Jaw Surgery w/ Dr. Ort (former Eppley/Yaremchuk patient)

Win200

Win200

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I had a pretty active thread here four years ago about some Eppley infraorbital implants: https://looksmax.org/threads/removing-eppley-cheek-implants.378955/.

Since then, I've had bimax with Sam Bobek for sleep apnea, which had a great functional outcome but a bad aesthetic one. (Not really his fault; he had to take out a Yaremchuk jaw implant from 2016, which caused a lot of neck jowling/sagging.)

Here's my full surgery rundown:

  • 2011 - rhinoplasty and chin implant - Wayne Larrabee
  • 2012 - hair transplant - Robert Niedbalski
  • 2013 - revision rhinoplasty - Wayne Larrabee
  • 2015 - hair transplant - H. Rahal
  • 2016 - custom wraparound jaw implant - Michael Yaremchuk
  • 2020 - custom infraorbital implants - Barry Eppley (tried to do a replacement jaw implant, but couldn't remove Yaremchuk implant due to bone overgrowth)
  • 2021 - lid retraction repair/canthoplasty/ptosis repair - A.J. Amadi (mainly to correct lower lid retraction on right side caused by lower eyelid incisions to place infraorbitals)
  • 2022 - revision to size down infraorbitals via hand-carving and re-placing - Barry Eppley
  • 2024 - bimax + genio for sleep apnea -Sam Bobek (including removal of Yaremchuk jaw implant)
  • 2024 - additional attempt at lower lid retraction repair on right side (removal of Eppley infraorbital on right side and replacement with hand-carved ePTFE implant to provide structural support for lower lid)
  • 2025 - revision rhinoplasty - Aaron Kosins
  • 2025 - reduction genioplasty, jaw shaving, custom jaw angle implants, neck lift - Yirae Ort
I'm 43. Ask constructive questions and I'll give constructive answers. Before and after pics are below; I'm only 14 days PO with Ort, so there's some swelling, especially on the jawline.

Before
After
 
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he's back!
 
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do you have any before pics? before any surgeries?
 
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u actually ascended (y)
 
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for 43 he looks good
 
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why did you shave your jaw
 
why did you shave your jaw
Bimax created a lot of bony protrusions around the osteotomies that looked terrible and lumpy. She shaved those down to create a flush/straight jawline.
 
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@Debetro
 
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I had a pretty active thread here four years ago about some Eppley infraorbital implants: https://looksmax.org/threads/removing-eppley-cheek-implants.378955/.

Since then, I've had bimax with Sam Bobek for sleep apnea, which had a great functional outcome but a bad aesthetic one. (Not really his fault; he had to take out a Yaremchuk jaw implant from 2016, which caused a lot of neck jowling/sagging.)

Here's my full surgery rundown:

  • 2011 - rhinoplasty and chin implant - Wayne Larrabee
  • 2012 - hair transplant - Robert Niedbalski
  • 2013 - revision rhinoplasty - Wayne Larrabee
  • 2015 - hair transplant - H. Rahal
  • 2016 - custom wraparound jaw implant - Michael Yaremchuk
  • 2020 - custom infraorbital implants - Barry Eppley (tried to do a replacement jaw implant, but couldn't remove Yaremchuk implant due to bone overgrowth)
  • 2021 - lid retraction repair/canthoplasty/ptosis repair - A.J. Amadi (mainly to correct lower lid retraction on right side caused by lower eyelid incisions to place infraorbitals)
  • 2022 - revision to size down infraorbitals via hand-carving and re-placing - Barry Eppley
  • 2024 - bimax + genio for sleep apnea -Sam Bobek (including removal of Yaremchuk jaw implant)
  • 2024 - additional attempt at lower lid retraction repair on right side (removal of Eppley infraorbital on right side and replacement with hand-carved ePTFE implant to provide structural support for lower lid)
  • 2025 - revision rhinoplasty - Aaron Kosins
  • 2025 - reduction genioplasty, jaw shaving, custom jaw angle implants, neck lift - Yirae Ort
I'm 43. Ask constructive questions and I'll give constructive answers. Before and after pics are below; I'm only 14 days PO with Ort, so there's some swelling, especially on the jawline.

