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JAW IMPLANTS

CHIN

Custom chin implants are useful when significant vertical elongation of the chin is needed, the implant extension needs to go back further along the jawline than conventional chin implants will allow or there is some significant chin asymmetry. The key surgical point about their placement is the consideration of the placement of the incision when done from a submental approach. The incision may need to be further back than the submental crease as the tissue recruitment from the implant may ‘roll out’ the submental tissues further than one would think of the custom chin implant adds any significant vertical length.

Custom chin implant design for make who desires a square chin with slight vertical elongation.

Custom chin implant design for female who desires to have a modest amount of horizontal and vertical chin augmentation without widening the chin.

Small petite chin implant for female who is also having multiple other custom facial implants done.

Male who wanted a strong wide square chin implant design.

Female with significant chin shortness with class II maocclusion hat needed a large amount of horizontal advancement with needed to keep the chin narrow.

Total male three-piece jawline augmentation with custom square chin and jaw angle implants designs.

Custom chin implant design for female with prior sliding genioplasty to add additional chin projection and to smooth out bone irregularities along the jawline.

Custom cleft chin implant design for male three-piece total jawline augmentation.

Petite custom female chin implant design with an upward tilt to the horizontal projection.

Custom lateral chin implant design for fill in lateral bone defects from prior sliding genioplasty.

Extended square chin and jawline implant design for vertical jawline lengthening in a male.

JAW ANGLES

Bony jaw angle/jaw angle implant asymmetry and the desire for vertical elongation of the jaw angles are two most common indications for custom jaw angle implants. Asymmetric placement of jaw angle implants is very common and is caused by both placement error and slight but significant differences in natural jaw angle shapes. A little difference in the shape or angular form of the jaw angles can translate into a very visible difference when they are enlarged by implants. Aesthetic augmentation of jaw angles often requires vertical lengthening (dropping down) of the jaw angles which no current form of jaw angle implant provides. While jaw angles are often perceived as just being made wider, the more common aesthetic need for many jaw angle augmentations is create by lowering the jaw angle and not by just making it wider. In some cases this requires the entire jawline from angle to angle to be made vertically longer.

Custom jaw angle implant designs to fill in bony defects and smooth out the jawline after orthognathic surgery. (sagittal split ramus osteotomies of lower jaw)

Custom jaw angle implants designs for back of jaw augmentation after prior sagittal split ramus osteotomies.

Custom jawline implant designs to go with a sliding genioplasty for overall jawline augmentation in a female. (who also had a large custom skull implant done at the same time.

Custom jaw angles implants design to go with a vertical chin reduction intraoral osteotomy.

Custom jaw angle implant designs for a male after V-line reduction sur-gery to restore some of the lost jaw angles.

Male total jawline augmentation with custom extended jaw angle im-plants to vertical and horizontally lengthening sliding genioplasty.

Custom jaw angle implant designs to balance out jawline shape after or-thognathic surgery in a male.

Custom flared jaw angle implants to complete a total jawline augmenta-tion effect after a sliding genioplasty.

Custom jaw angle implant designs to create a more complete male jaw-line effect after a prior sliding genioplasty.

Custom jaw angle implant designs in facial asymmetry with custom left cheek implant as well.

Small custom left jaw angle implant design for correction of lower jaw asymmetry in a female.

Extended custom jaw angle implants for correction of the high mandibu-lar plane angle make patient with accentuated antegonial notches.

Custom right extended jaw angle implant for correction of lower facial asymmetry in a female.

Custom jaw angle implants made to provide a complete jawline augmentation effect in a patient who had an existing chin implant of which he was happy with its aesthetic result.

JAWLINE

Currently aesthetic augmentation of the jawline is a very popular use of the custom design process. While there are standard styles and sizes of both chin and jaw angles, there is no total jawline implant. A standard jawline implant would be impossible to create as a complete wrap around implant due to the variability in jawline sizes between people.

Having an implant that connects one jaw angle to the other across the chin is the most powerful method to enhance a jawline. This is of particular interest in men who want to have an overall stronger and more defined jawline. With an implant that covers a large bony surface area, it is important to not oversize it in any one dimension. With a facial implant that covers such a large surface area, it is very easy to oversize it as the influence on the jawline shape is significant.

A custom wrap around jawline implant is inserted through three separate incisions. Bilateral intraoral posterior mandibular vestibular incisions are used to position the jaw angle portion of the implants. An anterior incision, either intraoral or external submental, is used to insert the entire implant and feed it back to the jaw angles in a folded fashion.

Male custom jawline implant designed to replace standard chin and jaw angle implants which are misplaced.

Custom jawline implant designate vertically lengthen a low or flat mandibular plane angle patient.

Female custom jawline implant design which rounded narrow chin and vertical jawline lengthening.

Strong custom jawline implant and cheek implanted designs for maximal male masculinization effect.

Petite custom jaw angle implant design for a female.

Female custom jawline implant design to partially restore jawline after an overly aggressive V-line jaw reduction procedure.

Moderate custom jawline implant and cheek implanted designs for maximal male masculinization effect.

Female custom jawline implant design needed for jawline restoration after V-line jaw reduction surgery.

Custom jawline and cheek implants designs in an older male for a facial rejuvenation effect and filling out of sagging tissues.

Custom jaw angle implant design to change a low mandibular plane angle into a higher plane angle.

Custom left jawline implant combined with a right inferior border osteotomy to treat lower jaw asymmetry.

Large custom non-linear jawline implant design for strong masculinization effect.

Custom jawline implant replacement design for displaced chin and jaw angle implants.

Custom inferior border jawline implant design for lower facial vertical lengthening.

Custom jawline implant design for a smooth linear and increased augmentation effect after a chin wing osteotomy.

Custom infraorbital-malar and jawline implant designs for strong facial masculinization effect.

Male custom jawline implant to restore jawline after V-line reduction surgery.

Custom jawline and right cheek implant designs for correction of facial asymmetries.

Custom jawline implant replacement in a male for unachieved effects from strandard chin and jaw angle implants.

Custom jawline implant design for high mandibular plane angle male patient.

Custom jawline implant design to straighten out a nonlinear and add vertical length to the chin. (replace an inadequate standard chin implant)

Custom jawline and brow bone implants for facial masculinization after prior sliding genioplasty and extended chin implant failed to achieve the desired jawline augmentation effect.

Small custom jawline implant design to enhance a softer and more indistinct male jawline.

Custom jawline implant design to treat a hooked jawline and short chin.