jawsurgeryforums.com
General Category => Aesthetics => Topic started by: NY76 on November 15, 2016, 06:00:54 PM
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Has anyone had any experience with custom implants with Dr Yaremchuk?
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Bumping this for a general discussion on the man.
Here is some general info: https://www.realself.com/find/Massachusetts/Boston/Plastic-Surgeon/Michael-Yaremchuk
He is quite experienced and has a good reputation and he runs a blog found here: https://www.dryaremchuk.com/blog/
He's interesting to me because he has a lot of experience and knowledge regarding eye surgery. Although I've only seen the results on his website Lazlo mentioned his results were very good. If anyone has met him or any of his patients feel free to chime in.
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Well we know that he's great with implants, and we know that he's transformed the appearance of patients in a way that I've never seen some aside from several le fort 3 cases. We also know that he can be trusted with his eye work too. I wonder whether anybody here has seen any of his before/after results that aren't available online.
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Well we know that he's great with implants, and we know that he's transformed the appearance of patients in a way that I've never seen some aside from several le fort 3 cases. We also know that he can be trusted with his eye work too. I wonder whether anybody here has seen any of his before/after results that aren't available online.
Can I ask you how we know all those things?
I'm not being snarky, I am genuinely thirsting for information. I have aesthetic eye problems and Dr. Y was recommended... yet I don't learn much about his practice no matter how much I google.
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I have met him. He seemed to be a good honest man. I am a female and interested in custom jaw and chin implants. I am still debating between Dr Yaremchuk and Dr Eppley, and who is better at the specific craft. Not many surgeons do this type of surgery and Dr E and Dr Y seem to be the top two. Dr Yaremchuks before and afters seem more impressive to me, my fear is he is older between 65-75 if I had to guess and I fear with age reflexes, motor skills, vison ect all fail and is he still competent to preform the surgery as well as he has.
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I have met him. He seemed to be a good honest man. I am a female and interested in custom jaw and chin implants. I am still debating between Dr Yaremchuk and Dr Eppley, and who is better at the specific craft. Not many surgeons do this type of surgery and Dr E and Dr Y seem to be the top two. Dr Yaremchuks before and afters seem more impressive to me, my fear is he is older between 65-75 if I had to guess and I fear with age reflexes, motor skills, vison ect all fail and is he still competent to preform the surgery as well as he has.
Oh really, when did you meet him and did you see any of his other work besides jaw+chin implants?
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some ppl over at missj forum had. to be honest i havent seen many incredibly amazing transformations from him.
top implants guys or guys who do implants often custom or not are
dr. yarmechuck,
dr. ramirez
dr. terino (hes very old not sure if hes still around)
dr. binder
dr. ceydeli
dr. perenak
dr. eppley
there are others im sure but those are the ones off the top of my head
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His reviews on realself aren't that great. Dr E seemed nice, a bit odd personality. I think implants in general aren't well liked by patients, regardless of surgeon. I would hold off as long as you can before considering them. In my opinion, the sweet spot for this kind of procedure is in your 50s or earlier if technology gets good enough.
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some ppl over at missj forum had. to be honest i havent seen many incredibly amazing transformations from him.
top implants guys or guys who do implants often custom or not are
dr. yarmechuck,
dr. ramirez
dr. terino (hes very old not sure if hes still around)
dr. binder
dr. ceydeli
dr. perenak
dr. eppley
there are others im sure but those are the ones off the top of my head
Earl i was hoping to get access to missj forums a while back and even wanted to pay for access but i was basically more or less told to f**k off by missJ.....
anyway since you've actually been on there for some time; have you EVER seen a great result from implants?
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Earl i was hoping to get access to missj forums a while back and even wanted to pay for access but i was basically more or less told to f**k off by missJ.....
anyway since you've actually been on there for some time; have you EVER seen a great result from implants?
yes but it really depended on the starting point and deficiency. alsomost of the out of this world results were from dr ramirez.. there was a guy with a screen name vap who had a amazing result
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Dr Yaremchuk is careless and mercenary from my experience. I would avoid him, and implants in general
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Dr Yaremchuk is careless and mercenary from my experience. I would avoid him, and implants in general
There's really no other choice in most cases
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Earl i was hoping to get access to missj forums a while back and even wanted to pay for access but i was basically more or less told to f**k off by missJ.....
What the heck is missjforums? And why is there no access?? Can anyone explain please?
