Full Jawline/Chin/Cheek Augs - Dr. Barry Eppley

[OtherSyde]

I did another one, and I've been wanting this one for a long, long time but couldn't afford it. I opted to go for the full setup of a custom-made bespoke wrap-around chin and jawline implant and ocular rim cheek implants (I had to get a CT-scan of my skull for a 3D model that they designed the implants around) with the world-renowned (and often controversial) Dr. Barry Eppley, in mid October 2021. I'm posting links to my IMGUR galleries because there are way, way too many pictures to post in one thread here.

Here is me at various stages of life before.

Initial implant design suggestion from Dr. Eppley without having met me first, just based on some facial pictures and the scans of my skull structure. I wanted MORE

Second implant design, drafted by the doc after our first live Zoom planning session. In this rendition he accommodated my wild requests of increased size and angularity.

Third (Final) implant design settled upon after our second Zoom session - a compromise between his common sense/surgical experience and my wild ambitions of metamorphosing into Kratos: God of Jawline

The Day Before - The Eppley office and some neat prototype 3D printouts of my implants

Days 1 and 2 Post-Op - Not pretty haha, brutal first 2 days, but worth it.

Days 4 and 6 Post-Op - Better, but still look like a bloated pumpkin

7 Weeks Post-Op - Much much better, but not quite final form

9 Weeks Post-Op - Most recent pics, with a 10 Week pic at the end

So yeah. Been waiting years to get this one, and it just so happened that I got a time-window of opportunity of about 35 days while moving from San Diego to Hawaii to start a new life and job with a bunch of people who had never seen me before (and hence, conveniently wouldn't notice anything "different"). Pretty happy overall! Questions/comment welcome.

Edited January 21, 2022 by OtherSyde
Clarification/Verbage

[Hayden87]

From what are the implants made and do they fuse with your bones? What would happen if you took a knock to the jaw?

[OtherSyde]

They are medical grade silicone and mildly flexible; they do not fuse with your bones, but they are custom-fabricated using your 3D CT-scans so they mould to your bone shape and fit like a glove. This alone would keep them from moving around much, plus they are situated underneath your masseteric sling muscles which cover a large part of your jaw bone (almost halfway down to your chin in fact). On top of all this, they are bolted to your jaw bone in 3 places using titanium screws. Now I'm not going to try and take up a career as a boxer or anything, but they're pretty secure, and if anything they probably would act as a sort of wrap-around rubber bumper for your jawline. I imagine if I got hit so crazy-hard that it actually broke my jaw, the implant would probably have to come out so the jaw bone could be wired back together and heal, but that's a whole situation I'm really trying to avoid for the remainder of life. Plus I'm 38 (so basically 40😥) and I'm a lot more worried about retiring as early as possible in the next 3-4 years, so I'm not trying to go out in the clubs or bars and get into fist-fights with random idiots like I'm 19 or whatever.

Edited January 20, 2022 by OtherSyde

[Melvin- Admin]

@OtherSyde looking good man, you resemble a young Luke Wilson now, except with lighter hair. 

[Baldingat22]

Curious about long term effects. Very good look though I must add, but could they lead to bone deterioration? If you are in high contact sports could they break off easier?

[OtherSyde]

2 hours ago, Baldingat22 said:

Curious about long term effects. Very good look though I must add, but could they lead to bone deterioration? If you are in high contact sports could they break off easier?

I read up on bone resorption and most implants won't significantly degrade a person's bone structure unless it's a result of friction from either the implant being too big (or not a shape that correctly matches up to the bone shape - which is common among the older, non-custom, generic off-the-shelf implants) and thus causing constant pressure on the bone, or if the implants are "floating" unsecured and hence move around. A well-made custom wrap-around implant would not have these issues due to being moulded to the bones and screwed into place as described above. The implant also would not really "break off", as they are fairly flexible silicone and won't snap upon bending. Your bones would break first. Like I said above though, taking a hit hard enough to break your jaw bone would cause big problems, and also getting a deep enough cut to expose the implant could definitely cause infection problems, so I guess if you're a pro MMA fighter that doesn't use any kind of face protection then this might not be for you. Most regular sports would be fine though - even football or rugby or whatever, since although they're definitely rough, they don't tend to involve extremely hard, sharp knuckle-shots directed specifically at your face/jawline like fighting does. These implants aren't invincible, but they're definitely not delicate either; they can survive real life.

