POSTED UNDER Chin Implant REVIEWS
Jaw/Chin Implants Scheduled - Boston, MA
ORIGINAL POST
After lots of research and consultations from...
SushimanDecember 10, 2015
$15,000
After lots of research and consultations from numerous doctors, I'm scheduled to have mandible and chin implant surgery on 12/22 to create a stronger, sharper more visible and defined jawline as well as fix a receding chin. I have a steep jaw angle, narrow face and recessed chin due to the fact my jaw is about 3mm recessed, so the only way to fix this besides having mandible implants would be by having my jaw moved forward with BSSO surgery, which would require 18 months of braces beforehand. This, to me, is a better option as it doesn't require tons of prep, can have as good or even better of an aesthetic result, isn't as invasive, and I'll be back to work within 3 weeks.
I'm not seeking a transformation, more of an enhancement, with better, sharper jaw angularity as well as a balanced chin. For me, the key is I want it to look natural and NOT bloated. Right now, you could say, my face has an oval/egg like shape to it.
I'm having the surgery done by a pioneer in the field of mandible and chin implants, Dr. Yaremchuk in Boston. He'll be using Medpor/Omnipore implants that he personally designed which he also custom augments during the procedure to meet the skeletal of structure of each patient. Also implants will be screwed in to eliminate any dead space between the implant and bone and the possibility of the implants shifting. The only issue with Medpor is that it's subject to tissue ingrowth, so after a few months you're pretty much stuck with them as they can't be removed. As long as I'm happy with them though, I would see no need to remove later on.
Needless to say though, I'm still very nervous!
I'm not seeking a transformation, more of an enhancement, with better, sharper jaw angularity as well as a balanced chin. For me, the key is I want it to look natural and NOT bloated. Right now, you could say, my face has an oval/egg like shape to it.
I'm having the surgery done by a pioneer in the field of mandible and chin implants, Dr. Yaremchuk in Boston. He'll be using Medpor/Omnipore implants that he personally designed which he also custom augments during the procedure to meet the skeletal of structure of each patient. Also implants will be screwed in to eliminate any dead space between the implant and bone and the possibility of the implants shifting. The only issue with Medpor is that it's subject to tissue ingrowth, so after a few months you're pretty much stuck with them as they can't be removed. As long as I'm happy with them though, I would see no need to remove later on.
Needless to say though, I'm still very nervous!
Sushiman's provider
Replies (16)
December 11, 2015
I've been looking into CT-bone implant which will be available in early 2016. The Bone implant is made from calcium phosphate which is a main constituent of the human bone. Google," CT bone implant by Xilloc". They've done a 3 yr study on it. Or there is a material called PEEK which is used mainly in the UK. Sounds quite good, to know more about PEEK properties (non porous, biocompatible),google, " PEEK implants by Cavendish, UK" But in the US, they use silicone mostly and it's been said they are easiest to insert as silicone is pliable(it can be squeezed) and the surgery site does not have to be as big. Wonder why Dr Yaremchuck does not use silicone?
December 13, 2015
HI, I think it will also be more difficult to remove any implant if it is screwed in.
I'm still dealing with the long term effects of removing silicone cheek implants. Mind you they were in place for 7 years.
I am now considering a sliding genioplasty but bone implants sound interesting. I'd be worried about using a Dr without a ton of experience with this new kind of implant though. It may take some time before any surgeon in Canada or the US will develop enough experience.
Best of luck Sushiman. I think your jaw looks fine, I understand why you want the chin implant though, it is a little recessed as you stated.
Hope everything goes well.
I'm still dealing with the long term effects of removing silicone cheek implants. Mind you they were in place for 7 years.
I am now considering a sliding genioplasty but bone implants sound interesting. I'd be worried about using a Dr without a ton of experience with this new kind of implant though. It may take some time before any surgeon in Canada or the US will develop enough experience.
Best of luck Sushiman. I think your jaw looks fine, I understand why you want the chin implant though, it is a little recessed as you stated.
Hope everything goes well.
December 16, 2015
Thank you for the kind words.
