When considering jaw augmentation, there are
several options to consider:
Bone grafting is
where part of the bone is grafted from one area of the body and transferred.
Bone grafting can either come from the patient or a deceased donor.
Tissue grafting
is also an option - such as
Alloderm - and this is where the tissue is grafted from
either the patient or a deceased donor.
Fat grafting is used as well with jaw augmentation - and this
is where the surgeon will transfer fat from one area of the body to the jaw
line or mandibular bone.
Jaw implants
such as silicone implants are also considered because they are soft and
flexible and tend to last a long time.
Polytetrafluoroethylene (ePTFE)
implants
are made from a subcutaneous augmentation material. Polyethylene
implants
are bio-compatible augmentation materials that eliminate the extra stress
from the body, allowing the material to be accepted more easily
Jaw-line implants can help with symmetry to a
face with balancing out a prominent nose. Jaw implants can also add width
to the face and enhance a receding or a weak jaw-line. These implants are
very popular with males, as a strong jaw is often associated with
masculinity...and a receding jaw can be associated with weakness.
Jaw implants are inserted either under the chin
with a small 2 centimeter incision or through the lip. Some surgeons also
use creases in the facial skin as point of entry for these implants. Once
the implant is inside the pocket that was made for the implant to sit in, the
area is sutured closed.
Patients who desire a more defined jaw line can
be a good candidate for jaw implants.
Candidates
must be in good health and should not have any pre-existing conditions, active
diseases or bone disorders. Most importantly, the patient should be emotionally
and mentally stable to undergo jaw implant surgery. Post operative
depression can occur after any cosmetic procedure, which mainly stems from the
effects of oral pain medication or the residual anesthesia still in the body. If
a person suffers from depression beforehand, having cosmetic surgery could lead
to a worse depression after surgery.
The procedure includes placing the jaw implants
directly on the jawbone to transform a much more defined and stronger jaw line.
Incisions are made inside the lower lips and the pocket is created for the
implant to be placed. Some of the restrictions after the procedure include
diet, since the movement of the mouth and lips are going to be limited.
Swelling and bruising will subside within the first week, however; mild swelling
might be present for several months after the procedure.
The acne medicine Accutane has been linked to
hyperostosis - which is excessive
facial bone growth and excess scarring in some patients. If you have been taking
Accutane for the last 6 months you probably are not a good candidate for jaw
implants.
Before Jaw Implants Jaw
Implant Placement After Jaw
Implants
Where the
procedure is performed
Jaw implant surgery is performed as a out-patient
surgery. This procedure can be done at an accredited surgical suite,
out-patient surgery center, or as day surgery at the hospital. If other
procedures are done at the same time as jaw implant surgery, then usually an
overnight stay at the hospital is recommended. Jaw implants can be very
rewarding, adding balance and definition to other underdeveloped features of the
face.
Jaw implant surgery can take about one to two
hours to perform. Procedure time requirements can vary, though, depending on the
extent of work being done. Jaw implant surgery results are permanent - providing
there are no complications that occur, such as an infection
or the implant
shifting.
Jaw implants may be combined with the following
cosmetic procedures:
Jaw implant surgery - depending on the patient,
can be painful. Oral pain medication is prescribed however to help
diminish any discomfort during the recovery period.
Swelling and bruising might be present for the
first week or two. Sometimes mild long term swelling might occur with this
procedure, and can take anywhere from one to three months. Ask your
surgeon if Arnica or Bromelian (homeopathic medication) can be taken to help
reduce the bruising and swelling.
Your surgeon might have you in a support brace
while you sleep to ensure the tissues and implant to heal in the desired
position and to prevent shifting of the implant in the first couple of weeks.
Slight
numbness is normal but usually subsides after a few weeks.
After surgery, patients
may experience effects such as:
Feeling of tightness
in the treated area.
Swelling for a number
of days following surgery.
Difficult movement of
the mouth during recuperation period.
Forced liquid diet
for days if incisions have been made inside the mouth
Jaw implant surgery is no different than other
surgical procedures, as they all have the potential for risks or complications.
Proper hygiene during the recovery period with the incision and suture lines is
important to ensure no post operative problems.