POSTED UNDER Cheek Implants REVIEWS
Custom Facial Implants: Chin Jaw, Cheek, Rhinoplasty, Fat Removal - Boston, MA
ORIGINAL POST
The care and results I received were OUTSTANDING....
WORTH IT$27,000
The care and results I received were OUTSTANDING. I asked for a BIG change and that's what I got--only it still looks natural. It's only been a little over a month since the procedure but I already feel more confident. I can not recommend the doctor highly enough for anyone looking for a big change.
norgano's provider
Replies (123)
March 14, 2015
Hi. Can you post before and after pictures? Sharing these would really help out the community. Maybe even cover your eyes if you want to hide your identity.
March 21, 2015
I'm looking for a big change as well. Have you posted your pics anywhere? How long did you need to heal b4 going back to work?
June 22, 2015
I had customized facial implants on my cheeks, jaw, chin, (technically jaw/chin one big piece that is cut up then put back together inside I believe) and I did a little fat removal on cheeks and I did rhinoplasty as well.
Summary: nose, cheek fat, cheekbones implants custom, chin/jaw implants custom. HAPPY!
Summary: nose, cheek fat, cheekbones implants custom, chin/jaw implants custom. HAPPY!
June 23, 2015
You were nice looking before, but are SO HANDSOME NOW!!!!
UPDATED FROM norgano
5 months post
Updates from Norgano (norgano)
Since it's been a number of months and I've recieved email saying that people are looking at this review, I wanted to give a couple pictures so people could see before and after. a couple of the before pictures is of when I was thinner but obviously the bone structure would be the same.
Before pictures: Me in the blue shirt with no beard, in the green tunic, and smiling in blue holding the bamboo flute.
After pictures: all of the others
It was customized porous silicone implants that were used on me by the way.
As you can see, the difference is HUGE. However, my only regret is I wish I had gone EVEN bigger with the jaw in terms of wider and taller even though it was still a big difference. That being said, I'm 90% or more happy and I give that an A for sure. Its also possible that for my jaw muscle structure, even larger jaw implant could have been risky to my musculature shrug. I don't know!
I'm very happy though :)
Before pictures: Me in the blue shirt with no beard, in the green tunic, and smiling in blue holding the bamboo flute.
After pictures: all of the others
It was customized porous silicone implants that were used on me by the way.
As you can see, the difference is HUGE. However, my only regret is I wish I had gone EVEN bigger with the jaw in terms of wider and taller even though it was still a big difference. That being said, I'm 90% or more happy and I give that an A for sure. Its also possible that for my jaw muscle structure, even larger jaw implant could have been risky to my musculature shrug. I don't know!
I'm very happy though :)
Replies (25)
June 22, 2015
Thank you for sharing this! I am thinking about having pretty much the same thing (minus the rhinoplasty) with Dr Y. Would you mind telling me what the recovery was like? I had jaw implants previously (silicone, off the shelf implants) and my face remained swollen until 6 months post-op at which point I decided to have them removed. How long did it take before you could get back to work?
June 23, 2015
Thanks for the compliment! Makes me feel nice! :)
Recovery is tough! Didn't like not being able to breathe through nose, though weirdly, this didn't cause me anxiety even though I'm prone to anxiety when I feel my breathing is compromised--so that was nice.
CUTTING doesn't hurt nearly as much as you think. It's the stretching of the tissues that really hurts and that takes weeks. If you're doing everything besides nose, I bet you could go back to work pretty much as quick as you're comfortable socially (well, at least like 7 days I bet!) The pain meds work but don't get addicted! These things are literally addicting and that is dangerous.
Infection is a risk they told me about. Use anti biotics EXACTLY as told. Shave well night before and use mouthwash before hand as told AND the morning before the surgery use the mouth wash also. Do EVERYTHING they instruct you to do and it will be easy. Make sure someone is helping you and with you the whole time for at least a weekend. Prepare a lot of movies.
BUY MUSCLE MILK. It's more than just a protein shake. This stuff has vitamins, minerals and other goodies and essentials. You're not going to be able to chew for a while and jaw will hurt like crap. But honestly, everyone prepared me for the worst pain and it just wasn't that bad. What SUCKED was corners of my eyes being itchy and red and swollen because for the week after they're partially stitched closed (sounds grosser than it is) this is all part of how they put cheek bone implants in. I FORGOT OT MAKE SURE I HAD THE EYE LUBRICANT AND EYE DROPS. Get and use both of those as prescribed for your eyes. Then you'll sleep a bunch with your head elevated.
