Yaremchuk Implant Design

[Reality]

Hi, mate. Yes, Sailer did indeed treat me like family. I know that I will not get that treatment in the UK or the US. So be it, I do trust Yaremchuk, he's also been nice enough.

I got that vibe from Sailor too when I consulted with him -very warm personality (can’t say the same about the rest of his staff or wife) it’s really too bad that it seems staff brings a surgeon down so much (quite literally). Perhaps surgeons will realize that who they hire can make or break them, eventually.

Regarding Y... as I mentioned, I like him personally (he stood by me and made good on his word) but the experience was utterly deplorable. I do sincerely hope everything goes well for you and I’m sure it will.

Cheers!

[Reality]

Did you get surgery with DeFrancq? How does his implant design aesthetic compare to Y's eye?

Make a new thread and I’ll answer -tbh I should just detail my experience with D. but not on Bowie’s thread.

[IconVillage]

Make a new thread and I’ll answer -tbh I should just detail my experience with D. but not on Bowie’s thread.

Yeah fair, don't want to derail the thread, would you be open to PM? I'm currently deciding between implant specialists and have an upcoming consult with DeFrancq.

[ben from UK]

The aforementioned is only one example of personalization that you will NEVER get with Y. not to mention his incompetent staff (there’s only one person there that I really liked, everyone else should be serving fries at McDonald’s).

Y's assistant-surgeons are very polite and nice. Y. is a decent man himself, from my experience. I have to stick up for him, cause he gave me a second procedure months ago, even when I was quite satisfied with the endresult myself. He noticed an aestehtic flaw at my left side (I didn't see it myself), which was caused by the masseter retracting (again). He offered a new procedure to fix it for a very reduced price (only surgery costs). I know he didn't try to push me or pull money out of me, cause a couple of weeks before that, he said it was fine. It just bothered him personally, cause he wanted to make it the best it could get. I find that a class act. One of his female assistants is a very nice person as well. I liked her alot.

We both know who shouldn't be working there. But overall: with all due respect, does it really matter how nice people are? It's the endresult that counts (I hope all will be fine for you, you can pm me if you want). I know, if people had suboptimal results with a surgeon, they'll often hate him (which wasn't the case with you from what I remember). The results I've seen from Y. were decent or good (not talking about the online pics, but pics people sent me). There are some bad reviews about him online, so I guess he's not perfect and could make mistakes.

The first conversation I had with Y. years ago, I didn't like him that much. He seemed like a grumpy, not very warm or welcoming person. I was mistaken. He's actually a perfectionist, kind of straightforward and doesn't like to hear or see bulls**t. And he's actually a caring person too, but not someone who'd show his emotions (at least, that's my opinion).

[suddenurge]

Thought people may be interested to see the designs for my implants. I won't be posting before or afters but, God willing, if I survive the surgery then I will of course update this thread to say if I am satisfied or not. I am sure I will be, all his work looks very natural.

https://imgur.com/a/R2yZOcU

@Bowie, that looks like a very nice implant design. Not exaggerated like Eppley but just enough in the right places. I also met with Dr. Yaremchuk and he came across as the slightly stressed out professor type. Based on the before and after pics he showed me I left quite impressed. Eppley on the other hand came across as a salesman and could not show me any before and afters even though I flew out all the way to Indiana. He said that patients that were satisfied did not return to take after photos. Fair enough. Based on my impressions I would choose Yaremchuk every day of the week.

@Bowie, would you mind uploading some more design pics, from the side, from below, from the top etc?

On a separate note, I also have a friend that had terrible jaw implant surgery with Defrancq. The doctor completely changed the implant design 3 days before surgery to his own liking and then proceeded to manufacture it without asking for consent. He then lied to my friend and convinced him that this would come out exactly the way my friend wanted. Since my friend is not an expert on implant design he trusted Defrancq. It came out like s**t and left my friend severly depressed. He was subsequently treated like garbage by Defrancq who told him to see a shrink if he did not like the design. Defrancq also managed to rip the masseter muscle on both sides (!) of the jaw and then refused to fix it. It is quite disgusting how defrancq lied and refused to take responsibility for his broken promises and total lack of aesthetic eye. I understand that Doctors can make mistakes, it is really how you handle the mistakes that shows what type of person you are. Also, the design is everything when it comes to facial implants, if the doctor does not have an aesthetic eye, you will be disappointed. I would certainly never trust Defrancq to do any design, nor would I trust him to place the jaw implant safely. Based on the email conversations that my friend showed me he came across as a Dr. Jekyll and Mr Hyde type.

[ben from UK]

Defranq is simply not qualified enough to do implants. It's just not his field. Maybe he's trying to learn it, but he has a long way to go.