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What the heck is missjforums? And why is there no access?? Can anyone explain please?
plastic surgery forum
its a closed community it would seem
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I worry with Dr Yaremchuks age, he is getting up there. I have read both good and bad on him. I saw Dr. Eppleys youtube and reminded me of a mad scientist, yet when I spoke with him he seemed lack luster and not enthusiastic at all. I fear greater asymmetry with customs. I am mostly lacking in the prejowl area, I might just go a prejowl custom carved. Has anyone had experience with prejowl implants?
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that is counterintuitive to me. How would custom implants make asymmetry worse? If anything off the shelf implants make asymmetry worse, and customs are supposed to be designed to counterbalance your natural asymmetry. That's actually almost the whole point of custom implants.
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Yes I agree that is the effort and effect strived for, but there is a chance of asymmetry also noted by the surgeons, also the symmetry is based on resting position of the face, once in motion it could be wonky. Goggle Alicia Douvall before and after, she had custom implants and tell me if she look more symmetrical before or after, I guess its a gamble.
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I travelled from Europe to see Dr Yaremchuk for a consultation. I had read some of the bad reviews but assumed they were from crazy people with an axe to grind and fully expected to book surgery with him after the consult. I really, really did not like him or his style one little bit. He made me feel really uncomfortable and tried to talk me in to a facelift at the age of 32 as well as canthopexy and hard palate spacer graft. There is a lady on RealSelf right now who has posted pictures of her eyes after he operated on them and she is literally deformed with visible scars and grafts all over the place. I was, at one stage, considering going ahead with his surgical plan anyway and thought maybe I was being paranoid and maybe I should just trust his credentials - I am so glad I followed my gut instinct and didn't proceed to have surgery with him.
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tried to talk me in to a facelift at the age of 32.
Wtf
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He's 66 years old. Source: "Yaremchuk received his B.A. degree from Yale College in 1972" (https://en.wikipedia.org/wiki/Michael_J._Yaremchuk), usually graduate undergrad age 22, which puts his birth year at 1950. Your psychomotor skills really shouldn't be deteriorating that much at that age, and even if they are, movements related to expertise + decades of practice do not deteriorate and are retained during aging. (http://www.jcda.ca/article/a25) Anyway, my personal impression when I met him is that he was *very* alert and agile. Doubt there are any technical/performance aspects of a surgery to worry about with him at the immediate moment.
I got fillers (Voluma) from him literally last week as a way to "simulate" what paranasal and infraorbital rim implants would look like. I'm not totally sure why he placed the fillers only at the malar eminence, that reverses the negative orbital vector but I still feel like I could've used a bit closer to the eye as well, but maybe that's not how it works? I don't have any scleral show but the eye prominence (due to midface deficiency) was my main issue, so maybe that's why he did it the way he did. Overall I do like the results, but again I wish there was a bit more volume around the eye area itself. Will happily post before + after pictures if people would be interested, but again it was just fillers, not an invasive procedure by any means ;D
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Also: I look at Yaremchuk's implants results and while there's some controversy on RealSelf and other places, these results are really hard to beat. I know this is a cherry-picked case but it really does show (in my opinion) that implants can give very natural-looking results. Is this guy an incredible exception, or do people think it's possible to have dramatic enough results that would outweigh the cons people have about implants here? (He also had a lateral canthopexy and a rhinoplasty, btw.)
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That particular set of photos is one of the main reasons I went to see him. If you look at some of the other pictures on his website however a lot of them have very mediocre results.
Another doc who used to be very good with implants was Ramirez. On his old website he had some of the most incredible transformations I have ever seen on men just using implants. There is a guy on RealSelf right now however - who is very happy - but looks utterly ridiculous after work by Ramirez.
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I have followed Dr Y and done extensive research on him and did a face to face consult in Boston. It wasn't until recently that I decided that I wont go to him. I am not sure where I am going to go. I am back to thinking of Dr Eppley. It was really Alicia Douvall that turned me against him. In reading her book and hearing how he kept pushing her to do more things, he did the same to me when I did a consult with him, I went for jaw implants alone yet he wanted to rebuild my whole face. I saw what Alicia looked like after all the surgery he pushed on her insecure soul and thought OMG this is all the crap he was trying to push on me, so I have since crossed him off my list. I have seen everything on realself, the good and the bad and also the woman who just posted her eye photos, based on her profile she had 5 nose jobs prior to seeing Dr Y, she must have issues and Dr Y capitalized on that. Off my list....next
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I heard he later got even more work done subsequent to these pictures and something went badly wrong. A lesson to us all.
That's sad, what did he have done?