In the night of recovery after the surgery, my blood pressure was staying too high. Doctor and me both think it was because of the pain. My natural anxiety probably makes my blood pressure spike more easily in response to trauma than others. Emotionally though, I felt quite good. Worst part of the whole procedure was right before. Then I went to sleep and woke up and it's over and pain after that sure, but no more scariness or worries.
Drink muscle milk, get lots of soft liquid healthy foods as possible. Tons of fluids. Take your antibiotics exactly as prescribed and painkillers as needed (I needed a lot) both on food! You'll be great. Again, no regrets except wish I had gone even more extreme with jaw wideness but I make myself feel better by reminding myself that it's possible that could have been risky or looked weird/unnatural on my particular headshape/face. shrug.
I think my cheeks are still SLIGHTLY swollen from the lipo. So I might have even more of that night sucked in hollow look by the time it goes down completely. Surgery day was January 29 2015 I think and these after pics I believe are all from the last 6 weeks with the one where I'm sweaty in sunset being most recent I believe.
Main symptom for me: FATIGUE. Rebuilding tissue makes you TIRED for weeks and weeks. Even after pain was long gone, I still felt tons of fatigue. Also even after pain was gone, there would be weird spikey quick itchy feelings under my eyes and on nose and under chin. This is nerve sensation returning since they went numb for a while. Everything returning to normal now though as of writing this. Still a bit of numness of chin. Might never fully return but totally worth it and doesn't cause any life problems.
Recovery is tough! Didn't like not being able to breathe through nose, though weirdly, this didn't cause me anxiety even though I'm prone to anxiety when I feel my breathing is compromised--so that was nice.
CUTTING doesn't hurt nearly as much as you think. It's the stretching of the tissues that really hurts and that takes weeks. If you're doing everything besides nose, I bet you could go back to work pretty much as quick as you're comfortable socially (well, at least like 7 days I bet!) The pain meds work but don't get addicted! These things are literally addicting and that is dangerous.
Infection is a risk they told me about. Use anti biotics EXACTLY as told. Shave well night before and use mouthwash before hand as told AND the morning before the surgery use the mouth wash also. Do EVERYTHING they instruct you to do and it will be easy. Make sure someone is helping you and with you the whole time for at least a weekend. Prepare a lot of movies.
BUY MUSCLE MILK. It's more than just a protein shake. This stuff has vitamins, minerals and other goodies and essentials. You're not going to be able to chew for a while and jaw will hurt like crap. But honestly, everyone prepared me for the worst pain and it just wasn't that bad. What SUCKED was corners of my eyes being itchy and red and swollen because for the week after they're partially stitched closed (sounds grosser than it is) this is all part of how they put cheek bone implants in. I FORGOT OT MAKE SURE I HAD THE EYE LUBRICANT AND EYE DROPS. Get and use both of those as prescribed for your eyes. Then you'll sleep a bunch with your head elevated.
In the night of recovery after the surgery, my blood pressure was staying too high. Doctor and me both think it was because of the pain. My natural anxiety probably makes my blood pressure spike more easily in response to trauma than others. Emotionally though, I felt quite good. Worst part of the whole procedure was right before. Then I went to sleep and woke up and it's over and pain after that sure, but no more scariness or worries.
Drink muscle milk, get lots of soft liquid healthy foods as possible. Tons of fluids. Take your antibiotics exactly as prescribed and painkillers as needed (I needed a lot) both on food! You'll be great. Again, no regrets except wish I had gone even more extreme with jaw wideness but I make myself feel better by reminding myself that it's possible that could have been risky or looked weird/unnatural on my particular headshape/face. shrug.
I think my cheeks are still SLIGHTLY swollen from the lipo. So I might have even more of that night sucked in hollow look by the time it goes down completely. Surgery day was January 29 2015 I think and these after pics I believe are all from the last 6 weeks with the one where I'm sweaty in sunset being most recent I believe.
