Cut my Custom Implant Up Without Permission

I had jaw and cheek implants done in 2018. I also had otoplasty to pin back ears and reduce the height of long lobes. The work was mediocre at best with pronounced scarring on my left earlobe. My treatment surrounding the left cheek implant was awful.
The focus of this practice is custom implants which are fabricated using ct scans. If placed well they are supposed to fit near perfectly. Unlike previous gen implants which had SML sizes these implants are 3d printed to be patient-specific. Good pitch, and likely true. However the kicker is they have to be placed properly.
He placed one implant too low leaving a nub visibly protruding from my cheek. I returned a month later, for, as the paperwork says, a "left cheek implant adjustment". I went expecting my implant would be repositioned. After all it was custom to my skull so the protrusion meant it wasn't placed correctly. In our brief, perhaps 2 minute, pre-surgical talk Eppley asked me to point out the nub saying "I think I know what you're talking about but I want to be sure". (I found this gaslighty as it was clearly visible.) I did and he put his finger on it agreeing that he could feel the implant poking. My next memory is after surgery and him asking if I could still feel the implant poking. I still could so he put me back under. (Is waking people for a loopy anesthesia chat then knocking them right back out normal/ethical/safe?) After waking up a second time it was mentioned to me that the implant had been "trimmed". He didn't attempt to reposition the implant but simply cut some away in the first revision surgery and more in the second removing a good chunk of the implant. The philosophy seems to be put the implant kinda maybe close to where it's supposed to go and then cut away any inconvenient protrusions the poor placement causes. I WAS NOT TOLD prior to "adjustment" that his plan was to cut away as much of the implant as it took. If told my OBVIOUS response would be to ask why cutting and not repositioning the implant was the way to go. Ponder the ego and flippancy and deceit of someone who doesn't feel they should tell you what they plan to do inside your own face. I don't know why he did this. My very best guess is that my revision was late in the afternoon after a long day operating and repositioning the implant was more difficult and time consuming than hacking it up.
There's a hollow on my left side by the outer edge of my eye whereas it's filled in on the right side. The orbital rim augmentation I paid for was simply cut off without consent.
After the implant was cut I had notable asymmetry in eye shape (as well as on the zygomatic arch) but tried to let it go. A month ago after seething for 2.5 years and losing weight making the poor work more visible I contacted them to say I wanted to replace the damaged implant.
After 3 emails the response: "Dr. Eppley has reviewed the details of your case and he doesn't feel confident that he can surgically achieve the aesthetic outcome you desire. We wish you the best of luck."
I desired no "aesthetic outcome". I merely wanted an effort to be made at a result resembling the pre surgical imaging. After I shared my anger Cindy the Mgr called to say that Eppley would pay for a new implant but I should find a new surgeon. To be clear he feels his accountability extends to the $1000 piece of silicon, not the roughly $20k replacement surgery. Or the time off work. Or the hassle. Or the additional scar tissue. He can do indefensibly flippant work for tens of thousands and by way of apology he feels he should pay for a piece of plastic.
I've asked REPEATEDLY why cut the implant rather than reposition. They simply won't answer.
I've posted a pic of the protrusion visible after the first surgery. I've posted a picture of my actual result. The jaw implants are a bit wonky with pronounced step-offs. The left cheek implant has a chunk missing which was treated as disposable despite it being a key design feature. This causes asymmetric eyes and negates the high cheek bone look Eppley is so fond of selling.
I've also posted my pre-surgical imaging with perfectly placed implants in blue. Eppley regularly uses this pre-surgical imaging as advertising in lieu of real "after" photos/scans. Think about this. Other surgeons have hundreds of impressive before and afters on their Instagrams. Eppley has projections and operating room videos and videos of him talking in to the camera about how much he knows. If his results were good he would show before and afters. And sorry, not buying their line that Eppley's patients are somehow more private than other surgeons.
In hindsight my surgical experience matches pre-surgical. After selling three design sessions he was pressuring me to sign off on the design after just one. Prepare for a production line feel. There's a reason he's cheaper than doctors Binder, Dhir, and Diamond in LA who all have much more time for their patients. If you think you will be able to sit down at a desk with a computer screen and carefully design an implant you will NOT get that experience here. You'll get a couple of 15-20 minute zoom calls at best and then be pushed to call it good "so that implantech has time to make it before your surgery date".
Truly best to stay away. Feel free to message me for more details.