Category: jaw angle implant

Basic Concepts in Jaw Angle Implant Surgery – 1. Introduction and Aesthetic Considerations

Facial reshaping with alloplastic implants is a dynamic and growing area of facial plastic surgery. Driven by the recent increasing demand for injectable synthetic fillers and fat, facial implants offer a long-term solution for facial contouring that includes rejuvenation, congenital or traumatic deformities, or aesthetic facial reshaping for enhanced facial convexity or refinement. However, the Read More…

Plastic Surgery Case Study – Facelift Surgery and Its Influence on Resultant Jaw Angle Shape

Background: The facelift is a well known workhorse of facial rejuvenation in the lower third of the face. While a wide variety of surgical techniques have been described for it and the magnitude of the procedure is based on patient age and degree of soft tissue sagging, it still comes down to a soft tissue Read More…

OR Snapshots – The Soft Tissue ePTFE Jaw Angle Implant for Masseteric Muscle Dehiscence

The masseter is the largest muscle on the face that has its bony origin and insertion there. It is a muscle that needs to be elevated by subperiosteal dissection for any form of jaw angle surgery including implants. While lifting the muscle up is a seemingly innocuous maneuver there is always the risk of it Read More…

Clinic Snapshots – Healed Intraoral Wound Using Pedicle Buccal Fat Flap Over Jaw Angle Implant

The most common approach for jaw angle implant placement is intraoral. This not only avoids an external approach but provides the widest exposure of the mandibular ramus. This incision is made through a posterior vestibular mucosal incision. There are various thoughts on where it should be placed directly into the depth of the vestibule or Read More…

The Overlap of Chin and Jaw Angle Implants in Total Jawline Augmentation

While chin implants were the original jaw augmentation method, the development and emergence of jaw angle implants now provides an option for the rest of the jaw as well. The combination of standard chin and jaw angle implants can be done to create a total jawline enhancement. Placed at the three ‘corners’ of the jaw, Read More…

Plastic Surgery Case Study – Custom Widening Jaw Angle Implants

Background: Enhancement of the prominence of the jaw angles is today sought by both men and women. For men a more defined jaw angle often means increased width of a bony angle shape that often curves more inward. A wider jaw angle shape will also make it more defined and often makes it appear a Read More…

Pedicled Buccal Flap Coverage of Jaw Angle Implants

Jaw angle augmentation with implants has become an increasingly popular aesthetic facial procedure for both men and women. It is performed through intraoral incisions that are located in the back of the mouth in the vestibule opposite the second and third molars. This provides access to the subperiosteal plane under the masseter muscle over the Read More…

Plastic Surgery Case Study – Standard Vertical Lengthening Jaw Angle Implants

Background: While augmentation of the lower jaw has historically been perceived as that of the chin at the front of the jaw, that has been a limited perception of what is possible and often needed. Augmentation of the back of the jaw, the jaw angles, affects two-thirds of the lower jaw and can have just Read More…

Biologic Tissue Reactions around Jaw Angle Implants

The placement of implants on the facial bones, like implants placed anywhere in the body, causes well recognized tissue responses. The encapsulation of the implant by scar, known as a capsule, is the body’s method of separating ‘self from non-self’. This capsule also serves to lock the implant down, creating a fixed and immoveable implant Read More…

OR Snapshots – The External Transcutaneous Approach to Jaw Angle Implant Placement

Jaw angle implants are typically inserted through an intraoral route. This allows a subperiosteal pocket to be developed under the masseter muscle in a scarless fashion. But it is a procedure that is prone to implant asymmetry for an often not appreciated reason. The wording end of the implant is the furthest away from the Read More…