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I am strongly thinking of consulting with Dr. Epker out of Texas for jaw/chin implants. He is supposedly a pioneer in the field. His price quotes are dramatically lower than both Ramirez and Yaremchuk. Just curious if anyone has any experience with Dr. Epker?
I think it depends on what you are looking for. Dr Epker designed a set of implants, which I think Dr Yaremchuk uses quite often, but I personally don't really like the shape of them - they do not augment the areas that I want to have augmented. Also, they are medpore implants which I am not too keen on either. But certainly, I think he would be worth a consultation if it is his shape of implants you are looking for and you are keen to have medpore. I wouldn't make the decision based on price however.
I actually have a small medpor lateral onlay jaw implant on my left side that was used to camoflage a defect from previous jaw surgery. I'm looking for a surgeon with experience in removing/replacing medpor. I consulted with Ramirez and hoping to meet with Yaremchuk and Epker before making a decision. Cost savings isn't my main concern, but it certainly is a factor in my decision. You see alot of talk about Ramirez and Yaremchuk on this board, but hoping there were some folks that may have used Epker as well.
I had surgery with Dr. Epker. (Hydroxy appetite contouring of the jawline, eyelid surgery to correct assymetrical eyelids). He is phenomenal. Very artistic surgeon. Listens and addresses concerns and easy to talk to. The staff is excellent.
Also, I did consult with Ramirez and Yarmechuk. I liked Yarmechuk alot, but choose Epker because I felt he could address my concerns a little more for what I wanted. I also liked something the Epker said; relating to implants and such, he felt that you have to look at the overall face and how the skin/tissue lays on the bone instead of just looking at the bones on a CatScan/X-ray and trying to augment with implants based on that alone and using a computer generated implant. But my case was a little more complicated as far as assymetry and I needed some odd contouring and 'fill in' from ridges along the jawline left over from a prior jaw surgery/genioplasty from another surgeon that left me assymetrical and deficient. So I choose Epker.
Glad to hear that your surgery went well and that you liked your results. I am also looking into having jaw surgery and wanted to ask you to send me (via PM) the name of the doctor that did your jaw before Epker, so I make sure I stay away from him. Many thanks.
wow, I have never seen that site. I have heard of Epker, I believe because he authored some journal article on jaw implants. Yea, a bad website if he wishes to do jaw implants, the chin augmentation before/after photos clearly include jaw implants, but makes no mention of jaw implants. The before and after are not too different than mine.
The epker implant seems to give this pronounced step off. I noticed a similar problem with some of Dr. Y patients, too. Maybe its also due to residual swelling? I wonder if this is inevitable if you get a drop down jaw implant...
cls87 wrote:The epker implant seems to give this pronounced step off. I noticed a similar problem with some of Dr. Y patients, too. Maybe its also due to residual swelling? I wonder if this is inevitable if you get a drop down jaw implant...
I do not know what you mean by a step off. I think it is a good result, I can not imagine what problem you see.
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