POSTED UNDER Cheek Implants Reviews
Custom Facial Implants: Chin Jaw, Cheek, Rhinoplasty, Fat Removal - Boston, MA
UPDATED FROM norgano
2 years post
Still doing fine (well... in regards to the surgery hehe)
WORTH IT$27,000
Some folks were looking for an update. I'm doing fine. No issues with the surgery or implants apart from what I've already mentioned. Again, for a lot of folks looking for these kinds of things, definitely read through the comments since a lot of great questions are answered there more than in my initial post. It looks like they let you add a video so if this works, you'll see here a short video I made a few days ago--like 7 seconds long, meant to be silly for my friends but I'll share it here as well.
Oh, one thing I will say I've noticed is that because there are little ridges in my mouth that wern't there before because of dissolvable stitches, I've noticed I need to be more careful and use mouthwash more thoroughly so it gets "behind them" so to speak. I even had a mouth infection I needed antibiotics for on my back gum because my mouthwash wasn't getting back there good enough and I have a bad habit of eating at night. So yeah, take care of your mouth and dental hygiene and rinse thoroughly :)
Oh, one thing I will say I've noticed is that because there are little ridges in my mouth that wern't there before because of dissolvable stitches, I've noticed I need to be more careful and use mouthwash more thoroughly so it gets "behind them" so to speak. I even had a mouth infection I needed antibiotics for on my back gum because my mouthwash wasn't getting back there good enough and I have a bad habit of eating at night. So yeah, take care of your mouth and dental hygiene and rinse thoroughly :)
UPDATED FROM norgano
1 year post
March 30 2016 Jaw is tilted toward camera so you can really see jawline well
Replies (5)
April 1, 2016
Thanks for sharing, I don't think any amount of plastic surgery could make my jawline look that good, but I'm hoping I could get some improvement with this surgeon.
April 3, 2016
Wow you really look great. I have an appointment with Dr Y next week, seeking to tweak a jaw reduction I had last year with another surgeon, the angles are too sharp and the chin too pointy. I had been researching for the past several months, and your before and afters along with the things I have read about him makes me feel he is probably going to be the right doctor for me.
April 4, 2016
Can you update us on how your consultation goes? I am interested in this surgeon as well, but I've never traveled outside where of I live (Washington DC metro area) for surgery so I am a little apprehensive about traveling for surgery/consultations. Dr. Y seems to be one of the best in the country at what he does though so I think that the traveling would be worth it.
April 4, 2016
Yes I will let you know, I will be traveling from NY, and am willing to travel anywhere seeking the right doctor for my situation, it's not something a general cosmetic surgeon can handle. As I stated I had previously had chin/jaw reduction, I was left with a displeasing result and asymmetries, in doing research the past several months there are only a handful of surgeons that are skilled in such revision, so travel is not an issue for me.
April 4, 2016
Dr Yaremchuck is a craniofacial surgeon which means he has specialised training in the cranial vault( all face bones). Craniosurgeons also have former training in plastic surgery which involves aesthetics of the face. Maxillofacial surgeons training is more to do with dental related issues. So go for craniofacial surgeons who have training in " craniofacial fellowship" .
April 12, 2016
I had my consult with Dr Y last week, I was impressed. Seeking custom jaw and chin implants as a revision after reduction surgery in the past. I always felt I had a heavy lower face yet after surgery it removed all character from my face and made it less attractive, saggy and not pleasing in any way. I was also seeking a facelift, Dr Y advised me against the facelift, and said lets reevaluate after implant surgery, that the implants alone will slightly lift, I liked that as I didn't feel he was trying to up sell me on anything as I have experienced that with other surgeons in the past. I found him to take his time and examine my entire face. Next week I will be getting a CT scan and the process of building the proper implants will begin. He told me it is a several step process to get them perfect. I am seeking to have surgery later this summer and am excited yet scared at the same time, but I do feel certain he is the right doctor for me.
April 12, 2016
Thank you for sharing your experience with me, I'm also hoping to get the CT scan done when I see him. I was hoping he could do it all in one visit, but it sounds like I would have to go multiple times. I would like to get custom jaw and cheek implants (I have a stock chin implant already) plus buccal fat removal. I also wanted to inquire about revision rhinoplasty but that might be asking too much. If you don't mind it would be great to hear how your CT scan goes. Thanks!!