View attachment 4266359View attachment 4266367
damn looking good asf for 43 unc wtf
 
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I had a pretty active thread here four years ago about some Eppley infraorbital implants: https://looksmax.org/threads/removing-eppley-cheek-implants.378955/.

Since then, I've had bimax with Sam Bobek for sleep apnea, which had a great functional outcome but a bad aesthetic one. (Not really his fault; he had to take out a Yaremchuk jaw implant from 2016, which caused a lot of neck jowling/sagging.)

Here's my full surgery rundown:

  • 2011 - rhinoplasty and chin implant - Wayne Larrabee
  • 2012 - hair transplant - Robert Niedbalski
  • 2013 - revision rhinoplasty - Wayne Larrabee
  • 2015 - hair transplant - H. Rahal
  • 2016 - custom wraparound jaw implant - Michael Yaremchuk
  • 2020 - custom infraorbital implants - Barry Eppley (tried to do a replacement jaw implant, but couldn't remove Yaremchuk implant due to bone overgrowth)
  • 2021 - lid retraction repair/canthoplasty/ptosis repair - A.J. Amadi (mainly to correct lower lid retraction on right side caused by lower eyelid incisions to place infraorbitals)
  • 2022 - revision to size down infraorbitals via hand-carving and re-placing - Barry Eppley
  • 2024 - bimax + genio for sleep apnea -Sam Bobek (including removal of Yaremchuk jaw implant)
  • 2024 - additional attempt at lower lid retraction repair on right side (removal of Eppley infraorbital on right side and replacement with hand-carved ePTFE implant to provide structural support for lower lid)
  • 2025 - revision rhinoplasty - Aaron Kosins
  • 2025 - reduction genioplasty, jaw shaving, custom jaw angle implants, neck lift - Yirae Ort
I'm 43. Ask constructive questions and I'll give constructive answers. Before and after pics are below; I'm only 14 days PO with Ort, so there's some swelling, especially on the jawline.

View attachment 4266359View attachment 4266367
i aspire to be u
 
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what's your anti aging stack you look fucking 28
 
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Consistently rated hhtn btw by og lookism people
i don't know what you look like i meant it in a general sense. A lot of people seem to think anybody can become chad through surgeries
 
I had a pretty active thread here four years ago about some Eppley infraorbital implants: https://looksmax.org/threads/removing-eppley-cheek-implants.378955/.

Since then, I've had bimax with Sam Bobek for sleep apnea, which had a great functional outcome but a bad aesthetic one. (Not really his fault; he had to take out a Yaremchuk jaw implant from 2016, which caused a lot of neck jowling/sagging.)

Here's my full surgery rundown:

  • 2011 - rhinoplasty and chin implant - Wayne Larrabee
  • 2012 - hair transplant - Robert Niedbalski
  • 2013 - revision rhinoplasty - Wayne Larrabee
  • 2015 - hair transplant - H. Rahal
  • 2016 - custom wraparound jaw implant - Michael Yaremchuk
  • 2020 - custom infraorbital implants - Barry Eppley (tried to do a replacement jaw implant, but couldn't remove Yaremchuk implant due to bone overgrowth)
  • 2021 - lid retraction repair/canthoplasty/ptosis repair - A.J. Amadi (mainly to correct lower lid retraction on right side caused by lower eyelid incisions to place infraorbitals)
  • 2022 - revision to size down infraorbitals via hand-carving and re-placing - Barry Eppley
  • 2024 - bimax + genio for sleep apnea -Sam Bobek (including removal of Yaremchuk jaw implant)
  • 2024 - additional attempt at lower lid retraction repair on right side (removal of Eppley infraorbital on right side and replacement with hand-carved ePTFE implant to provide structural support for lower lid)
  • 2025 - revision rhinoplasty - Aaron Kosins
  • 2025 - reduction genioplasty, jaw shaving, custom jaw angle implants, neck lift - Yirae Ort
I'm 43. Ask constructive questions and I'll give constructive answers. Before and after pics are below; I'm only 14 days PO with Ort, so there's some swelling, especially on the jawline.

