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Michael J. YAREMCHUK, M.D. Craniofacial Plastic Surgeon

plastic - cosmetic - reconstructive surgery
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Patient Examples facial implant surgery - lower face implants
 mandible implants
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Implants which augment the lateral mandible can increase the width of the lower face in patients who desire a stronger look to their jaw. Two examples of patients who under went mandibular augmentation to increase the width of their lower face are shown below.
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patient example 1

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patient example 2

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patient example 3

When used in combination with chin implants, congenitally small mandibles can be brought to more normal dimensions. This operation can benefit patients who have their malocclusion due to mandibular deficiency corrected with orthodontics alone rather than orthognathic surgery. These patients are left with a normal bite but with small mandibles. The third patient on the left is shown before and after the augmentation of her mandible with mandibular and chin implants.

To see how combining mandibular and chin implants can mimmic the appearance obtained after mandibular osteotomies click here.

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patient example 4

This patient desired a prominent chin and mandibular contour. Seven previous surgeries had not been effective. Two procedure including a removal of previous placed implant, submental lipectomy, and placement of chin and mandibular angle implants were performed.

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patient example 5

This patient with Treacher Collins syndrome had undergone sliding genioplasty in the past. Chin and mandibular implants were placed.

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patient example 6

This patient underwent removal of a previously placed chin implant, replacement with a better contoured and positioned chin implant, as well as mandibular body and angle implants.

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patient example 7

Sagittal split and horizontal osteotomies (sliding genioplasties) of the mandibleleave irregularities along the border of the mandible. In certain cases these can be disfiguring.
Click here to see a diagrammatic representation of the border irregularities caused by sagittal and horizontal osteotomies of the mandible and how they can be corrected with implants.

This patient had undergone sagittal split osteotomy and sliding genioplasty in the past. Dr. Yaremchuk shortened the vertical height of the chin. He placed mandible and chin implants to widen the lower face and make the inferior border of the mandible even.

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patient example 8

This patient had had her occlusion corrected with orthodontics. The shape of her lower jaw was changed by shortening the chin and then augmenting the chin and the mandible with implants as shown in the diagram.

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patient example 9

This patients microgenia was corrected by increasing the vertical height of the chin with a lengthening horizontal osteotomy and augmenting the chin and mandible with implants as shown in the diagram.`

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patient example 10

This patient had several rhinoplasties and blepharoplasty in the past He underwent revision rhinoplasty to deepen his radix and lower his nostril rims, infraorbital rim and midface augmentation, lengthening of his chin by horizontal osteotomy, and mandibular augmentation.

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patient example 11

This patient underwent horizontal osteotomy of his chin with lengthening, sagittal augmentation of the chin with an implant as well as posterior mandible augmentation.

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C. 2005   Michael J. YAREMCHUK, M.D.    all rights reserved