[Baldingat22]

1 hour ago, OtherSyde said:

I read up on bone resorption and most implants won't significantly degrade a person's bone structure unless it's a result of friction from either the implant being too big (or not a shape that correctly matches up to the bone shape - which is common among the older, non-custom, generic off-the-shelf implants) and thus causing constant pressure on the bone, or if the implants are "floating" unsecured and hence move around. A well-made custom wrap-around implant would not have these issues due to being moulded to the bones and screwed into place as described above. The implant also would not really "break off", as they are fairly flexible silicone and won't snap upon bending. Your bones would break first. Like I said above though, taking a hit hard enough to break your jaw bone would cause big problems, and also getting a deep enough cut to expose the implant could definitely cause infection problems, so I guess if you're a pro MMA fighter that doesn't use any kind of face protection then this might not be for you. Most regular sports would be fine though - even football or rugby or whatever, since although they're definitely rough, they don't tend to involve extremely hard, sharp knuckle-shots directed specifically at your face/jawline like fighting does. These implants aren't invincible, but they're definitely not delicate either; they can survive real life.

Hmm interesting ya was curious if they had any degrading to the bone in that area over a 20+ year span. Also curious if someone with let’s say Mild TMJ may get it more pronounced if they went and did a jaw implant

[OtherSyde]

44 minutes ago, Baldingat22 said:

Hmm interesting ya was curious if they had any degrading to the bone in that area over a 20+ year span. Also curious if someone with let’s say Mild TMJ may get it more pronounced if they went and did a jaw implant

I haven't seen many 20+ year old facial implants, and no custom ones that old - just those old off-the-shelf ones which were all that was available back in the dark ages, so no idea how a custom implant will be in ~20 years, but I'd bet it'll be a lot better than one of those garbage off-the-shelf implants for sure. We'll see.

As far the TMJ situation, I have absolutely no idea - honestly I would address fixing the TMJ via jaw surgery or something first, and then look at implants.

[Baldingat22]

1 hour ago, OtherSyde said:

I haven't seen many 20+ year old facial implants, and no custom ones that old - just those old off-the-shelf ones which were all that was available back in the dark ages, so no idea how a custom implant will be in ~20 years, but I'd bet it'll be a lot better than one of those garbage off-the-shelf implants for sure. We'll see.

As far the TMJ situation, I have absolutely no idea - honestly I would address fixing the TMJ via jaw surgery or something first, and then look at implants.

Sometimes I see people say double jaw surgery made there jawline insane but idk. I just didn’t know if the implants would cause extra weight in the jaw or mess up the feeling of the jaw? Maybe they get infected too but have researched minimally there. Either way your results are insane. Probably more women coming your way then you know what to do with lol 

[OtherSyde]

1 hour ago, Baldingat22 said:

Sometimes I see people say double jaw surgery made there jawline insane but idk.

DJS will bring your jawline way forward, and if it is a normal or large size jaw then it will no longer be buried back against your neck so it will often look much bigger/more defined, especially having the skin stretched more tightly around it as well. Obviously DJS won't change the actual size or shape of your jaw bone however. Most people do report much more satisfaction with the appearance and forward projection of their jawline after DJS though (at least on the r/jawsurgery subreddit I watch periodically).

1 hour ago, Baldingat22 said:

I just didn’t know if the implants would cause extra weight in the jaw or mess up the feeling of the jaw?

No extra weight, but if the surgeon is some kind of idiot and depresses or even severs your mental nerve (something any surgeon worth their license is well aware of), you could lose feeling in your lower jaw/lower lip. Surgeons like Eppley, Yaremchuk, etc. note this as part of their implant design procedures on their web sites, specifically being careful to design the implants around and under the mental nerve.

1 hour ago, Baldingat22 said:

Maybe they get infected too but have researched minimally there.