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I was stunned when I read he was Alicia Douval's surgeon. I assumed she went to back street cowboys... not a professor from Harvard. She referred to him as the 'Boston Sadist' in her book... which doesn't seem that unjust. Her face was a wreck after he got his hands on it.
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Fat grafting underneath his eyes apparently.
For gosh sakes - - how does he screw that up ?
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He had a ton of fat to his face from what I remember - there was a photo going about at one point.
Regarding Dr Y. He seems to be a mixed back, where some guys are happy but then you hear about the horror stories.
If it's true about Alicia duvalle, I would personally leave well alone as you could really screw up your face.
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I have followed Dr Y and done extensive research on him and did a face to face consult in Boston. It wasn't until recently that I decided that I wont go to him. I am not sure where I am going to go. I am back to thinking of Dr Eppley. It was really Alicia Douvall that turned me against him. In reading her book and hearing how he kept pushing her to do more things, he did the same to me when I did a consult with him, I went for jaw implants alone yet he wanted to rebuild my whole face. I saw what Alicia looked like after all the surgery he pushed on her insecure soul and thought OMG this is all the crap he was trying to push on me, so I have since crossed him off my list. I have seen everything on realself, the good and the bad and also the woman who just posted her eye photos, based on her profile she had 5 nose jobs prior to seeing Dr Y, she must have issues and Dr Y capitalized on that. Off my list....next
That one is a PS pusher who was on MissJ's site at one point. She had all her work corrected by another doctor and passed it off to her 'clients' as the work of the PS who botched her. She had many surgeries on her face elsewhere too and although 5 rhinos is not uncommon if you are unlucky, she wasn't exactly your average patient. And she hasn't stated whether it was ever 'Worth It' going to Dr Y.
Incredibly, she says she read Alicia's book before going in and that didn't put her off. That's due to the fact she's like Alicia - nothing would ever put her off getting PS.
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He had a ton of fat to his face from what I remember - there was a photo going about at one point.
Regarding Dr Y. He seems to be a mixed back, where some guys are happy but then you hear about the horror stories.
If it's true about Alicia duvalle, I would personally leave well alone as you could really screw up your face.
Here's the photo BTW of the guy who went to Yaremchuk and then had fat grafting with Coleman: https://screencast.com/t/xmZMF0NrP
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Here's the photo BTW of the guy who went to Yaremchuk and then had fat grafting with Coleman: https://screencast.com/t/xmZMF0NrP
Thank you for your input!
I would like to hear Lazlo's opinion! 8)
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Here's the photo BTW of the guy who went to Yaremchuk and then had fat grafting with Coleman: https://screencast.com/t/xmZMF0NrP
holy s**t he paid to have someone undo all the work he had done and then turn him into a fat bloke
unbelievable
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Poor man, we like to think that BDD doesn't exist because so many (British) doctors label aesthetic orientated males with that label but it does exist. Look at all the human male ken dolls. Dr Y made him look so handsome.
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Poor man, we like to think that BDD doesn't exist because so many (British) doctors label aesthetic orientated males with that label but it does exist. Look at all the human male ken dolls. Dr Y made him look so handsome.
Agree about the British doctors and their BDD mania (and it's the same for females as well). Thing is, Coleman is known for overfilling without telling the patient. He probably just wanted a small amount of fat but woke up to a nightmare. I had the same thing happen to me so really, it was the doctor's fault in his case, I mean who would do such a thing even if the patient did ask for it...
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FAT GRAFT SUCKS; NEVER DO IT. i can't stop saying this. i'm glad mine resorbed at 100%
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FAT GRAFT SUCKS; NEVER DO IT. i can't stop saying this. i'm glad mine resorbed at 100%
Do you also think that the fat that takes does not last/is not permanent?
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https://www.realself.com/question/york-facial-implants-big
Another result of Yaremchuck's including several 'revisions' done by him. Poor lady.
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What about this?
https://www.realself.com/review/boston-ma-custom-facial-implants-chin-jaw-cheek-rhinoplasty-fat-removal
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Most people probably won't be a 'this'. "A broken clock is right twice a day"
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that guy on realself also has said his upper lip/smile doesn't work as well anymore, presumably from the cheek implants.
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https://www.realself.com/question/york-facial-implants-big
Another result of Yaremchuck's including several 'revisions' done by him. Poor lady.
What are you talking about? She looks great. Plus, we don't even know what she looked like beforehand because she didn't include before photos. Don't know if she's experiencing swelling still but perhaps the malar implants are just slightly too big but she still looks good.