April 12, 2016
He said there is a place close by his office that they generally use to do the CT scans, my apt with Dr Y was at 330 on Friday, I left his office around 4:30, it was too last minute, so he gave me a script and I will have it done here in NY, also going to get a copy of a previous cone scan I had done for a general compare what I had before my last surgery. He will do other things on you at once nose ect if he feels you need them, but me personally I don't do well with drastic changes, I have been under the knife many time both on my face and body and each surgery I had always done individually, I agree with Dr Y stating about me doing a facelift "let's reevaluate after up the implants". As the implants alone with rejuvenate the sagging skin after my precious reduction. I feel if he thinks you need it he will do it, if he doesn't he will let you know. He is very kind man, calm yet blunt in a way the he is sure of himself and his skills. It took my 3.5 hrs to get there from out on Long Island, 2.5 once I got past the NYC, wasn't a bad drive at all. Once I left I got la late lunch and headed right back to Long Island. The implant building progress will now take place via emails and skype. I am sure if I feel the need to do a face to face again that would pnk be a problem. I recommend you doing a consult with him, your in Dc take a nice long drive and enjoy the sights.
Danielle
Danielle
April 12, 2016
Omg can I end it this, so many type-o-s, I guess I shouldn't be online half asleep in bed lol
April 12, 2016
Also there is a Dr Naimtu in VA who does custom CT implants, he was on my list of possibilities, he is roughly 1/2 the price, not sure he is as skilled, he is more of a jake of all trades surgeon., but you being in DC you might want to do a consult
April 12, 2016
Oh, I was under the impression he did the actual CT scans in his office. Thanks for your detailed review, it helped me a lot. I definitely want to get a consult with this doctor, I am just worried as I have had Radiesse injected in the past in both the cheekbone and jawline area (calcium like filler that shows up in CT scans if you are not familiar with it, I’m not sure if he could work around that or not) so I will probably need to wait a year or so until that fades. I guess it’s never too early to get an opinion though, so it might not hurt to get a consultation in the upcoming months just to see what he says. I’ve never been to Boston before either so it would be nice to do some sightseeing especially in warmer weather. How long did it take for you to get the consultation booked?
I have also read about Dr. Naimtu who you mentioned, but his before and after pictures do not impress me like the ones I have seen from Dr. Yaremchuk and there are no reviews of his custom implants on Realself by men. It's weird, but I have a good feeling about Dr. Y; he seems to really know how to make a male face more attractive looking in a masculine way from seeing some of his work on here and his site. I think I am going to take the train up as the furthest I’ve driven up I-95 is Wilmington, Delaware and just getting there is a nightmare lol. I have a friend who lives in Long Island who said she will go with me and drive for the actual surgery so it’s reassuring to me it only took you two to three hours to get there. Thanks again!
Matthew
I have also read about Dr. Naimtu who you mentioned, but his before and after pictures do not impress me like the ones I have seen from Dr. Yaremchuk and there are no reviews of his custom implants on Realself by men. It's weird, but I have a good feeling about Dr. Y; he seems to really know how to make a male face more attractive looking in a masculine way from seeing some of his work on here and his site. I think I am going to take the train up as the furthest I’ve driven up I-95 is Wilmington, Delaware and just getting there is a nightmare lol. I have a friend who lives in Long Island who said she will go with me and drive for the actual surgery so it’s reassuring to me it only took you two to three hours to get there. Thanks again!
Matthew
April 12, 2016
I just called the office and the scheduling lady said consultations were on Fridays and the availability seemed pretty open, I will just need to find a weekend I can take off from work to schedule it.
April 12, 2016
Ya it only took 3 hours, I actually overslept and woke up that morning and ran out the door, I drove pretty fast as I normally do lol. I have a lot of filler in my cheeks and told him that along with any other surgery I have had in the past. I don't think the filler will make a difference as the scan is of the bone, and the soft tissue is addressed differently and I am sure the filler will show up on the scan like an implant or foreign substance. It can also be desolved prior to surgery, I forget what they use to dissolve it but I think it's an injection of something. I got an apt pretty quickly, although I had to change it twice once because of snow another due to being sick. The surgery is done downstairs in his surgery center, and I would stay overnight, then he said I would need to stay around town for a few days. I agree I wasn't as impressed with Dr Naimtu, and found Dr Y to more experienced in this specific area. I am looking for a subtle change, I had all my angles removed and now my face looks very boring and ordinary, I am looking to add a slight definition without making me look masculine.
April 12, 2016
You probably have Hyaluronic acid filler like Juvederm, Restylane, or Perlane which can be reversed with Hyaluronidase. I had Restylane in my nose and Perlane in my cheeks a long time ago, but I am sure they are gone by now. Radiesse on the other hand, calcium hydroxylapatite, is more viscous, lasts longer, and can't be reversed by conventional means, you basically have to wait for it to go away. I had it in my cheeks about a year ago for the past several years and in my jawline in December. According to the injector, it lasts 18 months or more. I guess it gives me more time to save money waiting for the filler to go away, just hoping that the doctor doesn't retire or anything in that time.