Oh I've researched it extensively - especially seeing as I was scheduled to move to Hawaii within 2 weeks of my surgery, I knew that I absolutely could not afford an infection, since it would likely mean emergency antibiotics, a big swollen face that would blow my cover, and probably removing the implant (and only a specialist can do that). I was very specific to ask Dr. Eppley about this issue during my 30-minute pre-op appointment the day be fore surgery, and he took the time and explained to me that (in addition to a full run of 2 different kinds of normal oral antibiotics) he had been using a method since mid 2020 where, before closing the 3 main incisions (one on the inside/bottom of each cheek and one on the outside under the chin) he basically dumps an exorbitant amount of a certain type of medical-grade antibiotic/antibacterial powder into the open incisions where it will remain and mix with the bodily fluids, creating a sort of thick "antibiotic soup" as he phrased it. In the newly-created tissue pouch where the implant resides, it will basically marinate in this solution for upwards of a week until it's all absorbed into the body, aggressively preventing infection long after the wounds are closed and starting to heal. He told me he has not had a single instance of infection since beginning this routine in 2020. I do not know if other doctors do this or not, but it was definitely a huge selling point for me with Dr. Eppley.

Edited January 22, 2022 by OtherSyde

[Baldingat22]

7 minutes ago, OtherSyde said:

DJS will bring your jawline way forward, and if it is a normal or large size jaw then it will no longer be buried back against your neck so it will often look much bigger/more defined, especially having the skin stretched more tightly around it as well. Obviously DJS won't change the actual size or shape of your jaw bone however. Most people do report much more satisfaction with the appearance and forward projection of their jawline after DJS though (at least on the r/jawsurgery subreddit I watch periodically).

No extra weight, but if the surgeon is some kind of idiot and depresses or even severs your mental nerve (something any surgeon worth their license is well aware of), you could lose feeling in your lower jaw/lower lip. Surgeons like Eppley, Yaremchuk, etc. note this as part of their implant design procedures on their web sites, specifically being careful to design the implants around and under the mental nerve.

Oh I've researched it extensively - especially seeing as I was scheduled to move to Hawaii within 2 weeks of my surgery, I knew that I absolutely could not afford an infection, since it would likely mean emergency antibiotics, a big swollen face that would blow my cover, and probably removing the implant (and only a specialist can do that). I was very specific to ask Dr. Eppley about this issue during my 30-minute pre-op appointment the day be fore surgery, and he took the time and explained to me that (in addition to a full run of 2 different kinds of normal oral antibiotics) he had been using a method since mid 2020 where, before closing the 3 main incisions (one on the inside/bottom of each cheek and one on the outside under the chin) he basically dumps an exorbitant amount of a certain type of medical-grade antibiotic/antibacterial powder into the open incisions where it will remain and mix with the bodily fluids, creating a sort of thick "antibiotic soup" as he phrased it. In the newly-created tissue pouch where the implant resides, it will basically marinate in this solution for upwards of a week until it's all absorbed into the body, aggressively preventing infection long after the wounds are closed and starting to heal. He told me he has not had a single instance of infection since beginning this routine in 2020. I do not know if other doctors do this or not, but it was definitely a huge selling point for me with Dr. Eppley.

Wow very well thought out and explained there lol I almost feel like I had the surgery myself. Thank you for this you know what you are getting yourself into for sure. I’ll look into Dr. epley I have maybe vaguely heard of the name but I usually look into hair doctors so I’m not sure if I have heard of him for that. How old is he? Lol I’d be interested in getting procedure but who knows maybe he is close to retirement. Pretty cool though that he is able to prevent infection. I bet in another 5-10 years he will have something even better in terms of wound care/implant customization.

[John1991]

And I thought the hair part of this site was obsessive and unhealthy.  This takes it a few more big steps in that direction.

[OtherSyde]

Quote

And I thought the hair part of this site was obsessive and unhealthy.  This takes it a few more big steps in that direction.

I'm just extremely thorough in everything I do, from modifying my car, to researching and engineering passive income so I can retire early, to cosmetic surgery (especially the last one, since cheaping out or carelessly choosing a bad surgeon and winding up with a botch-job can ruin your life). I've got goals. I wanna be retired (or at least Level 1 Financially Independent) about 20 to 25 years early, and good-looking enough to enjoy it. Also I'm a confirmed bachelor, so no family stuff to worry about. My lifestyle seems to be incomprehensible to a lot of people, but I've got a pretty specific plan which I've had for awhile now, and I'm just following through on it.

Edited April 15, 2022 by OtherSyde

[FUT4000]

Now you need to bulk up the pecs and shoulders to match that chiseled chin! Looks good man.