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What are you talking about? She looks great. Plus, we don't even know what she looked like beforehand because she didn't include before photos. Don't know if she's experiencing swelling still but perhaps the malar implants are just slightly too big but she still looks good.
The augmented areas themselves look OK, but I see nerve damage in her lower right half lip (not 100% on that b/c it's just 1 photo), a restricted and uneven ear-to-ear smile, and probably much bigger buccal corridors from than she had pre-op.
BTW, in her realself review, she says she hated the results and wants a revision to shrink everything.
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Well a max fac told me that "muscles like to be next to bones". Yet even as he professed his hate for implants, he suggested small custom implants to me for someone else to do.
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I have met him. He seemed to be a good honest man. I am a female and interested in custom jaw and chin implants. I am still debating between Dr Yaremchuk and Dr Eppley, and who is better at the specific craft. Not many surgeons do this type of surgery and Dr E and Dr Y seem to be the top two. Dr Yaremchuks before and afters seem more impressive to me, my fear is he is older between 65-75 if I had to guess and I fear with age reflexes, motor skills, vison ect all fail and is he still competent to preform the surgery as well as he has.
Dr. Y. is an artist, dr. E. is a scammer. Never go to E.
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Dr. Y. is an artist, dr. E. is a scammer. Never go to E.
Do you have a basis for this claim? This is a pretty serious one.
I thought about going to him if my Jaw need camouflage for symmetry.
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I actually disagree that E is a scammer. I think he just has a unique philosophy, in that he lets the patient have almost full control of what kind of augmentation they want. I kind of like the laissez-faire approach he takes and how open-minded he is about aesthetic modifications. I've also seen a number of decent results from him, and a number of not so decent ones. I see him as an innovator and love seeing what kind of weird interesting s**t he's doing to his patients. That said, id never let him touch me.
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I don’t think Dr. E is a scammer at all. In fact, he tried to talk me out of revision implants saying there’s no way to guarantee symmetry. He just tends to go along with whatever the patient wants. If the patient comes with a design that simply doesn’t fit the face, Eppley will go along with it cause that’s what the patient says they want. Dr. Y will push back and actually say that it might look weird.
Also, Dr. Y is very direct and quite short. If you ask more than a few questions, he gets very visibly annoyed.
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He just tends to go along with whatever the patient wants. If the patient comes with a design that simply doesn’t fit the face, Eppley will go along with it cause that’s what the patient says they want.
Which is totally absurd and that's why he produces the most freakish unaestethic unnatural results like this: https://imgur.com/a/7HckHZi. The client has no clue about what should be done technically to have a good result. He might know how to morph his pic into a good pic, but he doesn't know how big an implant should be or how much millimeters should be taken off from bone. Only a surgeon is able to know this based on years of experience and his artistic eye (or better said: should know this).
Trust me, E. has no clue about aestethics. I have way more experience with this than you, who only had a consultation with him. I could go into details but I won't. You just don't understand that a surgeon should never go precisely along with what a patient wants, unless a patient is right in his dimensions, which is almost never the case.
Dr. Y will push back and actually say that it might look weird.
Which is what should be done when you deal with patient's stupidity. But you seem to defend stupidity.
I have way more experience with this than you and I can tell for sure that you have no clue about how aestethics work, about how to choose a good surgeon etc. I was once as stupid an naive as you.
Also, Dr. Y is very direct and quite short. If you ask more than a few questions, he gets very visibly annoyed.
So what? There is no correlation between someone's character and the results he produces. Again, this why I know you have no experience with this.
Do you have a basis for this claim? This is a pretty serious one.
Ofcourse I do. I'm not going to put it out publicly. Like I said, I talk based on experience, the others don't talk based on experience, but based on his blogs and one appointment which has nothing to do with reality and real practical skills.
And no, I'm not going to go into details through pm to people that defend E. based on one appointment and didn't do any work. They don't deserve my time. And to be honest, I just want them to follow their stupidity and have a procedure done by E.
I think he just has a unique philosophy, in that he lets the patient have almost full control of what kind of augmentation they want.
Which is the same as asking a passenger to fly a plane. Like I said, you can be a great morpher, but it doesn't mean you're able to calculate the right design, that you know how much and at what place precisely something should be added or cut. This a whole different thing. Also, there's a difference between a morph and reality.
Apart from that, E. just doesn't have the aertistic eye, doesn't have the subtility to create good results. He has great charm and seems to bond well with clients. That makes him even more dangerous.