View attachment 4266359View attachment 4266367
Mirin the ascension
 
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Mirin, get a supra fat graft and grow out your hair.
 
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what's your anti aging stack you look fucking 28

Hyaluronic acid injections 3 times before meals daily, Fractional CO2 laser before sleep and one facelift per week..

1761849594296
 
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Great to have you back. Very insightful of you to come back and update us about the journey you've been on since your first thread on here.

What caused you to consider the removal of the Yaremchuck jaw implant, which, if I remember correctly, has always been praised as one of the most natural, best-looking surgical results we've seen on here?

Did you have sleep apnea prior to your wrap-around jaw implant? Did you only develop it later? Did you hope to keep the same angularity the implant provided you with, by going through with the bimax + genio surgery?
 
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So how much did ur bodycount increase after surgeries

U became a slayer or naaaa cuz that's allat that matters
 
I had a pretty active thread here four years ago about some Eppley infraorbital implants: https://looksmax.org/threads/removing-eppley-cheek-implants.378955/.

Since then, I've had bimax with Sam Bobek for sleep apnea, which had a great functional outcome but a bad aesthetic one. (Not really his fault; he had to take out a Yaremchuk jaw implant from 2016, which caused a lot of neck jowling/sagging.)

Here's my full surgery rundown:

  • 2011 - rhinoplasty and chin implant - Wayne Larrabee
  • 2012 - hair transplant - Robert Niedbalski
  • 2013 - revision rhinoplasty - Wayne Larrabee
  • 2015 - hair transplant - H. Rahal
  • 2016 - custom wraparound jaw implant - Michael Yaremchuk
  • 2020 - custom infraorbital implants - Barry Eppley (tried to do a replacement jaw implant, but couldn't remove Yaremchuk implant due to bone overgrowth)
  • 2021 - lid retraction repair/canthoplasty/ptosis repair - A.J. Amadi (mainly to correct lower lid retraction on right side caused by lower eyelid incisions to place infraorbitals)
  • 2022 - revision to size down infraorbitals via hand-carving and re-placing - Barry Eppley
  • 2024 - bimax + genio for sleep apnea -Sam Bobek (including removal of Yaremchuk jaw implant)
  • 2024 - additional attempt at lower lid retraction repair on right side (removal of Eppley infraorbital on right side and replacement with hand-carved ePTFE implant to provide structural support for lower lid)
  • 2025 - revision rhinoplasty - Aaron Kosins
  • 2025 - reduction genioplasty, jaw shaving, custom jaw angle implants, neck lift - Yirae Ort
I'm 43. Ask constructive questions and I'll give constructive answers. Before and after pics are below; I'm only 14 days PO with Ort, so there's some swelling, especially on the jawline.

View attachment 4266359View attachment 4266367
your face is basically a Kickstarter campaign at this point lol every year a new tier. At 43 you’ve had more revisions then ive ever seen. Pics look solid tho.
 
Great to have you back. Very insightful of you to come back and update us about the journey you've been on since your first thread on here.

What caused you to consider the removal of the Yaremchuck jaw implant, which, if I remember correctly, has always been praised as one of the most natural, best-looking surgical results we've seen on here?

Did you have sleep apnea prior to your wrap-around jaw implant? Did you only develop it later? Did you hope to keep the same angularity the implant provided you with, by going through with the bimax + genio surgery?
I had sleep apnea but didn't know it--only found that out in 2021. (Upper airway issue; mine was half the size it should have been.) It was a tradeoff between dealing with sleep apnea forever (not an option) and getting bimax. The only way to perform the bimax was to remove the Yaremchuk implant. So I knew there would be aesthetic sacrifices and always planned on doing something to rework the jaw afterwards.

I know people here liked the Yaremchuk implant, but it was too big and it looked unnatural in person. I thought my jawline looked like shit after the bimax (saggy neck, very asymmetrical gonial angles, lumpy jawline, etc.), but lots of people told me that even that looked better than the implant. It's a problem with chasing ideals in pictures--until you've seen someone in person, you really don't know how they looked. There are people that photograph really well but look uncanny/unnatural in person. Obviously I only posted pictures where I thought the implant looked good. Nothing matters until you've seen someone in person.
 