My feeling is if I just do the chin, it could potentially make my already narrow face even more narrow. I'm hoping doing chin and jaw at the same time could create much better balance. And seeing that I happen to live in the city of essentially one of the top jaw angle implant surgeons in the world, I thought I might as well go for it.
I don't think I would consider cheek implants, even silicone (Dr. Y didn't even try to pitch them) simply due to the fact there are tons nerves in that area and I've seen a lot of cases where people develop twitches and/or major numbness in that area. With chin, yeah there are some nerves but they are more at risk if you go in through the mouth and for jaw, theres virtually no risk of damaging the nerves as they are too deep within the bone. Can I ask what effects your dealing with since removal?
As far as Medpor vs Silicone, this is something I debated long and hard over. At the end of the day, I went with Medpor as there is much less bone resorbtion than silicone over the years. It pretty much becomes your own tissue. Most oral/maxiofacial surgeons out there who perform chin implants only use Medpor and refuse to use Silicone. That tells you a lot right there. Also, Medpor material is much more easily shaped specific to your bone as well as the fact that since it's screwed in, there is no "dead space" between the bones and implant, meaning no extra augmentation you didn't want. Also, a lot of the Medpor results out there simply look better than the silicone ones. Lots of "soft" and "bloated" looking silicone after photos, but couldn't find any with Medpor being used.
Biggest drawback as you said is I pretty much need to decide within a few weeks if I want them out, otherwise it's a pretty bif deal to get them out.
My feeling is if I just do the chin, it could potentially make my already narrow face even more narrow. I'm hoping doing chin and jaw at the same time could create much better balance. And seeing that I happen to live in the city of essentially one of the top jaw angle implant surgeons in the world, I thought I might as well go for it.
I don't think I would consider cheek implants, even silicone (Dr. Y didn't even try to pitch them) simply due to the fact there are tons nerves in that area and I've seen a lot of cases where people develop twitches and/or major numbness in that area. With chin, yeah there are some nerves but they are more at risk if you go in through the mouth and for jaw, theres virtually no risk of damaging the nerves as they are too deep within the bone. Can I ask what effects your dealing with since removal?
As far as Medpor vs Silicone, this is something I debated long and hard over. At the end of the day, I went with Medpor as there is much less bone resorbtion than silicone over the years. It pretty much becomes your own tissue. Most oral/maxiofacial surgeons out there who perform chin implants only use Medpor and refuse to use Silicone. That tells you a lot right there. Also, Medpor material is much more easily shaped specific to your bone as well as the fact that since it's screwed in, there is no "dead space" between the bones and implant, meaning no extra augmentation you didn't want. Also, a lot of the Medpor results out there simply look better than the silicone ones. Lots of "soft" and "bloated" looking silicone after photos, but couldn't find any with Medpor being used.
Biggest drawback as you said is I pretty much need to decide within a few weeks if I want them out, otherwise it's a pretty bif deal to get them out.
December 19, 2015
Wow, well at least you have thoroughly thought all this through. I think it'll look great. There's another guy on here who had the same dr for similar procedures and he looks amazing now.
So I got cheek implants on a whim when I was 22 years old. I didn't need them, looked pretty to start with but some Dr's, especially whe you're young, suggest things that are not needed.
After 7 or 8 years one of the implants migrated upwards and there as a lot of asymmetry so Iha them removed by a different Dr. I waited about 5 months before I got fillers put in for volume loss.
For about a year after the removal my face looked great but then it started changing. Also, used too much filler and have been trying to dissolve it over the last few months.
The side of my face where the implant migrated now has very little shape to it. Filler hasn't helped.
Anyway best of luck to you. Your only a couple days away!!!
So I got cheek implants on a whim when I was 22 years old. I didn't need them, looked pretty to start with but some Dr's, especially whe you're young, suggest things that are not needed.
After 7 or 8 years one of the implants migrated upwards and there as a lot of asymmetry so Iha them removed by a different Dr. I waited about 5 months before I got fillers put in for volume loss.
For about a year after the removal my face looked great but then it started changing. Also, used too much filler and have been trying to dissolve it over the last few months.
The side of my face where the implant migrated now has very little shape to it. Filler hasn't helped.
Anyway best of luck to you. Your only a couple days away!!!