I see him as an innovator and love seeing what kind of weird interesting s**t he's doing to his patients. That said, id never let him touch me.
O, so you never had anything done by him but you can tell for sure that he has great philosophy and is a great surgeon and great innovator? Are you aware of what you're saying? It's like saying person X is a great soccerplayer without ever having seen him perform or person Y is a great chef without ever ordering a meal at his restaurant.
and how open-minded he is about aesthetic modifications. love seeing what kind of weird interesting s**t he's doing
It's not difficult to create a monkey. You really don't know what you're talking about.
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Which is totally absurd and that's why he produces the most freakish unaestethic unnatural results like this: https://imgur.com/a/7HckHZi. The client has no clue about what should be done technically to have a good result. He might know how to morph his pic into a good pic, but he doesn't know how big an implant should be or how much millimeters should be taken off from bone. Only a surgeon is able to know this based on years of experience and his artistic eye (or better said: should know this).
Trust me, E. has no clue about aestethics. I have way more experience with this than you, who only had a consultation with him. I could go into details but I won't. You just don't understand that a surgeon should never go precisely along with what a patient wants, unless a patient is right in his dimensions, which is almost never the case.
Which is what should be done when you deal with patient's stupidity. But you seem to defend stupidity.
I have way more experience with this than you and I can tell for sure that you have no clue about how aestethics work, about how to choose a good surgeon etc. I was once as stupid an naive as you.
So what? There is no correlation between someone's character and the results he produces. Again, this why I know you have no experience with this.
Ofcourse I do. I'm not going to put it out publicly. Like I said, I talk based on experience, the others don't talk based on experience, but based on his blogs and one appointment which has nothing to do with reality and real practical skills.
And no, I'm not going to go into details through pm to people that defend E. based on one appointment and didn't do any work. They don't deserve my time. And to be honest, I just want them to follow their stupidity and have a procedure done by E.
Which is the same as asking a passenger to fly a plane. Like I said, you can be a great morpher, but it doesn't mean you're able to calculate the right design, that you know how much and at what place precisely something should be added or cut. This a whole different thing. Also, there's a difference between a morph and reality.
Apart from that, E. just doesn't have the aertistic eye, doesn't have the subtility to create good results. He has great charm and seems to bond well with clients. That makes him even more dangerous.
O, so you never had anything done by him but you can tell for sure that he has great philosophy and is a great surgeon and great innovator? Are you aware of what you're saying? It's like saying person X is a great soccerplayer without ever having seen him perform or person Y is a great chef without ever ordering a meal at his restaurant.
It's not difficult to create a monkey. You really don't know what you're talking about.
Jeez man, why the personal attack all of a sudden? I merely made a single post on this thread going off my experience with him (couple consultations) vs Yaremchuk (surgery). Maybe I’m wrong though, especially if you have more experience. Just don’t get where the random defensiveness came from.
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Which is totally absurd and that's why he produces the most freakish unaestethic unnatural results like this: https://imgur.com/a/7HckHZi. The client has no clue about what should be done technically to have a good result. He might know how to morph his pic into a good pic, but he doesn't know how big an implant should be or how much millimeters should be taken off from bone. Only a surgeon is able to know this based on years of experience and his artistic eye (or better said: should know this).
Trust me, E. has no clue about aestethics. I have way more experience with this than you, who only had a consultation with him. I could go into details but I won't. You just don't understand that a surgeon should never go precisely along with what a patient wants, unless a patient is right in his dimensions, which is almost never the case.
Which is what should be done when you deal with patient's stupidity. But you seem to defend stupidity.
I have way more experience with this than you and I can tell for sure that you have no clue about how aestethics work, about how to choose a good surgeon etc. I was once as stupid an naive as you.
So what? There is no correlation between someone's character and the results he produces. Again, this why I know you have no experience with this.
Ofcourse I do. I'm not going to put it out publicly. Like I said, I talk based on experience, the others don't talk based on experience, but based on his blogs and one appointment which has nothing to do with reality and real practical skills.
And no, I'm not going to go into details through pm to people that defend E. based on one appointment and didn't do any work. They don't deserve my time. And to be honest, I just want them to follow their stupidity and have a procedure done by E.
Which is the same as asking a passenger to fly a plane. Like I said, you can be a great morpher, but it doesn't mean you're able to calculate the right design, that you know how much and at what place precisely something should be added or cut. This a whole different thing. Also, there's a difference between a morph and reality.
