Might Need to Take Implants Out and do Surgery...

[ben from UK]

33 so kind of borderline lol.

I went to Dr. Y and left the measurements up to him and he went pretty conservative. I believe 8mm width added each side (which when it settled is down to about 6mm according to a doc recently). To be fair, I was so deficient before, that ANY increase would have been an improvement, which it was. I essentially had a long mid face with small lower third, and narrow V-shaped jaw with zero angles. Just adding the extra bulk really helped.

That said, still had issues with the angles (width and drop down) and every 3 months or so I get Radiesse filled, which looks awesome initially but fades really quick. Truth be told, if I didn't do jaw surgery, I prob would redo the implants anyway.

I don't know, they seem to look good on you. You'll never get perfection. There is no perfect face. A couple of minor flaws add to the uniqueness of the face and can make someone look more striking than an almost perfect face with generic beauty.

From what I can see, Yaremchuk did a really good job. Don't underestimate how hard it is to get implants right. Maybe he was a bit conservative to you, but I personally don't see that. I see a natural looking jaw and chin that have the right proportions.

[eastcoastian1]

I don't know, they seem to look good on you. You'll never get perfection. There is no perfect face. A couple of minor flaws add to the uniqueness of the face and can make someone look more striking than an almost perfect face with generic beauty.

From what I can see, Yaremchuk did a really good job. Don't underestimate how hard it is to get implants right. Maybe he was a bit conservative to you, but I personally don't see that. I see a natural looking jaw and chin that have the right proportions.

Thanks. He did okay, but only with fillers do I get the result I really wanted. Figure I'll post some before and after examples: https://imgur.com/a/f9cxuWZ

First set is pre-surgery. Second is after surgery (notice more bulk but still no angles and rounded jawline). Third is set pretty much me the last few years as I'm pretty consistent with fillers (but spending a fortune doing them so often).

Do you have any before and afters? Especially interested in PEEK results.

[PloskoPlus]

Why did Y do silicon? He always does medpor.

[ben from UK]

Thanks. He did okay, but only with fillers do I get the result I really wanted. Figure I'll post some before and after examples: https://imgur.com/a/f9cxuWZ

First set is pre-surgery. Second is after surgery (notice more bulk but still no angles and rounded jawline). Third is set pretty much me the last few years as I'm pretty consistent with fillers (but spending a fortune doing them so often).

Do you have any before and afters? Especially interested in PEEK results.

Damn, that's quite a lifechanging difference. I do understand that you take additional fillers to lower the jawangles, but it doesn't mean that a broader implant would give the same effect. One needs to preserve the areodynamic look from the front. A bigger implant might ruin this and cause a bulky face. Not always, but it can happen, depending on the face. I think this is the reason why Yaremchuk is more conservative, but I'm not sure.

PEEK versus silicone: my personal opinion is that PEEK looks more natural overall, probably due to having a more rough surface (silicone is smooth), but the most important thing is the right size. Also, silicone is soft, screws can get loose over time due to the softness. But not alot of surgeons do PEEK and there's not much research about the results and long term effect.

[eastcoastian1]

Why did Y do silicon? He always does medpor.

You’d think that, but for custom implants he only does silicone.

[eastcoastian1]

Damn, that's quite a lifechanging difference. I do understand that you take additional fillers to lower the jawangles, but it doesn't mean that a broader implant would give the same effect. One needs to preserve the areodynamic look from the front. A bigger implant might ruin this and cause a bulky face. Not always, but it can happen, depending on the face. I think this is the reason why Yaremchuk is more conservative, but I'm not sure.

I think there’s a good middle ground without looking overdone. He pretty much didn’t lower mine at all. I think 7 or 8 more mm width and 6mm more drop down should work without looking over done or potentially boxy. I think the key here is ONLY changing the dimensions of the angles and not the rest of the implant.

Then again, who knows what’s gonna happen with the jaw surgery.

A note about Yaremchuk, he tends to be conservative with drop down mainly because he worries about “massester muscle disruption”.

[ben from UK]

I think there’s a good middle ground without looking overdone. He pretty much didn’t lower mine at all. I think 7 or 8 more mm width and 6mm more drop down should work without looking over done or potentially boxy. I think the key here is ONLY changing the dimensions of the angles and not the rest of the implant.