Eppley is a disaster. Should be avoided at all costs.

Yaremchuck knows what he's doing. But people are always b*tching about 'he's too conservative' and I want to look like a comic super hero so I go to Eppley'.

Defranq is a nightmare if you're not satisfied with the endresult. He also shouldn't lie so much.

[ben from UK]

By the way, you can't fix detached masseters. Once detached, they will never be able to reatach them again at the right place, at least not with current techniques (maybe in the future). They can only camouflage the damage by stretching them or shaving part of them to reduce the bulk. But placing them back at the bottom of the jaw or implant is almost impossible in many cases, for different reasons.

[IconVillage]

On a separate note, I also have a friend that had terrible jaw implant surgery with Defrancq. The doctor completely changed the implant design 3 days before surgery to his own liking and then proceeded to manufacture it without asking for consent. He then lied to my friend and convinced him that this would come out exactly the way my friend wanted. Since my friend is not an expert on implant design he trusted Defrancq. It came out like s**t and left my friend severly depressed. He was subsequently treated like garbage by Defrancq who told him to see a shrink if he did not like the design. Defrancq also managed to rip the masseter muscle on both sides (!) of the jaw and then refused to fix it. It is quite disgusting how defrancq lied and refused to take responsibility for his broken promises and total lack of aesthetic eye. I understand that Doctors can make mistakes, it is really how you handle the mistakes that shows what type of person you are. Also, the design is everything when it comes to facial implants, if the doctor does not have an aesthetic eye, you will be disappointed. I would certainly never trust Defrancq to do any design, nor would I trust him to place the jaw implant safely. Based on the email conversations that my friend showed me he came across as a Dr. Jekyll and Mr Hyde type.

The DeFrancq news is unsettling, especially as someone who has consulted with him and was planning on going forward with a procedure with him. Any reason in particular you guys think he doesn't have an aesthetic eye? From his morphs he seemed to know what he was doing. Also, what aspect of the implant came out poorly for your friend? Was it too big, too small etc?

[ben from UK]

The DeFrancq news is unsettling, especially as someone who has consulted with him and was planning on going forward with a procedure with him. Any reason in particular you guys think he doesn't have an aesthetic eye? From his morphs he seemed to know what he was doing. Also, what aspect of the implant came out poorly for your friend? Was it too big, too small etc?

He probably does have some level of easthetic eye, but he's not completely specialized in implants yet it seems (he's probably working on that). He's done tons of other procedures, but jaw implants and wrap around implants are a relatively new procedure, especially in Europe, certainly with PEEK. You need aesthetic eye + experience. You need both.

Also, detached masseters is a soft tissue problem and this requires high level skills to partially fix. It's a s**t problem if it's too much, the only one I know specialized in that problem is dr. Y.

That being said, one of the users on this forum had a decent result with Defranq and showed his pics, although he also complained about a partially detached masseter at one side. So this seems to be a more common problem. Implants put alot of pressure on the masseter muscles it seems.

This whole business with implants is partially a trial and error business. The ideal outcome is raisor sharp jawangles, which fillers seem to provide lately. We're not there yet with implants I think, but I've seen good results even with current techniques and designs, depending on the surgeon.

Beauty is about millimeters. I agree the design must be exactly the right one, depending on the face. This is partially mathematics, but you just have to 'see' it. Only the artist can see it. And secondly, you have to know what you have to do during surgery. That's a technical problem. 1.5 millimeter too much on the design can easily become way too much in real life (inverse is also true). It depends on face and phenotype. Phenotype plays a role,  asian men for example do the inverse: boneshaving. You cannot always put an 8 millimeter thick implant on an asian face, it' might look ridiculous. On a caucasian face, it's probably easier. On an arabic face, you risk making the face bloated due to oval shape facial structure in some cases. Many factors play a role.

And then you just deal with taste. Defranq seems to like masculinity, Yaremchuck wants more of a combination of masculinity and softness, which I think is ideal. Eppley seems to like over the top outcomes (maybe it's his taste?).

[suddenurge]

The DeFrancq news is unsettling, especially as someone who has consulted with him and was planning on going forward with a procedure with him. Any reason in particular you guys think he doesn't have an aesthetic eye? From his morphs he seemed to know what he was doing. Also, what aspect of the implant came out poorly for your friend? Was it too big, too small etc?

It is pretty clear to me that anyone that does implant surgery with Defrancq is participating in his learning curve. He is a traditional maxfac who ventured into the lucrative business of aesthetic implant surgery. Implant surgery with him is like buying a lottery ticket, you might get lucky, who knows. All I can say is that if you decide to do surgery with him, please beware that post-op he decides what is good enough or not (read: anything is good enough). Your opinion is no longer wanted no matter how many pre-op assurances and promises he has violated.