Apart from that, E. just doesn't have the aertistic eye, doesn't have the subtility to create good results. He has great charm and seems to bond well with clients. That makes him even more dangerous.
O, so you never had anything done by him but you can tell for sure that he has great philosophy and is a great surgeon and great innovator? Are you aware of what you're saying? It's like saying person X is a great soccerplayer without ever having seen him perform or person Y is a great chef without ever ordering a meal at his restaurant.
It's not difficult to create a monkey. You really don't know what you're talking about.
This comes off like you are more mad at yourself for having chosen Eppley than you are at EastCoast's statements. Could you have been one of those 'back seat' drivers he accommodates who requested a look seen on someone ELSES face but was off target for yours?
As to not difficult to create a monkey, could it be more like 'Monkey's paw' where someone gets EXACTLY what they WISH for but it ends up being a curse.
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Jeez man, why the personal attack all of a sudden? I merely made a single post on this thread going off my experience with him (couple consultations) vs Yaremchuk (surgery). Maybe I’m wrong though, especially if you have more experience. Just don’t get where the random defensiveness came from.
Because this is just no argument in defense of him:
He just tends to go along with whatever the patient wants. If the patient comes with a design that simply doesn’t fit the face, Eppley will go along with it cause that’s what the patient says they want
But I admit I was too defensive.
This comes off like you are more mad at yourself for having chosen Eppley than you are at EastCoast's statements. Could you have been one of those 'back seat' drivers he accommodates who requested a look seen on someone ELSES face but was off target for yours?
No, never asked for that, but that's just Eppley's default mode. He smacks a ridiculous chin, jaw or cheek on everyone.
As to not difficult to create a monkey, could it be more like 'Monkey's paw' where someone gets EXACTLY what they WISH for but it ends up being a curse
If a guy asks for more angular jaws or a broader chin and ends up looking like a comic pencil head superhero figure he got exactly what he wished for?
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Because this is just no argument in defense of him:
But I admit I was too defensive.
No, never asked for that, but that's just Eppley's default mode. He smacks a ridiculous chin, jaw or cheek on everyone.
If a guy asks for more angular jaws or a broader chin and ends up looking like a comic pencil head superhero figure het got exactly what he wished for?
I don't know what that guy asked for. I just know that he accommodates a lot of outlandish requests and has a lot of guys wanting to look like block heads but don't know they are asking for that. What he's good at is WRITING and search engine optimization.
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I will be having consultations with both Dr Y and Dr E with regards to implants. I had cartilage with Sailer but unfortunately steroid sprays have really shrunk them. If I get something man-made then at least I don't have to worry about the resorption. Seems both doctors have their pros and cons: Dr Y pushes back if he doesn't think that the patient's request will be naturalistic yet his bedside manner seems to be contemptible whereas Dr E's bedside manner is very much like Sailer's yet he just gives the patient what they ask for.
I don't think that a doctor's demeanour is inconsequential, the easier you can discuss your ideas with the surgeon then - in theory - the better he will understand your wishes and requirements.
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I will be having consultations with both Dr Y and Dr E with regards to implants. I had cartilage with Sailer but unfortunately steroid sprays have really shrunk them. If I get something man-made then at least I don't have to worry about the resorption. Seems both doctors have their pros and cons: Dr Y pushes back if he doesn't think that the patient's request will be naturalistic yet his bedside manner seems to be contemptible whereas Dr E's bedside manner is very much like Sailer's yet he just gives the patient what they ask for.
I don't think that a doctor's demeanour is inconsequential, the easier you can discuss your ideas with the surgeon then - in theory - the better he will understand your wishes and requirements.
Cartillage? For what? Nose? I only read once about cartillage for jawarea. But I think there's a chance cartillage resorbs unless same cartillage is used for same area, for example nose cartillage to build up nosebridge.
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Cartillage? For what? Nose? I only read once about cartillage for jawarea. But I think there's a chance cartillage resorbs unless same cartillage is used for same area, for example nose cartillage to build up nosebridge.
It was cadaver cartilage from Germans. I really liked the results, it is a shame it resorbs.
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he just gives the patient what they ask for.
I already said this before: most patients have no clue about aestethics. I see most of them make ridiculous morphs for example. In case they do have aestethic eye, most of the time, they don't know how much millimeters an implant must be to get it exactly like a morph. Only a surgeon knows this, and he'll only know in the early phase of surgery, before the swelling kicks in. He's able to estimate the dimensions during the 2d design, but it will be what it is: a 2d design and nothing more. The face is a 3d form and not 2d. This means, nine out of ten times, an implant has to be shaved during surgery to make it as natural as possible. Problem is: most surgeons don't know how to handcraft it. This is an artform. Sometimes, they just don't care or they're too lazy: "The patient agreed with the 2d design, that's what he wanted, so I put it in and that's it". And then you'll end up with an unnatural looking face, cause the surgeon couldn't care less.