Main symptom for me: FATIGUE. Rebuilding tissue makes you TIRED for weeks and weeks. Even after pain was long gone, I still felt tons of fatigue. Also even after pain was gone, there would be weird spikey quick itchy feelings under my eyes and on nose and under chin. This is nerve sensation returning since they went numb for a while. Everything returning to normal now though as of writing this. Still a bit of numness of chin. Might never fully return but totally worth it and doesn't cause any life problems.
June 23, 2015
If you like what he did on me, you can ask Dr. Yaremchuk to reference his work up on Michael Weaver. I asked for a big change with very angular dramatic lines. I think that mostly comes through. Definitely feel more confident and people speak to me like I'm more knowledgable and mature. Not saying that's how it should be but unfortunately that's how the world is.
June 23, 2015
Wow - thanks for such a detailed reply! May I ask what size your jaw implants were (i.e. how much extra width did you get on each side?). Why did you decide to go for custom implants rather than off the shelf? I have some slight asymmetry in my jaw which I would like to correct so I think I need customs, but your jaw looked pretty symmetrical to begin with?
How long did the initial 'dramatic' swelling take to come down? I am planning 10 days off work / away from public...
How long did the initial 'dramatic' swelling take to come down? I am planning 10 days off work / away from public...
June 24, 2015
I went with customized implants because I thought the results looked a bit better. Also, because I think it's easier to add vertical length whereas off the shelf add mainly just horizontal increases (for instance, I wanted my chin to be taller and it's hard to do that with regular implants)
In terms of dramatic swelling, I suspect you'll be fine with 10 days. Of course it depends on you and what you count as dramatic, but I felt pretty comfortable after 10 days.
In terms of dramatic swelling, I suspect you'll be fine with 10 days. Of course it depends on you and what you count as dramatic, but I felt pretty comfortable after 10 days.
July 10, 2015
Thank you for your reply.
1. What was your starting point or what was your initial diagnosis (e.g. zygomatic deficiency, infraorbital deficiency, CII skeletal etc..)?
2. Why did you choose implants over jaw surgery?
3. Is your social, sex and family life any different now?
4. What convinced you into implant route rather than jaw surgery ? implants statistically (by what I saw) tend to give unnatural look, however in your case, it turned out very,very well.
1. I said I wanted more of a heroic boney structure. Larger bone structure all over. No diagnosis was given to me that I needed anything. I don't think I was deficient in anything, but I wanted "bonus" of boney structure. I wanted to look more theatrical and cinematic. I felt my eye area like my orbital ridge was already like this so I wanted the rest of my face to match.
2. Implants I believe heal faster and there's no need to cut bone. Also, I believe custom implants allow for a bigger change than jaw surgery. I belived jaw surgery was less predictable and more rsky and I wanted more material not just a change in existing material
3. I think I'm more confident now so I don't know if that helps make the difference or if its just sheer appearance but I believe women are a slight bit more attracted to me and I believe I'm slightly respected more as more mature looking than I was before.
4. I was less concerned about looking unnatural and more concerned that the difference wouldn't be big enough. Thanks for the support by the way. I'm glad it turned out natural looking. I had a really good doctor and I think custom implants helped with that. I think it was well planned by the doctor and me. Basically, I didn't want a subtle change. If anything my only regret is that I didn't go even BIGGER but I think it's a pretty big change already so I'm happy with that.
1. What was your starting point or what was your initial diagnosis (e.g. zygomatic deficiency, infraorbital deficiency, CII skeletal etc..)?
2. Why did you choose implants over jaw surgery?
3. Is your social, sex and family life any different now?
4. What convinced you into implant route rather than jaw surgery ? implants statistically (by what I saw) tend to give unnatural look, however in your case, it turned out very,very well.
1. I said I wanted more of a heroic boney structure. Larger bone structure all over. No diagnosis was given to me that I needed anything. I don't think I was deficient in anything, but I wanted "bonus" of boney structure. I wanted to look more theatrical and cinematic. I felt my eye area like my orbital ridge was already like this so I wanted the rest of my face to match.
2. Implants I believe heal faster and there's no need to cut bone. Also, I believe custom implants allow for a bigger change than jaw surgery. I belived jaw surgery was less predictable and more rsky and I wanted more material not just a change in existing material
3. I think I'm more confident now so I don't know if that helps make the difference or if its just sheer appearance but I believe women are a slight bit more attracted to me and I believe I'm slightly respected more as more mature looking than I was before.