Then again, who knows what’s gonna happen with the jaw surgery.

This area is crucial (see pic). It must remain 'lean'.

https://imgur.com/a/3R3Nhtt

[eastcoastian1]

This area is crucial (see pic). It must remain 'lean'.

https://imgur.com/a/3R3Nhtt

Exactly! The problem I think was that my implant itself added width which essentially canceled out the angles. If I could redo just the angles alone and leave the rest of the implant the same, I think I would be set.

Or do it the other way, where I leave the angle implants the same and shorten the width of the jawline part. Whatever it takes to create those “lean, sharp” angles.

[PloskoPlus]

You’d think that, but for custom implants he only does silicone.

Pretty sure his were custom medpor.

https://www.realself.com/review/boston-ma-custom-facial-implants-chin-jaw-cheek-rhinoplasty-fat-removal

[eastcoastian1]

Pretty sure his were custom medpor.

https://www.realself.com/review/boston-ma-custom-facial-implants-chin-jaw-cheek-rhinoplasty-fat-removal

Nope, look at his first post. They were silicone. Plus that imaging software that’s used is only done with custom silicone.

He mentioned custom Medpor is an option but doesn’t do it much (says bespoke Medpor is fine) and runs upwards of 40k+.

[ben from UK]

Exactly! The problem I think was that my implant itself added width which essentially canceled out the angles. If I could redo just the angles alone and leave the rest of the implant the same, I think I would be set.

Or do it the other way, where I leave the angle implants the same and shorten the width of the jawline part. Whatever it takes to create those “lean, sharp” angles.

I think it looks okay on you, I've seen far worse. The question is: what causes the bulk that I have seen with many implant results at the area I pointed out: is it an implant being too wide, or is it caused by the upper part of the implant underneath the upper masseter that is often needed to fix the implant (see pic)? If it's the former, then Yaremchuck has all the reasons to be conservative.

Basically the area I circled, isn't needed astaethically, but one surgeon said to me that it's needed to fix the implant. Still, I think: why not fix the implant only at the lower border?

https://imgur.com/a/kVX6CzA

[eastcoastian1]

I think it looks okay on you, I've seen far worse. The question is: what causes the bulk that I have seen with many implant results at the area I pointed out: is it an implant being too wide, or is it caused by the upper part of the implant underneath the upper masseter that is often needed to fix the implant (see pic)? If it's the former, then Yaremchuck has all the reasons to be conservative.

Basically the area I circled, isn't needed astaethically, but one surgeon said to me that it's needed to fix the implant. Still, I think: why not fix the implant only at the lower border?

https://imgur.com/a/kVX6CzA

I honestly think it’s a combination of fatter soft tissue (people with genetically chubby faces should not get it. Those often have awful results) as well as swelling. My final result honestly didn’t come in until about a year later. First 6 months I was a straight up potato.

In regards to your photo, I’ve never thought of that area being clinically relevant. I’ve even felt an implant in my hand and that area is quite thin, so I can’t imagine it making much difference, but could be wrong.

[ben from UK]

Pretty sure his were custom medpor.

https://www.realself.com/review/boston-ma-custom-facial-implants-chin-jaw-cheek-rhinoplasty-fat-removal

This is silicone. You can see a bit of 'fakeness' on some pics that is typical of silicone. Still looks good on him. Another good job from Yaremchuk.

[ben from UK]

In regards to your photo, I’ve never thought of that area being clinically relevant. I’ve even felt an implant in my hand and that area is quite thin, so I can’t imagine it making much difference, but could be wrong.

Yes, it's often overlooked by most surgeons as well, but this result shows how important it can be:

https://imgur.com/a/6xRVtVN

And sometimes you get these freaky results by doing too much:

https://imgur.com/a/7HckHZi

[eastcoastian1]

Yes, it's often overlooked by most surgeons as well, but this result shows how important it can be:

https://imgur.com/a/6xRVtVN

And sometimes you get these freaky results by doing too much:

https://imgur.com/a/7HckHZi

First one looks super solid. Fyi, Defraq only uses Medpor.

Second one looks like a joke....which is weird because it’s a textbook “model jawline” yet somehow just does not go with his face. Is it just too big?