@ben from UK, yes that guy is another case where Defrancq ripped the masseter muscle. I had never heard of this problem until my friend's surgery with Defrancq. I can only assume that this is a rare event among surgeons that have the proper experience with jaw implants. It is also true that Yaremchuk has written a paper on the subject. It is quite the procedure to get it fixed, and I suppose that there are no guarantees that it will last given the forces put on the masseter muscle everyday.

Bottom line: Do not participate in a surgeon's learning curve.

[Walsandrew]

When is the OP? Have you had them done yet?

[ben from UK]

It is pretty clear to me that anyone that does implant surgery with Defrancq is participating in his learning curve. He is a traditional maxfac who ventured into the lucrative business of aesthetic implant surgery. Implant surgery with him is like buying a lottery ticket, you might get lucky, who knows. All I can say is that if you decide to do surgery with him, please beware that post-op he decides what is good enough or not (read: anything is good enough). Your opinion is no longer wanted no matter how many pre-op assurances and promises he has violated.

@ben from UK, yes that guy is another case where Defrancq ripped the masseter muscle. I had never heard of this problem until my friend's surgery with Defrancq. I can only assume that this is a rare event among surgeons that have the proper experience with jaw implants. It is also true that Yaremchuk has written a paper on the subject. It is quite the procedure to get it fixed, and I suppose that there are no guarantees that it will last given the forces put on the masseter muscle everyday.

Bottom line: Do not participate in a surgeon's learning curve.

Completely agree.

If done right, the results can be life changing and it could be the best thing you´ve ever done. If done wrong, it´s the worst nightmare you could have.

[suddenurge]

Completely agree.

If done right, the results can be life changing and it could be the best thing you´ve ever done. If done wrong, it´s the worst nightmare you could have.

This is so true, my friend was devastated, borderline suicidal, after Defrancq's botched surgery. Your face is such a big part of who you are and most people that have implant surgery are already quite self aware of their looks. Imagine someone callously botching the design and surgery so badly that you come out much worse. These procedures are not exactly cheap or risk-free either. It also takes many many months for the swelling to come down, so you will be hard pressed to find any surgeon that will remove the implant before the 6 month mark no matter how much you hate it. You would also have to pay for the design of a whole new jaw implant to replace the one that is coming out, or hope that your soft tissues have not adapted and will bounce back, which is unlikely for an adult.

[ben from UK]

This is so true, my friend was devastated, borderline suicidal, after Defrancq's botched surgery. Your face is such a big part of who you are and most people that have implant surgery are already quite self aware of their looks. Imagine someone callously botching the design and surgery so badly that you come out much worse. These procedures are not exactly cheap or risk-free either. It also takes many many months for the swelling to come down, so you will be hard pressed to find any surgeon that will remove the implant before the 6 month mark no matter how much you hate it. You would also have to pay for the design of a whole new jaw implant to replace the one that is coming out, or hope that your soft tissues have not adapted and will bounce back, which is unlikely for an adult.

True. What's your friend going to do now? Did he take out the implants? I think one should not take the implants out without replacing them immidiately, or else the masseter could bounce back, creating more problems down the line. I think especially when the implant was big. Same as with chin implants, when taking them out it could create a witch chin, which is hard to solve. Boneproblems aren't very big problems. You can add things on bone, you can move bone etc., You can basically make the bone any shape you want. But soft tissue problems are way more complicated to fix and can have a huge impact on aesthetics. Botched jobs are suicide inducing and also cause financial problems. That being said, it's 2020, so there's a solution for almost anything, except ageing.

[suddenurge]

True. What's your friend going to do now? Did he take out the implants? I think one should not take the implants out without replacing them immidiately, or else the masseter could bounce back, creating more problems down the line. I think especially when the implant was big. Same as with chin implants, when taking them out it could create a witch chin, which is hard to solve. Boneproblems aren't very big problems. You can add things on bone, you can move bone etc., You can basically make the bone any shape you want. But soft tissue problems are way more complicated to fix and can have a huge impact on aesthetics. Botched jobs are suicide inducing and also cause financial problems. That being said, it's 2020, so there's a solution for almost anything, except ageing.

Well, luckily beards are still very much in fashion, so he has grown a big beard to cover up his botched lower third. He is definitely aware that just removing the implant is not a good option, it needs to be replaced. Unfortunately he is short of the funds right now, plus he obviously has major trust issues after being played by Defrancq. Maybe, if my jawimplant is succesful, then he will find the courage to get it fixed. Then we have the whole separate issue of his ripped masseter muscles.