4. I was less concerned about looking unnatural and more concerned that the difference wouldn't be big enough. Thanks for the support by the way. I'm glad it turned out natural looking. I had a really good doctor and I think custom implants helped with that. I think it was well planned by the doctor and me. Basically, I didn't want a subtle change. If anything my only regret is that I didn't go even BIGGER but I think it's a pretty big change already so I'm happy with that.
October 16, 2015
Excellent result!
Is the scar on the corner of your eyes noticeable? Any other side effect resulted from the stitched of the corner of the eyes?
I am thinking about cheek implants, but I am afraid of scars.
Is the scar on the corner of your eyes noticeable? Any other side effect resulted from the stitched of the corner of the eyes?
I am thinking about cheek implants, but I am afraid of scars.
UPDATED FROM norgano
6 months post
implants
Here is a copy of the final plans for my implants. As you can see: BIG but I would have gone even bigger on wideness of jaw but I still had a HUGE improvement. Feel free to print/use as reference if you're going for same kind of angular thing.
Replies (31)
July 23, 2015
your results are perfect, no changes needed. you have done what I often think needs to be done when people have a facelift, they think ageing is the problem when actually poor underlying bone structure is causing the skin to go. you look great.
July 25, 2015
Wow, you look fantastic! This is the best transformation that I have ever seen, and I'm a surgical nurse now for 15 years. Life's too short to be unhappy with your looks. Congrats and all the best! Nurse Christine
July 27, 2015
Gosh, thank you so much! I'm really happy with it. Thank you very much, Nurse Christine!
July 27, 2015
Wow,its made a huge difference and Im glad you are happy with the results.
Did it hurt during the procedure or after?
What did it feel like having the implant in and you mentioned fatigue-could you elaborate please?
Did it hurt during the procedure or after?
What did it feel like having the implant in and you mentioned fatigue-could you elaborate please?
July 27, 2015
Numbness lasts for a long time around the implant area. Its still slowly coming back under my chin and may not ever FULLY return RIGHT underneath my chin in like a small centimeter of skin. Numbness makes it not feel like your own body. However, as numbness has gone away, the implants feel more and more like my own bone and I really like them and enjoy feeling them. It's hard to imagine not having them at this point.
I think the fatigue just comes from tissue healing. Whenever tissue is healing you get tired. At least I do. Like, if I have sore muscles from lifting weights, I'll also be tired, even if I slept well after the workout. Same thing with this. Stayed tired for a while from all the tissue repair.
I was under general ana during the whole thing and a lot of painkillers after. Pain wasn't so much of an issue as discomfort from stitched near my eyes (temporary) since I couldn't open my eyes as well as I wanted.
It hurt less than I expected overall.
I think the fatigue just comes from tissue healing. Whenever tissue is healing you get tired. At least I do. Like, if I have sore muscles from lifting weights, I'll also be tired, even if I slept well after the workout. Same thing with this. Stayed tired for a while from all the tissue repair.
I was under general ana during the whole thing and a lot of painkillers after. Pain wasn't so much of an issue as discomfort from stitched near my eyes (temporary) since I couldn't open my eyes as well as I wanted.
It hurt less than I expected overall.
July 29, 2015
Thanks.
Do you know what the name of these implants is and would they "work" on women?
The implants I have seen before in women look unnatural and too low placed or shaped but I want ones that are higher up for the look of high cheekbones.
Do you know what the name of these implants is and would they "work" on women?
The implants I have seen before in women look unnatural and too low placed or shaped but I want ones that are higher up for the look of high cheekbones.
July 29, 2015
Yaremchuk does both non custom and custom implants. I did custom implants because I heard they looked more natural. They are also more expensive because the doctor basically designed them to your face. They certainly work on women. For my taste, the larger the cheekbones on women the better. haha, but my taste doesn't matter, what matters is the individuals personal desire for themselves.