[OtherSyde]

2 hours ago, FUT4000 said:

Now you need to bulk up the pecs and shoulders to match that chiseled chin! Looks good man.

Haha thanks, and I've been working on it! I'm around 5'8" and about 177lbs right now, coming out of a recent bulking cycle. Trying to hit the 185-190 range and get a real beach-bod going!

Edited April 29, 2022 by OtherSyde

[mmokin]

looks very masculine sorta gives more drill sergeant look

[Ronnieman]

Good result.

I have a similar slim face to your before, and would be interested in this.

 

I'm curious to know how you feel about it now- are you happy you had it done? @OtherSyde

[OtherSyde]

Yeah, I definitely am. If for no other reason, then I'm really glad I did it just to fix the asymmetry of my chin and jaw - but I really like the vertical balance that the more squared chin and wider lower jaw width lend to my facial thirds. Whereas before my face was all narrow-looking with a seemingly overly large forehead because of the undersized lower third, everything just looks more balanced now.

Most recent pics, after an implant position adjustment (done free of any surgery charge; about 15% of people need an adjustment afterwards due to malpositioning). I also had buccal fat pad removal/perioral lipo done while I was there, since I was already there and it was not expensive. DM me if you've got more questions!

[Melvin- Admin]

@OtherSyde both you and @win200 have gone to Dr. Gabel, and Dr. Eppley. It’s a funny coincidence, not sure if you guys have corresponded before.

[OtherSyde]

I did message him after seeing his final hairline revision thread, before I got my jawline done, to ask him who did the work. If I remember right from our messages, he had his chin/jawline implant done by Dr. Yaremchuk, but his cheek/ocular rim implants done by Dr. Eppley. But yeah, small world!

[IRAN_1984]

2 hours ago, OtherSyde said:

I did message him after seeing his final hairline revision thread, before I got my jawline done, to ask him who did the work. If I remember right from our messages, he had his chin/jawline implant done by Dr. Yaremchuk, but his cheek/ocular rim implants done by Dr. Eppley. But yeah, small world!

Hey you, unfortunately im not able to message you personally, so im trying this way, would you mind to tell me how much money you paid for your two hair transplant surgeries as well as your custom jawline implant performed by barry eppley as im considering to have a surgery performed by him as well. im living in germany, iranian-born, and also had a hair transplant treatment with very miserable outcome like my chin job, paid a lot for money for almost nothing. thank you very much.

[win200]

9 hours ago, OtherSyde said:

I did message him after seeing his final hairline revision thread, before I got my jawline done, to ask him who did the work. If I remember right from our messages, he had his chin/jawline implant done by Dr. Yaremchuk, but his cheek/ocular rim implants done by Dr. Eppley. But yeah, small world!

I definitely didn't realize this result was you! I saw it posted on Eppley's IG a few weeks back. Looks great and good to see you've healed well.

Question: did Eppley place your malar implants via lower eyelid incisions, or intraorally?

[Ronnieman]

On 12/11/2022 at 9:14 AM, OtherSyde said:

Yeah, I definitely am. If for no other reason, then I'm really glad I did it just to fix the asymmetry of my chin and jaw - but I really like the vertical balance that the more squared chin and wider lower jaw width lend to my facial thirds. Whereas before my face was all narrow-looking with a seemingly overly large forehead because of the undersized lower third, everything just looks more balanced now.

Most recent pics, after an implant position adjustment (done free of any surgery charge; about 15% of people need an adjustment afterwards due to malpositioning). I also had buccal fat pad removal/perioral lipo done while I was there, since I was already there and it was not expensive. DM me if you've got more questions!

Thanks dude, I had the dermal fillers version of this (cheek, jaw, chin) last year and am doing it again tomorrow. Think I'll go the implant route eventually as my body burns the fillers away fast. I have a slim face too and would love similar results to yours.

[OtherSyde]

On 12/11/2022 at 4:04 AM, win200 said:

I definitely didn't realize this result was you! I saw it posted on Eppley's IG a few weeks back. Looks great and good to see you've healed well.

Question: did Eppley place your malar implants via lower eyelid incisions, or intraorally?

Thanks! And yeah, that's generally how he does Intra-Ocular Malar (IOM)implants, as per his video here: Dr Barry Eppley on Instagram: “How I create high cheek bones- the custom IOM implant (Infra-Orbital Malar)