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I had a pretty active thread here four years ago about some Eppley infraorbital implants: https://looksmax.org/threads/removing-eppley-cheek-implants.378955/.

Since then, I've had bimax with Sam Bobek for sleep apnea, which had a great functional outcome but a bad aesthetic one. (Not really his fault; he had to take out a Yaremchuk jaw implant from 2016, which caused a lot of neck jowling/sagging.)

Here's my full surgery rundown:

  • 2011 - rhinoplasty and chin implant - Wayne Larrabee
  • 2012 - hair transplant - Robert Niedbalski
  • 2013 - revision rhinoplasty - Wayne Larrabee
  • 2015 - hair transplant - H. Rahal
  • 2016 - custom wraparound jaw implant - Michael Yaremchuk
  • 2020 - custom infraorbital implants - Barry Eppley (tried to do a replacement jaw implant, but couldn't remove Yaremchuk implant due to bone overgrowth)
  • 2021 - lid retraction repair/canthoplasty/ptosis repair - A.J. Amadi (mainly to correct lower lid retraction on right side caused by lower eyelid incisions to place infraorbitals)
  • 2022 - revision to size down infraorbitals via hand-carving and re-placing - Barry Eppley
  • 2024 - bimax + genio for sleep apnea -Sam Bobek (including removal of Yaremchuk jaw implant)
  • 2024 - additional attempt at lower lid retraction repair on right side (removal of Eppley infraorbital on right side and replacement with hand-carved ePTFE implant to provide structural support for lower lid)
  • 2025 - revision rhinoplasty - Aaron Kosins
  • 2025 - reduction genioplasty, jaw shaving, custom jaw angle implants, neck lift - Yirae Ort
I'm 43. Ask constructive questions and I'll give constructive answers. Before and after pics are below; I'm only 14 days PO with Ort, so there's some swelling, especially on the jawline.

View attachment 4266359View attachment 4266367
I thought you were in ur late 20s, how tf do u agr so well
 
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I thought you were in ur late 20s, how tf do u agr so well
Don't drink, lots of sleep and exercise, retinol, Botox, skincare, clean diet. Nothing wrecks your skin/aging like partying and getting shit sleep
 
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your face is basically a Kickstarter campaign at this point lol every year a new tier. At 43 you’ve had more revisions then ive ever seen. Pics look solid tho.
trust me, i can pay for my own surgeries
 
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Don't drink, lots of sleep and exercise, retinol, Botox, skincare, clean diet. Nothing wrecks your skin/aging like partying and getting shit sleep
Alot of the basics and a good botox ig

Mirin, id think you were in ur late 20s due to your dimorphism but never 40s lol
 
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I had a pretty active thread here four years ago about some Eppley infraorbital implants: https://looksmax.org/threads/removing-eppley-cheek-implants.378955/.

Since then, I've had bimax with Sam Bobek for sleep apnea, which had a great functional outcome but a bad aesthetic one. (Not really his fault; he had to take out a Yaremchuk jaw implant from 2016, which caused a lot of neck jowling/sagging.)

Here's my full surgery rundown:

  • 2011 - rhinoplasty and chin implant - Wayne Larrabee
  • 2012 - hair transplant - Robert Niedbalski
  • 2013 - revision rhinoplasty - Wayne Larrabee
  • 2015 - hair transplant - H. Rahal
  • 2016 - custom wraparound jaw implant - Michael Yaremchuk
  • 2020 - custom infraorbital implants - Barry Eppley (tried to do a replacement jaw implant, but couldn't remove Yaremchuk implant due to bone overgrowth)
  • 2021 - lid retraction repair/canthoplasty/ptosis repair - A.J. Amadi (mainly to correct lower lid retraction on right side caused by lower eyelid incisions to place infraorbitals)
  • 2022 - revision to size down infraorbitals via hand-carving and re-placing - Barry Eppley
  • 2024 - bimax + genio for sleep apnea -Sam Bobek (including removal of Yaremchuk jaw implant)
  • 2024 - additional attempt at lower lid retraction repair on right side (removal of Eppley infraorbital on right side and replacement with hand-carved ePTFE implant to provide structural support for lower lid)
  • 2025 - revision rhinoplasty - Aaron Kosins
  • 2025 - reduction genioplasty, jaw shaving, custom jaw angle implants, neck lift - Yirae Ort
I'm 43. Ask constructive questions and I'll give constructive answers. Before and after pics are below; I'm only 14 days PO with Ort, so there's some swelling, especially on the jawline.