December 13, 2015
Long-time lurker here. Please keep us updated following your surgery! You'll think your 'out of the woods' after the first 3-6 months, but the swelling will take close to a year to resolve and you'll look somewhat different 6 months vs 12 months out. I'm in need of similar improvements (similar jaw structure, maybe even weaker) but am afraid of such drastic intervention like this so hoping to see good things!
UPDATED FROM Sushiman
10 days post
Day 3
SushimanJanuary 1, 2016
Had my surgery a few days ago. Swelling is probably at it's peak right now so my face closely resembles a balloon at the moment. For those considering surgery, remember, swelling will actually continue to get WORSE by the 4th day, and then gradually go down, so my results looked better right after surgery then they do at the moment. Patience is key right now.
By the way, I had a change of heart and decided to do a custom silicone wrap around rather than off-shelf Medpor, simply to avoid any issues down the line with having to remove Medpor which can be notoriously difficult.
Here's one pic right after surgery.
By the way, I had a change of heart and decided to do a custom silicone wrap around rather than off-shelf Medpor, simply to avoid any issues down the line with having to remove Medpor which can be notoriously difficult.
Here's one pic right after surgery.
Replies (10)
January 2, 2016
Looks Incredible!!! Your Doctor did a great job!
Stay in bed, rest and be a total rat to everyone.
Played correctly, I'm planning on milking this for 6 months of sympathy from anyone and everyone. Thanks for sharing.
Stay in bed, rest and be a total rat to everyone.
Played correctly, I'm planning on milking this for 6 months of sympathy from anyone and everyone. Thanks for sharing.
January 2, 2016
Would love to see images of your CT scan including the implant wrapped over your jaw, would like to see the dimensions.
January 3, 2016
I will agree with others -- it looks great from what we can see.
Good luck with your recovery and thanks for sharing your experience.
Good luck with your recovery and thanks for sharing your experience.
UPDATED FROM Sushiman
14 days post
Day 6
SushimanJanuary 5, 2016
Still very very swollen. Definitely have a Quagmire look going on. That said, from the profile view things are looking like they're settling down and giving me a good idea of results. Thought I'd share a few of those pics.
My only regret so far is not doing a little more vertical drown down at the angles. Yaremchuk is all about balance and proportion to keep things looking natural so he's not one to do massive transformations if he feels the result will look overdone. That said, I trust his judgment and still feel it's a great improvement so far. I love the fact my jawline is actually straight and strong now, rather than oval and round. And I just LOVE the new chin.
Again, it's still very swollen so it won't (or at least shouldn't) look this bloated in a few weeks. The outline will prob. be the same though.
My only regret so far is not doing a little more vertical drown down at the angles. Yaremchuk is all about balance and proportion to keep things looking natural so he's not one to do massive transformations if he feels the result will look overdone. That said, I trust his judgment and still feel it's a great improvement so far. I love the fact my jawline is actually straight and strong now, rather than oval and round. And I just LOVE the new chin.
Again, it's still very swollen so it won't (or at least shouldn't) look this bloated in a few weeks. The outline will prob. be the same though.
Replies (9)
January 7, 2016
Wow, you look amazing! Yaremchuck should put you in his ads! Good luck with your recovery. I hope you'll post a photo from the front at some point.
January 21, 2016
I too am interested in the dimensions of the implants you had. How does your face move when you smile? I guess it could be hard to tell at the minute because of the swelling. I am interested in this too but there are so many horror stories online that I'm not sure I will ever make the leap.
Please keep us updated. The fact that you're looking good already given the notoriously long recovery time is a good sign.
Please keep us updated. The fact that you're looking good already given the notoriously long recovery time is a good sign.
April 18, 2016
I'm just now discovering your thread and missed the before/after photos you previously posted here. If it's not too much trouble, would you mind PMing me some of your before/after photos? I'm strongly considering having the same set of procedures done (as well as cheek implants), so I'd love to see photos of another good result
As mentioned, after a few months, the tissue in growth would make removal difficult. It's the trade off for having material very similar to bone which will better mimic it. This is why most oral/maxiofacial surgeons use Medpor as well.