Also: time = money/costs. The more time a surgeon works on your face, the more costs. But it's really really important that a surgeon puts in the required effort and time to get it right. Precision is highly important.
One of the secrets/tricks of wrap around implants is preserving the forward growth of the face AND make the jaw more angular and/or broader and/or creating vertical dropdown. Doing the latter without preserving the former may lead to a bloated face and worse aestethics. That's why quite alot of fillers seem good (but don't stay) and quite alot of implants fail. Because fillers only target the areas that should be targetted (lower border of the jaw) and implants might add volume on areas that shouldn't be targeted, ruining the ogeeline, forward growth, cheekbone portrusion and facial shadows underneath the cheekbones. Many surgeons just don't know this or don't care. The ideal surgeon is a technician AND an artist. It,'s an artform.
The lower border of the jaw is where the additional volume must be. Not above the lower border. And when you look at almost all designs, I see they go high up the face, putting silicone on areas where there shouldn't be any additional volume. These areas need to stay 'lean' in order to avoid a bloated face. Many implant designs are just aestehtically wrong in my opinion. They should be much leaner. Sometimes, with some faces, it's a trade off: more width will lead to less forward portrusion (at least optically).
Most important: every face is different and should be treated with utmost care and precision. Facial harmony is key. Untill someone matelhematically breaks down facial harmony, it's art and not just geometry. Overdone/unnatural looking garbage like the pic posted here should be something from the 80s. Unfortunately it's not and many surgeons keep producing this garbage.
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I already said this before: most patients have no clue about aestethics. I see most of them make ridiculous morphs for example. In case they do have aestethic eye, most of the time, they don't know how much millimeters an implant must be to get it exactly like a morph. Only a surgeon knows this, and he'll only know in the early phase of surgery, before the swelling kicks in. He's able to estimate the dimensions during the 2d design, but it will be what it is: a 2d design and nothing more. The face is a 3d form and not 2d. This means, nine out of ten times, an implant has to be shaved during surgery to make it as natural as possible. Problem is: most surgeons don't know how to handcraft it. This is an artform. Sometimes, they just don't care or they're too lazy: "The patient agreed with the 2d design, that's what he wanted, so I put it in and that's it". And then you'll end up with an unnatural looking face, cause the surgeon couldn't care less.
Also: time = money/costs. The more time a surgeon works on your face, the more costs. But it's really really important that a surgeon puts in the required effort and time to get it right. Precision is highly important.
One of the secrets/tricks of wrap around implants is preserving the forward growth of the face AND make the jaw more angular and/or broader and/or creating vertical dropdown. Doing the latter without preserving the former may lead to a bloated face and worse aestethics. That's why quite alot of fillers seem good (but don't stay) and quite alot of implants fail. Because fillers only target the areas that should be targetted (lower border of the jaw) and implants might add volume on areas that shouldn't be targeted, ruining the ogeeline, forward growth, cheekbone portrusion and facial shadows underneath the cheekbones. Many surgeons just don't know this or don't care. The ideal surgeon is a technician AND an artist. It,'s an artform.
The lower border of the jaw is where the additional volume must be. Not above the lower border. And when you look at almost all designs, I see they go high up the face, putting silicone on areas where there shouldn't be any additional volume. These areas need to stay 'lean' in order to avoid a bloated face. Many implant designs are just aestehtically wrong in my opinion. They should be much leaner. Sometimes, with some faces, it's a trade off: more width will lead to less forward portrusion (at least optically).
Most important: every face is different and should be treated with utmost care and precision. Facial harmony is key. Untill someone matelhematically breaks down facial harmony, it's art and not just geometry. Overdone/unnatural looking garbage like the pic posted here should be something from the 80s. Unfortunately it's not and many surgeons keep producing this garbage.
Custom Jaw Implants have to be continuous over the bone surface. They just can't jump out selectively in one place. So, there will be a gradient where the thinner areas of it would be to the bone surface least needing augmentation and the thicker areas being over areas needing the most prominence. Some designs show the gradient via color coding. Others don't.
There's no jaw implant that selectively builds the lower border of the mandible downward. There would be nothing to hold it in place if it didn't have another part of it that made contact with an area of bone surface above. With filler, it's held in place by the soft tissue envelope it's injected to.