April 13, 2016
I used to do Radiesse in my cheeks, I have since switched to Voluma, it's supposed to last even longer.
April 14, 2016
I had a CT scan once for a medical condition (a condition I thankfully ended up testing negative for) and the Radiesse in my cheeks showed up in the scan as calcium deposits. If the fillers show up on the CT scan for you do you mind letting me know? I don't mean to pry so much into your business I just want to see if the doctor has an issue with it, the lady on the phone didn't seem to know when I called Dr. Y's office. Most doctors on this site seem to say 12-18 months after Radiesse (for HA fillers it doesn't seem to matter since they can reversed by Hyaluronidase) to get any kind of implants placed in that particular area. I haven't had Voluma even though I've heard of it, but it is also an HA filler (a newer one) so it can be reversed by Hyaluronidase injections. Sadly, Radiesse can't be reversed by any kind of injection. I'm sure that's your Radiesse has faded by now if you have gotten Voluma instead. Maybe this is a sign that I should give it some time before jumping into the surgery lol, Thanks!
April 10, 2016
I loved watching the pics from your journey. You look amazing and I am so happy for you! The doctor that did the procedures is talented! Best to both of you!

April 20, 2016
You look great and I am considering similar myself. One thing I must ask is how you feel about the large number of people online who have had awful experiences with Dr. Y. He has more negative reviews than any surgeon I have looked at (I've looked at a lot) and many of them quote nerve damage, greed and incompetence. My fear is that you took a gamble and won, whereas I may gamble and lose.

April 21, 2016
I guess my problem is twofold:
1. I'm obviously biased because the whole thing went really well. I'm mostly happy with the results and recovery had only the kind of pain and complications that I expected. Therefore, I would mostly just repeat what I've already said, but I can't dismiss those other people. Though I havnt seen a "large number". I've seen a handful of negative, but not some overwhelming majority--that doesn't make their experience any less valid.
2. I have a natural bias to defend him against those charges because they don't sound right to me because it went well and I don't think he had those qualities so I could go on a litany explaining how wrong I think some others might be, but that will come through the lens of bias from a fan of his. I would say meet him, do your own research, and trust your instincts and your own analysis. I can't tell anyone what to do. I can't say anyone else experience is not real or valid but I also can only speak for mine which was successful and positive despite doing many surgeries at once.
One possibility is that because he does more EXTREME surgery, there is more liklihood of things going wrong or bodies reacting in unpredictable ways that is outside of his control--a risk that is always there and this could contribute to more negative reviews. A customized wrap around jaw implant is MUCH more difficult to do and intrinsically risky than a simple off the shelf chin implant--therefore docs who do the latter are likely to get less negative reviews because thered be less unlucky ones whose bodies didnt react well. That's just a theory.
1. I'm obviously biased because the whole thing went really well. I'm mostly happy with the results and recovery had only the kind of pain and complications that I expected. Therefore, I would mostly just repeat what I've already said, but I can't dismiss those other people. Though I havnt seen a "large number". I've seen a handful of negative, but not some overwhelming majority--that doesn't make their experience any less valid.
2. I have a natural bias to defend him against those charges because they don't sound right to me because it went well and I don't think he had those qualities so I could go on a litany explaining how wrong I think some others might be, but that will come through the lens of bias from a fan of his. I would say meet him, do your own research, and trust your instincts and your own analysis. I can't tell anyone what to do. I can't say anyone else experience is not real or valid but I also can only speak for mine which was successful and positive despite doing many surgeries at once.
One possibility is that because he does more EXTREME surgery, there is more liklihood of things going wrong or bodies reacting in unpredictable ways that is outside of his control--a risk that is always there and this could contribute to more negative reviews. A customized wrap around jaw implant is MUCH more difficult to do and intrinsically risky than a simple off the shelf chin implant--therefore docs who do the latter are likely to get less negative reviews because thered be less unlucky ones whose bodies didnt react well. That's just a theory.
July 8, 2016
I have permanent nerve damage and an inability to smile on one side. It feels like cotton is stuffed inside my gums and I feel stiffness and lack and tightness all the time. Be very careful
UPDATED FROM norgano
1 year post
Received a question I'll answer publicly so others can benefit 1
Hi!
First of all I have to say, the results are brilliant and you look gorgeous. The after-pics speak for itself, but I was wondering how you experienced the whole procedure? For example: Were you nervous before the surgery? How did you feel after it? Swelling? Pain? How does it feel to have these implants? Do you have to take care? Does it feel natural? I'm just asking, because I also want to get jaw- and chin-implants, but I'm kind of scared. So it would be very helpfull if you could give me a piece of advise.
