It is OBVIOUSLY a costume for a party as Epstein was never in the US Navy, nor a SEAL, nor commissioned, nor a Commander.
The three ribbons on the top row are the Navy Cross, the Silver Star, and the NATO Medal. The Navy Cross ranks just behind the Medal of Honor and is ONLY awarded for valor in combat. My uncle William received the Navy Cross in lieu of the Medal of Honor in WW2.
The second row appears to be the Navy Presidential Unit Citation, something, and the National Defense Service Medal.
I have no clue as to where he got the medals. They are not US, British, French, Italian, NATO, Russian, or Japanese.
On top of that, you would NEVER wear both ribbons and medals at the same time on the same side. Dress whites, ribbons no medals. Full dress whites, medals no ribbons with white gloves and/or sword. The only time you would wear ribbons and medals at the same time would be to indicate service awards in another branch of the US military and for foreign decorations awarded. Those would be worn on your right, not left, side. There should not be a gold star at the bottom of the jacket sleeve.
WWG1WGA
Garde la Foi, mes amis! Nous nous sommes les sauveurs de la République! Maintenant et Toujours!
(Keep the Faith, my friends! We are the saviors of the Republic! Now and Forever!)
LonePalm, le Républicain du verre cassé (The Broken Glass Republican)