Jaw implants need a FOUNDATION to build on. Filler just needs an envelope to put it in.
As to the face being a 3d form and not 2d, what form is it when you look in the mirror?
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Custom Jaw Implants have to be continuous over the bone surface. They just can't jump out selectively in one place.
Yeah, I understand, there needs to be a gradient. But the gradient needs to be as minimal as possible imo, especially the area underneath the masseter.
Jaw implants need a FOUNDATION to build on. Filler just needs an envelope to put it in.
I understand that. But it can cause additional problems. That's one of the problems with implants. Sometimes, it's needed to fix the implant (technically) bit it doesn't add anything aestehtically or makes it worse aestethically.
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Yeah, I understand, there needs to be a gradient. But the gradient needs to be as minimal as possible imo, especially the area underneath the masseter.
It usually is. But if a person has CHUB over the area the implant has to adhere to, there is no way to cover the bone surface needed for a continuous gradient with a thickness of 0 or for the implant to lose the chub for them.
I understand that. But it can cause additional problems. That's one of the problems with implants. Sometimes, it's needed to fix the implant (technically) bit it doesn't add anything aestehtically or makes it worse aestethically.
The implant needs to stay fast on the bone. It is not only art or 'pure aesthetics' in the absence of brass tacks. There are technical logistics involved, in particular they need a foundation to build on which seems to be the part you don't like.
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That photo did shock me, another problem is when people who have small mouths like that guy get huge jaws, it looks strange.
Also, a lot of chin implants seem to make the chin look shiny, why is that?
There is this Eppley result too, what do you think to that? https://www.realself.com/review/chin-implant-custom-jawline-cheek-implants-1#media-review-8673471-image-3432729.
Someone posted a Yaremchuk result in this thread which looked very natural.
No one has a ridiculous jaw like that in real life, unless he has something like acromegaly. But the guy seems happy (I'm just wondering if he sees himself the way I see him).
Cheekbones are too feminine (men's cheekbones are more lateral, wile women's cheekbones are more interior). Jaw is too wide, chin is too broad, area between chin and jaw is too broad). But I guess some men like to walk around like a plastic superhero.
Shiny chin might be the material (silicone) or too much volume I think. It's a good question.
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These reviews for Eppley are pretty concerning... https://www.complaintsboard.com/complaints/dr-barry-l-eppley-carmel-indiana-c243012.html
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Almost all surgeons have bad reviews. Most patients who write reviews are the ones that aren't satisfied. The remaining reviews are either posted by the company or bought reviews, and then there are a couple of very happy patients that write positive reviews.
Reviews don't say much. Some surgeons don't have review pages.
To think that with such complex surgeries on faces, there wouldn't be any negative reviews, is naive. But I just don't like E.'s style. This whole 'creating a model face' is misleading. You can't completely change someone's phenotype without getting an unnatural looking face, you have to work based on phenotype, otherwise you get very strange results. Only in rare cases someone's phenotype is changed with good endresult. I think SJ was such a case, although he said he did have alot of fillers, so I don't completely trust him.
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Almost all surgeons have bad reviews. Most patients who write reviews are the ones that aren't satisfied. The remaining reviews are either posted by the company or bought reviews, and then there are a couple of very happy patients that write positive reviews.
Reviews don't say much. Some surgeons don't have review pages.
To think that with such complex surgeries on faces, there wouldn't be any negative reviews, is naive. But I just don't like E.'s style. This whole 'creating a model face' is misleading. You can't completely change someone's phenotype without getting an unnatural looking face, you have to work based on phenotype, otherwise you get very strange results. Only in rare cases someone's phenotype is changed with good endresult. I think SJ was such a case, although he said he did have alot of fillers, so I don't completely trust him.
Very good points and yes his speal about creating a male model look is arguably unethical but we all know what a salesman he is. I saw another photo of the guy I posted earlier without swelling and he actually looked good.
One problem with me is that there will still be some cartilage in my cheeks which hasn't ossified so won't show up on a CT scan, I hope either Dr Eppley or Dr Yaremchuk can work around that somehow.
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One problem with me is that there will still be some cartilage in my cheeks which hasn't ossified so won't show up on a CT scan, I hope either Dr Eppley or Dr Yaremchuk can work around that somehow.
Why not trying cartilage ‘implants’ again? How long did they last?
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Why not trying cartilage ‘implants’ again? How long did they last?
It resorbs.