1. Thank you for the kind and nice compliments. Makes me feel nice :)
2. I was terrified before the surgery. Panic attacks, constant anxiety, it was horrible. I just kept going with it though. I figured it was now or never. After surgery I felt instant relief despite the pain. Nervous would be total understatement. I was terrified for every reason you can imagine someone would be terrified.
3. There was lots of swelling and pain for a long time and you need to follow instructions exactly and have someone look after you for next several days and read every piece of literature they give you and you'll be fine. Drink Muscle Milk protein shake while recovering and just rest with head elevated. Do all the hygiene sutff they say including mouth wash day of and night before. Pain meds make it pretty fine though.
4. I don't know if they feel natural though but I love them. I love touching them I love their shape. They both feel natural and unnatural at once. Now, they're just as much part of me as any other bone. I feel more complete with them. Hard to explain. Check rest of comments for more questions and answers that might help you.
Advice would be: Follow all instructions. Have someone look after you. Take all meds. Be patient with pain and swelling. They're not permanent. But I have a few things that didn't completely let up until like a year later. It's a long process but I was happy with it right away. Aesthetically, I wish I had gone slightly bigger. I'm a big change kind of guy and that is more risky but I think big implants just look better. Who knows, if I went bigger they may have looked fake so I don't know.
You're rolling the dice in a lot of ways. You should be scared, but if you decide to do it, you should also be excited. If you do it, do it smart and do all your research.
First of all I have to say, the results are brilliant and you look gorgeous. The after-pics speak for itself, but I was wondering how you experienced the whole procedure? For example: Were you nervous before the surgery? How did you feel after it? Swelling? Pain? How does it feel to have these implants? Do you have to take care? Does it feel natural? I'm just asking, because I also want to get jaw- and chin-implants, but I'm kind of scared. So it would be very helpfull if you could give me a piece of advise.
1. Thank you for the kind and nice compliments. Makes me feel nice :)
2. I was terrified before the surgery. Panic attacks, constant anxiety, it was horrible. I just kept going with it though. I figured it was now or never. After surgery I felt instant relief despite the pain. Nervous would be total understatement. I was terrified for every reason you can imagine someone would be terrified.
3. There was lots of swelling and pain for a long time and you need to follow instructions exactly and have someone look after you for next several days and read every piece of literature they give you and you'll be fine. Drink Muscle Milk protein shake while recovering and just rest with head elevated. Do all the hygiene sutff they say including mouth wash day of and night before. Pain meds make it pretty fine though.
4. I don't know if they feel natural though but I love them. I love touching them I love their shape. They both feel natural and unnatural at once. Now, they're just as much part of me as any other bone. I feel more complete with them. Hard to explain. Check rest of comments for more questions and answers that might help you.
Advice would be: Follow all instructions. Have someone look after you. Take all meds. Be patient with pain and swelling. They're not permanent. But I have a few things that didn't completely let up until like a year later. It's a long process but I was happy with it right away. Aesthetically, I wish I had gone slightly bigger. I'm a big change kind of guy and that is more risky but I think big implants just look better. Who knows, if I went bigger they may have looked fake so I don't know.
You're rolling the dice in a lot of ways. You should be scared, but if you decide to do it, you should also be excited. If you do it, do it smart and do all your research.
Replies (2)
May 24, 2016
Hi, thanks for being so upfront with your procedure, What did you mean when you said that you had a few things that didn't completely let up until like a year later? Could you let me know because I am seriously considering just cheek implants to give my face more symmetry and fill out my cheek area more - thank you and you really do look like a model.

May 25, 2016
Thank you so much! :)
A little numbness under the chin. Occaisonal tingles underneath the eye, slightly crooked smile. These are all things that have not only gotten better but KEEP getting SLIGHTLY better month after month even this long, but they're all very miniscule. Other things may happen too. The bulk of the REAL healing and weird feelings is just the first few months after.
A little numbness under the chin. Occaisonal tingles underneath the eye, slightly crooked smile. These are all things that have not only gotten better but KEEP getting SLIGHTLY better month after month even this long, but they're all very miniscule. Other things may happen too. The bulk of the REAL healing and weird feelings is just the first few months after.

Replies (5)
Yeah the swelling is not as horrible as one might imagine but it's certainly a thing.
Thank you so much again :)
I am seriously contemplating getting done exactly what you had done. But since your post, there has been a string of negative reviews on Dr. Y. Which makes me hesitate.
It seems like I have two options 1)take the risk and get exactly what i want as he has done to you or 2)take the risk and majorly screw up my face.
Can you comment?
XD