evident when I was a skinny high schooler due to having a small lower jaw. While I initially sought a consultation just for a chin implant and submental lipectomy, Dr. Y. convinced me to consider jaw angle implants without being pushy. I think that a stronger jawline could give me more confidence professionally, socially, and romantically. I get plenty of attractive matches on dating apps (where I happen to have straight-ahead profile photos), but upon meeting in real life, I’ve had trouble progressing past the 1st date. In the cases with 3 – 6 dates, I think my dates do like our personality match but just can’t convince themselves to be attracted to me.
WHY DR. YAREMCHUK. I’ve read enough horror stories of migrating silicone chin/mandible implants, so I desired porex implants that were fixated to the bone with screw(s). Yaremchuk is also literally the expert on jaw angle implants. To see articles that he’s published on these procedures, google for “Yaremchuk linkedin pulse” which has free copies of his excellent publications, which contain illustrations about these procedures and their outcomes. Getting a consultation appointment and a surgery appointment was also relatively quick (overall time from initial email contact to surgery: 1 month). Compare this with another plastic surgeon in the area who could perform silicone chin implants, neck liposuction, and/or neck lift, who needed ~1 month to get a consultation and another month or two to schedule a surgery appointment….If I didn’t live in Boston, I might have also considered Dr. Eppley or Dr. Wittenberg, but I was very satisfied with the fact that Yaremchuk has published details of his procedures that I could read on LinkedIn Pulse.
PRE-OP. For my operations, I was prescribed antibiotic mouthwash (started a few days before surgery), antibiotic pills, and oxycodone to manage pain. Make sure to pick these up ahead of time. One issue I had was that the prescriptions were sent by Dr. Y’s secretarial assistant to my pharmacy, but she first only sent prescription of mouthwash, then upon inquiry sent prescription of antibiotic pills, and just today during the pre-op I discovered that I needed a prescription for oxycodone. The operating nurse was nice enough to arrange for someone to go to a pharmacy and buy some for me during my operation.
PROCEDURE. I showed up at 9:30a appointment time, and over the course of ~2.5 h talked about my procedure with the nurse, Dr. Y, and the anesthesiologist. Seemed like a long time to wait, but I’m glad that the surgery happened in the middle of the day instead of at 9:30a when people might be sleepy. I felt the pinprick for the IV for my anesthetic, and I remember the anesthesiologist noting that soon I wouldn’t remember anything, and he was right. My next memory was groggily waking up after surgery.
POST-OP. Coming out of general anesthesia, I was very groggy. The nurse provided me water and jello and eventually helped me stand up and walked me to my Lyft to get home (~6pm). I think they would have held me longer or checked me into an overnight stay if I exhibited troubledMy masseter mucles are extremely sore, and eating Chicken Noodle soup is troublesome due to opening my mouth “wide” to chew the spiral noodles…I’ve resorted to slurping the noodles and swallowing them without chewing. Stick to fully slurpable foods. The sutures in my mouth for the jaw angle implants currently cannot be felt, so I assume that they’re very smooth and not irritating. It hurts to clench my jaw, as you’d do to swallow your spit. I currently have three “drain” bulbs nstalled, which collect any blood from the area where my implants were installed…so don’t expect to be able to mask your post-op appearance the first day, even with winter scarves/masks. The drains will be removed tomorrow during the followup visit. Numbness of my lower lip is minimal compared to when the dentist doing a filling with local anesthetic, so I believe Dr. Y was very careful to not disrupt my mental nerve, which was a concern my mine when deciding to do this surgery. I was recommended to take a oxycodone every 4 hours, even in the middle of the night, to manage pain. I'm clear enough to be typing this long review.
OUTCOME. We’ll see! Hopefully the results are good after a couple months. I’ll try to post pictures after the dressing comes off next week.
COST. I got off-the-shelf porex implants. Consultation was $200, which seems to be standard in Boston. The chin implant procedure was $7500. The jaw angle implants were $7500. And a submental lipectomy was $2000 (while your skin is already open and accessible, Dr. Y. prefers direct excision of fat instead of cannula-based liposuction techniques). Unfortunately, no discount for getting these procedures all done at the same time, which I did to minimize recovery time, and also so the chin and mandibular angle implants could be selected to blend well into each other.
MOTIVATION. I like how I look in the mirror, straight-on, but photos from the side a smooth curve from the tip of the chin to my neck. While I have some fat (est. 20% bodyweight), this poorly defined chin was also evident when I was a skinny high schooler due to having a small lower jaw. While I initially sought a consultation just for a chin implant and submental lipectomy, Dr. Y. convinced me to consider jaw angle implants without being pushy. I think that a stronger jawline could give me more confidence professionally, socially, and romantically. I get plenty of attractive matches on dating apps (where I happen to have straight-ahead profile photos), but upon meeting in real life, I’ve had trouble progressing past the 1st date. In the cases with 3 – 6 dates, I think my dates do like our personality match but just can’t convince themselves to be attracted to me.