View attachment 4266359View attachment 4266367
You need contacts tbh
 
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Nothing matters until you've seen someone in person.
Glad the Bimax fixed your breathing problems.

I think the original thread included videos posted by either Eppley or you on IG, who shoved you in motion, where the implant, while slightly too big and marginally asymmetric, still looked great.

And while I hope not to cause you any body dysmorphia, the very pointy, almost feminine, chin, especially compared to your wide masculine jaw, looks a bit off.
Screenshot 2025 10 30 at 201810


On a more positive note, your skin looks great, and you look like you aged in reverse since your last post.
 
Check your dm bro
 
You need contacts tbh
he needs to fix his upper eyelid exposure, but that's risky. I get why he'd be averse to targeting it, after he had to get multiple reconstruction surgeries for the lower lids.
 
Glad the Bimax fixed your breathing problems.

I think the original thread included videos posted by either Eppley or you on IG, who shoved you in motion, where the implant, while slightly too big and marginally asymmetric, still looked great.

And while I hope not to cause you any body dysmorphia, the very pointy, almost feminine, chin, especially compared to your wide masculine jaw, looks a bit off.
View attachment 4266671

On a more positive note, your skin looks great, and you look like you aged in reverse since your last post.
The chin is looking a little pointier than it will because the swelling is vertically lengthening it. But, tbh, I'm not personally a fan of the blocky, wide chad chins. Something I never liked about the Yaremchuk implant and just personal taste. I wanted something more round/refined.
 
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The chin is looking a little pointier than it will because the swelling is vertically lengthening it. But, tbh, I'm not personally a fan of the blocky, wide chad chins. Something I never liked about the Yaremchuk implant and just personal taste. I wanted something more round/refined.
If that's what you were going for, good for you. It gives you a more youthful, boyish look. Might be an overall positive anomaly, especially at your age.
 
he needs to fix his upper eyelid exposure, but that's risky. I get why he'd be averse to targeting it, after he had to get multiple reconstruction surgeries for the lower lids.
Yeah my UEE is my worst trait. But it's super hard to fix. Your options are basically filler (and I have some Restylane in there now), fat grafting, or a supraorbital implant. And an implant isn't guaranteed at all to drive your eyebrows down and reduce UEE--Eppley's written about that. And supras have some nerve-related complication risks. Changing UEE generally is really, really hard; it's easier to alter lower lids, by far.
 
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If that's what you were going for, good for you. It gives you a more youthful, boyish look. Might be an overall positive anomaly, especially at your age.
Thanks! I think a lot of people around here all converge on one blueprint for how they'd like to look, but it's your face and everyone should think hard about how they, individually, want to look. Trust me, it sucks looking at your face everyday and seeing something that doesn't feel like you looking back.
 
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But it's super hard to fix. Your options are basically filler (and I have some Restylane in there now), fat grafting, or a supraorbital implant. And an implant isn't guaranteed at all to drive your eyebrows down and reduce UEE--Eppley's written about that. And supras have some nerve-related complication risks. Changing UEE generally is really, really hard; it's easier to alter lower lids, by far.
I know, I've been through my own eye-surgery journey, its so hard to get a good natural-looking result.

Especially with upper eyelids, the fillers will migrate and give you puffy, tired-looking eyes; fat grafts aren't sustainable if you want to be lean, and the implants can make you look like a brutish caveman.
 
I know, I've been through my own eye-surgery journey, its so hard to get a good natural-looking result.

