Testimonials

Mandible (jaw) implants

Implants can strengthen the jawline and create a more balanced facial silhouette by augmenting the mandibular body, angle, and ramus. A wide variety of patients can benefit from this procedure, including those with normal, deficient, or surgically altered anatomy.

 

Normal dimensions

Most patients who desire mandible augmentation have lower face horizontal dimensions that relate to the upper and middle thirds of the face within a normal range. These patients, usually males, perceive a wider lower face as desirable. This group benefits from implants designed to augment the ramus and posterior body of the mandible and, in so doing, increase the bigonial distance. Other patients desire more definition and angularly to the mandibular border. Implants which augment the anterior mandible back to the ramus can achieve this.

 

Skeletal deficiency

Another group of patients who benefit from mandible augmentation are those with skeletal mandibular deficiency. The majority of these patients (approximately 80 percent) can have their Class II (overbite) dental relationships normalized through orthodontic tooth movement.The remaining 20 percent, or 1 percent of the total population, have mandibular deficiency that is so severe that surgical mandibular advancement would be needed to correct it.

For these patients with corrected occlusion, alloplastic augmentation of the mandible can provide a visual effect similar to, and, in my opinion, superior to that of sagittal osteotomy with advancement employing an outpatient surgical procedure that avoids any further dental manipulation. The anatomy associated with mandibular deficiency, which can be camouflaged with implants, includes the obtuse mandible angle with steep mentocervical angle, as well as the decreased vertical and transverse ramus dimensions.

The addition of an extended chin implant will camouflage the poorly projecting chin.

 

Surgically altered anatomy

A third group of patients who may benefit from alloplastic augmentation of the mandible are patients who have had their Class II dental malocclusion due to mandibular deficiency corrected by sagittal split osteotomy with advancement of the distal segment. It inevitably creates a contour irregularity at the site of the body osteotomy and distal segment advancement. It may also result in an aesthetically displeasing position of the ramus angle with insufficient height, insufficient width, or asymmetry.

Mandible implants, often combined with chin implants can be used to improve contour in these patients. Clinical examples of these uses for mandible implants are shown below. 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 underwent mandibular (jaw) augmentation to increase the width of their lower face are shown below.

An explanatory video of the mandible (jaw) augmentation procedure. 

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.

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This patient underwent chin and posterior mandible augmentation together with submental lipectomy.

 

 

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This patient underwent chin and posterior mandible augmentation.

 

 

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This patient underwent horizontal osteotomy of the chin to lengthen it together with chin and posterior mandible implant augmentation.

 

 

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This patient underwent horizontal osteotomy of the chin to lengthen it together with chin and posterior mandible implant augmentation.

 

 

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This patient underwent horizontal osteotomy of the chin to lengthen it together with chin and posterior mandible implant augmentation. Tertiary rhinoplasty and other facial implant procedureswere also performed.

 

 

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This patient underwent horizontal osteotomy of the chin to lengthen it together with chin and posterior mandible implant augmentation.

 

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This patient underwent posterior mandible augmentation

 

 

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This patient underwent posterior mandible augmentation

 

 

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 This patient underwent chin and posterior mandible augmentation.

 

 

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This patient underwent chin and posterior mandible augmentation.

 

 

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This patient with Treacher-Collins syndrome had a previos sliding genioplasty and underwent additional augmentation with chin and posterior mandible implants.

 

 

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This patient underwent chin and posterior mandible augmentation.

 

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This patient underwent chin and posterior mandible augmentation.

 

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This patient underwent chin and posterior mandible augmentation.


 

Mandible Jaw Implant Surgery Procedure

 

Mandible / Jaw Implant Surgery Procedure (Video)