I don't like the phrase "high cheekbones" because it's confusing. The reason it's confusing is because it literally means "higher" as in on the face it is closer UP to the eye. HOWEVER, many people use the term "high cheek bones" as a catch all to describe large/wide cheekbones generally. In my case my cheekbone implants were fairly far UP on my face, yes, but I believe the reason my cheeks don't look too rounded was also because of cheek fat removal. Traditionally beauty/sexual dimorphism says (based on my reading) that more attractive cheekbones on men are large, but also potrude more frontally and close to the eyes (like mine now). With women though, these priorities should/might be different. A lot of the best cheekbones on women can cover area that's relatively lower and be more broad and wide rather than frontally projecting. How wide the face becomes from the cheekbones horizontal extension seems to affect attractiveness a great deal. Think Scarlett Johanson and other women with "heart shaped faces" That's just my own personal conjecture. Do you have a celebrity example of the kind of cheekbones you like?
I don't like the phrase "high cheekbones" because it's confusing. The reason it's confusing is because it literally means "higher" as in on the face it is closer UP to the eye. HOWEVER, many people use the term "high cheek bones" as a catch all to describe large/wide cheekbones generally. In my case my cheekbone implants were fairly far UP on my face, yes, but I believe the reason my cheeks don't look too rounded was also because of cheek fat removal. Traditionally beauty/sexual dimorphism says (based on my reading) that more attractive cheekbones on men are large, but also potrude more frontally and close to the eyes (like mine now). With women though, these priorities should/might be different. A lot of the best cheekbones on women can cover area that's relatively lower and be more broad and wide rather than frontally projecting. How wide the face becomes from the cheekbones horizontal extension seems to affect attractiveness a great deal. Think Scarlett Johanson and other women with "heart shaped faces" That's just my own personal conjecture. Do you have a celebrity example of the kind of cheekbones you like?
July 30, 2015
July 31, 2015
Amber Heards seem like they don't poke out that wide but they are quite larger and round overall. It seems that they actually go quite "low" on her face as well. They may be extra defined because she has really low cheek fat. Yeah she has big round femanine shaped cheekbones but they're not actually huge. Hmm interesting.
I wish I was more of an expert on female shaped cheekbones because they do have a slightly different quality. From my untrained eye, these cheekbones appear to have a few things in common: they don't jut out super far left and right (though I think it's fine/cool if they did). They are on faces with relatively low facial fat, They have very femanine shapes.
On the one hand, I think you could achieve the results of these pics with implants similar to what I got, but on the other hand, I don't know if I'd consider any of these implants particularly veritically up.
I wish I was more of an expert on female shaped cheekbones because they do have a slightly different quality. From my untrained eye, these cheekbones appear to have a few things in common: they don't jut out super far left and right (though I think it's fine/cool if they did). They are on faces with relatively low facial fat, They have very femanine shapes.
On the one hand, I think you could achieve the results of these pics with implants similar to what I got, but on the other hand, I don't know if I'd consider any of these implants particularly veritically up.
July 31, 2015
I agree. the phrase "high cheekbones" is confusing and most people don't actually know what they're describing when they use the words. Asians can have extremely prominent cheekbones. But In Korea and other places, they'll actually have them reduced to balance out their features.
I like the look of high cheekbones, but in women they seem to have more of an oblique lie, while in men, as Norgano mentioned, they are narrow and have more of a horizontal lie. Many beautiful woman have well positioned but not overly prominent cheekbones.
I find women like Kerry Washington, Michelle Pfeiffer (in Scarface, hayden panettiere or julianne hough to be very beautiful.
I like the look of high cheekbones, but in women they seem to have more of an oblique lie, while in men, as Norgano mentioned, they are narrow and have more of a horizontal lie. Many beautiful woman have well positioned but not overly prominent cheekbones.
I find women like Kerry Washington, Michelle Pfeiffer (in Scarface, hayden panettiere or julianne hough to be very beautiful.
July 27, 2015
I still have permanent nerve damage 10 months later and cant smile or talk normally after my surgery with Dr. Yaremchuk, so anyone considering this, please just be cautious and don't go in on this with your eyes closed expecting to emerge looking like a supermodel.
July 27, 2015
I'm sorry to hear your experience was really bad. :( That's terrible! I don't look like a supermodel by any stretch, but I like how I look now a lot more than before.
Thanks so much for offering your opinion on your doctor.
With more detail about your experience - such as tips for getting good results, pros/cons, before & after photos - our team can add your story to the chin implant community.
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