EXPLORE
Plastic Surgery
Dr. Barry Eppley

Explore the worlds of cosmetic
and plastic surgery with Indianapolis
Double Board-Certified Plastic
Surgeon Dr. Barry Eppley

Posts Tagged ‘vertical jawline augmentation’

Case Study – Vertical Jawline Augmentation

Saturday, October 10th, 2015

 

Background: Lower jaw deficiencies are most commonly perceived as being of the horizontal variety. A short chin invokes the need for horizontal chin augmentation and this certainly is the most common jaw augmentation procedure. It is also the simplest and most easily performed. But jaw deficiences can occur in other dimensions as well and their diagnosis and treatment require a greater understanding and surgical expertise to treat.

Vertical jaw deficiences usually present with a visible shortening of the lower third of the face. Other clinical findings include a very flat mandibular plane angle, some percentage of dental overbite at the incisors and downturning of the corners of the mouth. Patients usually know how to make their lower jaw look better by opening their mouth a bit vertically to create a longer jaw.

The hardest dimension to change in the lower jaw is the vertical one.  This is why vertical jawline augmentation is rarely written about or discussed. While the chin can be vertically changed by using one’s own bone through an opening wedge bony genioplasty, the ramus and body of the mandible must be vertically elongated by implants. Since there are no preformed vertical lengthenng jaw implants other than that of the chin, custom implants must be made for vertical change in the back of the jaw.

Case Study: This 23 year old male had a vertical jaw deficiency that he camouflaged by opening his mouth slightly. He felt that this made his face look better along his entire jawline as well as around his mouth. Measuring the vertical change at his incisors between when he occluded completely and when he felt he looked the best was 7mms.

Chin Implant Overlay on Sliding Genioplasty intraop Dr Barry Eppley IndianapolisUnder general anesthesia he had combined chin and jaw angle procedures for a vertical jawline augmentation effect. For the chin he had a sliding genioplasty that opened 7mms and brought the chin forward 8mms. A silicone chin implant was overlaid on front of the sliding genioplasty for greater horizontal projection. Vertical lengthening jaw angle implants were used for the back part of the jaw that dropped it down 10mms and widened it by 5mms.

Jawline Surgery result front view Dr Barry Eppley IndianapolisJawline Surgery result side view Dr Barry Eppley IndianapolisHis very early after surgery results showed a significant improvement in the lower third of his face. It was not only vertically longer but the chin and jaw angles had more definition.

Vertical lengthening of the entire lower third of the face can be done by either the three piece combined autologous/alloplastic approach as in this patient or it can be done by a complete custom implant. Each has their own advantages and disadvantages with the custom approach being more unified but also being more costly.

Highlights:

1) Lower jaw deficiencies can occur in the vertical dimension as well as in horizontal under development.

2) Vertical jaw deficiencies must be treated differently using vertical lengthening sliding genioplasties, vertical lengthening jaw angle implants or vertical lengthening custom total jawline implants.

3) Management of the chin determines the total overall approach to the type of vertical jawline augmentation done.

Dr. Barry Eppley

Indianapolis, Indiana


Dr. Barry EppleyDr. Barry Eppley

Dr. Barry Eppley is an extensively trained plastic and cosmetic surgeon with more than 20 years of surgical experience. He is both a licensed physician and dentist as well as double board-certified in both Plastic and Reconstructive Surgery and Oral and Maxillofacial Surgery. This training allows him to perform the most complex surgical procedures from cosmetic changes to the face and body to craniofacial surgery. Dr. Eppley has made extensive contributions to plastic surgery starting with the development of several advanced surgical techniques. He is a revered author, lecturer and educator in the field of plastic and cosmetic surgery.

Read More


Free Plastic Surgery Consultation

*required fields


Military Discount

We offer discounts on plastic surgery to our United States Armed Forces.

Find Out Your Benefits


Categories