Especially with upper eyelids, the fillers will migrate and give you puffy, tired-looking eyes; fat grafts aren't sustainable if you want to be lean, and the implants can make you look like a brutish caveman.
Yeah, my Restylane has been there for years and it's starting to get clumpy. You can see lumps in my brow area sometimes, but it's still better-looking than without it given how bad my UEE is. Bug-eyed af
 
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why didn't you just bonesmash your infras? are you a retarded oldcel?
 
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You look better for sure. In your old topic you had a "fake plastic look" to be quite honest with you. Only telling you that now because you've ascended.

Good work. I'd stop around here if I was you and don't touch anything else
 
You look better for sure. In your old topic you had a "fake plastic look" to be quite honest with you. Only telling you that now because you've ascended.

Good work. I'd stop around here if I was you and don't touch anything else
Thanks, and I agree. I looked worked on for sure. Combo of big jaw implant plus lots of fillers, esp in the lips. Those are all dissolved now. Looks a lot less gay lol (not that I care)
 
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Yeah, my Restylane has been there for years and it's starting to get clumpy. You can see lumps in my brow area sometimes, but it's still better-looking than without it given how bad my UEE is. Bug-eyed af
If an oculoplastic surgeon ever brings up the idea of going through with the most extreme fix for the UEE, orbital reconstruction, where bone mass is shaved away behind the eyeballs to make them more deep-set, familiarize yourself with Frank Tufano's case, who had a similar level of UEE as you, and functionally went blind for a couple of months after the procedure. Some surgeries aren't worth he risk.

1761853136038
Screenshot 2025 10 30 at 204140


 
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If an oculoplastic surgeon ever brings up the idea of going through with the most extreme fix for the UEE, orbital reconstruction, where bone mass is shaved away behind the eyeballs to make them more deep-set, familiarize yourself with Frank Tufano's case, who had a similar level of UEE as you, and functionally went blind for a couple of months after the procedure. Some surgeries aren't worth he risk.

View attachment 4266744View attachment 4266765

I actually had one oculoplastic surgeon recommend it for one eye as a way of helping lid retraction (slide eyeball back = helps lower lid slide up). I know about Tufano's case and would never try decompression. Not worth the risk, especially when my UEE is OK (not great, but OK) with filler.
 
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I had a pretty active thread here four years ago about some Eppley infraorbital implants: https://looksmax.org/threads/removing-eppley-cheek-implants.378955/.

Since then, I've had bimax with Sam Bobek for sleep apnea, which had a great functional outcome but a bad aesthetic one. (Not really his fault; he had to take out a Yaremchuk jaw implant from 2016, which caused a lot of neck jowling/sagging.)

Here's my full surgery rundown:

  • 2011 - rhinoplasty and chin implant - Wayne Larrabee
  • 2012 - hair transplant - Robert Niedbalski
  • 2013 - revision rhinoplasty - Wayne Larrabee
  • 2015 - hair transplant - H. Rahal
  • 2016 - custom wraparound jaw implant - Michael Yaremchuk
  • 2020 - custom infraorbital implants - Barry Eppley (tried to do a replacement jaw implant, but couldn't remove Yaremchuk implant due to bone overgrowth)
  • 2021 - lid retraction repair/canthoplasty/ptosis repair - A.J. Amadi (mainly to correct lower lid retraction on right side caused by lower eyelid incisions to place infraorbitals)
  • 2022 - revision to size down infraorbitals via hand-carving and re-placing - Barry Eppley
  • 2024 - bimax + genio for sleep apnea -Sam Bobek (including removal of Yaremchuk jaw implant)
  • 2024 - additional attempt at lower lid retraction repair on right side (removal of Eppley infraorbital on right side and replacement with hand-carved ePTFE implant to provide structural support for lower lid)
  • 2025 - revision rhinoplasty - Aaron Kosins
  • 2025 - reduction genioplasty, jaw shaving, custom jaw angle implants, neck lift - Yirae Ort
I'm 43. Ask constructive questions and I'll give constructive answers. Before and after pics are below; I'm only 14 days PO with Ort, so there's some swelling, especially on the jawline.

View attachment 4266359View attachment 4266367
ngl jaw shaving is looksmin imo, makes you look kinda cuck and gay.

upd - nvm he is actual homosexual, no question then.

i recommend looking up into fat graft.
 

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