WHY DR. YAREMCHUK. I’ve read enough horror stories of migrating silicone chin/mandible implants, so I desired porex implants that were fixated to the bone with screw(s). Yaremchuk is also literally the expert on jaw angle implants. To see articles that he’s published on these procedures, google for “Yaremchuk linkedin pulse” which has free copies of his excellent publications, which contain illustrations about these procedures and their outcomes. Getting a consultation appointment and a surgery appointment was also relatively quick (overall time from initial email contact to surgery: 1 month). Compare this with another plastic surgeon in the area who could perform silicone chin implants, neck liposuction, and/or neck lift, who needed ~1 month to get a consultation and another month or two to schedule a surgery appointment….If I didn’t live in Boston, I might have also considered Dr. Eppley or Dr. Wittenberg, but I was very satisfied with the fact that Yaremchuk has published details of his procedures that I could read on LinkedIn Pulse.
PRE-OP. For my operations, I was prescribed antibiotic mouthwash (started a few days before surgery), antibiotic pills, and oxycodone to manage pain. Make sure to pick these up ahead of time. One issue I had was that the prescriptions were sent by Dr. Y’s secretarial assistant to my pharmacy, but she first only sent prescription of mouthwash, then upon inquiry sent prescription of antibiotic pills, and just today during the pre-op I discovered that I needed a prescription for oxycodone. The operating nurse was nice enough to arrange for someone to go to a pharmacy and buy some for me during my operation.
PROCEDURE. I showed up at 9:30a appointment time, and over the course of ~2.5 h talked about my procedure with the nurse, Dr. Y, and the anesthesiologist. Seemed like a long time to wait, but I’m glad that the surgery happened in the middle of the day instead of at 9:30a when people might be sleepy. I felt the pinprick for the IV for my anesthetic, and I remember the anesthesiologist noting that soon I wouldn’t remember anything, and he was right. My next memory was groggily waking up after surgery.
POST-OP. Coming out of general anesthesia, I was very groggy. The nurse provided me water and jello and eventually helped me stand up and walked me to my Lyft to get home (~6pm). I think they would have held me longer or checked me into an overnight stay if I exhibited troubledMy masseter mucles are extremely sore, and eating Chicken Noodle soup is troublesome due to opening my mouth “wide” to chew the spiral noodles…I’ve resorted to slurping the noodles and swallowing them without chewing. Stick to fully slurpable foods. The sutures in my mouth for the jaw angle implants currently cannot be felt, so I assume that they’re very smooth and not irritating. It hurts to clench my jaw, as you’d do to swallow your spit. I currently have three “drain” bulbs nstalled, which collect any blood from the area where my implants were installed…so don’t expect to be able to mask your post-op appearance the first day, even with winter scarves/masks. The drains will be removed tomorrow during the followup visit. Numbness of my lower lip is minimal compared to when the dentist doing a filling with local anesthetic, so I believe Dr. Y was very careful to not disrupt my mental nerve, which was a concern my mine when deciding to do this surgery. I was recommended to take a oxycodone every 4 hours, even in the middle of the night, to manage pain. I'm clear enough to be typing this long review.
OUTCOME. We’ll see! Hopefully the results are good after a couple months. I’ll try to post pictures after the dressing comes off next week.
CelticBeaver's provider
UPDATED FROM CelticBeaver
1 day post
Day-After Appointment
CelticBeaverDecember 16, 2017
Today is Friday, the day after my surgery. Dr. Y. met with me in the afternoon is remove the drains and the bandaids, so now I'm just wearing a headwrap which supports my under-chin area and covers the stitch where the chin implant was installed. Because it's really cold in Boston, I can conceal most of the headwrap with a hoodie and scarf and not look too out of place in public. I went to the grocery store to buy some soft foods, but I will stay in the whole weekend. I am incredibly swollen (think Quagmire from Family Guy), and the swelling might increase until Monday, when I have another follow-up meeting with Dr. Y.
Replies (1)
December 16, 2017
Would love to hear more about swelling, pain and recovery. Thanks for sharing.
UPDATED FROM CelticBeaver
4 days post
Quick check-up
CelticBeaverDecember 18, 2017
Probably because I live in walking distance of the clinic, Dr. Y had quick follow-up exam today (Monday) with me, mostly to check that everything is progressing well. He said I could stop wearing the compression head wrap. On Friday he'll actually take out the stitches located under my chin.
The swelling in my cheeks probably peaked Saturday evening, but they're still quite swollen, especially the right side. Significant dark purple bruising appeared on the right side of my chin yesterday. Dr. Y says that the swelling and bruising will slowly migrate down my face and neck as they heal. I wouldn't hesitate to go into public if I wore a scarf or some make-up to conceal the bruising, but it'll probably take at least another week of healing before I'd feel comfortable in my regular social settings.
The swelling in my cheeks probably peaked Saturday evening, but they're still quite swollen, especially the right side. Significant dark purple bruising appeared on the right side of my chin yesterday. Dr. Y says that the swelling and bruising will slowly migrate down my face and neck as they heal. I wouldn't hesitate to go into public if I wore a scarf or some make-up to conceal the bruising, but it'll probably take at least another week of healing before I'd feel comfortable in my regular social settings.
Replies (2)