Posts Tagged ‘jawline enhancement’
Saturday, February 11th, 2012
Q: Dr. Eppley, I don’t like the shape of my jawline as it goes from front to back. I would like the front of the jaw profile to be less angular and also look deeper. I think this would improve my face shape and make it look more symmetric. I have attached a few pictures. What type of operation do I need to make this improvement?
A: I am not sure I understand what you mean by the desire to have the ‘jaw front profile less angular and also deeper’. I would need a better explanation to be sure what you see. But looking at your pictures, I think you mean that the chin is pointy (rather than square) and the jawline from the chin angles back sharply as opposed to being more square and vertically longer. The angular chin/jaw line is more associated with females while the square and broader chin is associated with a stronger male look. This could be improved by geniomandibular groove implants that fit on the bottom of the chin and go back to the anterior body of the mandible. They can be used to widen the chin as well as provide structure at the turn of the chin into the jawline so that there is a stronger jawline appearance. This is done through a submental incision and the two implant halfs are assembled into a unified implant with screws once into place. How close or separated they are in the midline affects how much the chin width is increased.
Dr. Barry Eppley
Indianapolis, Indiana
Tags: chin widening, dr barry eppley, indianapolis, jawline enhancement
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Saturday, December 31st, 2011
Q: I’m very interested in chin and jawline enhancement, particularly the solid one piece custom made framework. I have very little time off these days due to the economy so time off and downtime is of great concern for me. I loved the before and after pictures and would be ecstatic to get rid of my beard which I have worn since I was 19. I have had several other surgeries with great success and am very pleased with their outcome. I look forward to hearing from you.
A: Thank you for your inquiry. There are numerous types of preformed and custom jawline implants, depending upon one’s lower jaw and neck anatomy. Most are three-piece assembled units (extended chin and jaw angles) as opposed to a single-piece unit. The only one-piece unit is when only vertical elongation of the mandible/chin is being done which is the least common.
Whether one can be augmented with available preformed implants or requires a custom approach depends on what one wants to achieve as it relates to the jawline. I would need to see some pictures of you and do some computer imaging of the options to see the differences between a preformed vs a custom approach. The basic difference is that custom jaw implants offer increased augmentation sizes and can create a smooth straightline jawline from the chin back to the jaw angle. There has to be a compelling reason to use the custom approach as it requires a CT scan from which a model and the implants are made and thus costs more.
Whether preformed or custom jaw implants are used, the recovery is no different. While there are few physical limitations afterwards (other than some temporary restricted oral opening), there is considerable facial swelling which takes up to three weeks until it largely passes.
Dr. Barry Eppley
Indianapolis, Indiana
Tags: custom jaw implants, dr barry eppley, indianapolis, jawline enhancement
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Thursday, June 16th, 2011
Q: I have a weak jawline and would like to do something about it. I have previously had a chin implant but it did not appear to have made much of a difference. The implant didn’t address my weak jawline. I would like to find out more about the wrap around jaw implant. How many days do I have to wait between 3D CT scan and the actual surgery? I have attached a side view picture of myswlf for you to see what I mean.
A: Thank you for sending your picture. Based on this one view, I am seeing the need for chin augmentation and possible jaw angle imlants. But it is not clear to me why a custom-made implant would be necessary. Such wrap around implants are most beneficial when the entire jawline needs to be augmented from one angle to the other It is especially useful when the entire jawline is vertically deficient for which there is no off-the-shelf implants available. Horizontal or minor vertical jaw angle deficiences can be managed by non-custom made implants. I would be curious to know why has interested you in the custom wrap-around jaw implant. Perhaps it is because you have had no success with a chin implant already. But that may be because the size and style of implant chosen was too small. I would need to know what type and size of chin implant was used to determine whether to go with a stock or custom implant for better correction.
To answer your other question, the usual turn around time from the patient getting a 3-D CT scan and then the jawline implant being ready for surgery is about 6 weeks.
Dr. Barry Eppley
Indianapolis Indiana
Tags: custom wrap around jaw implant, dr barry eppley, indianapolis, jawline enhancement
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Tuesday, June 14th, 2011
Q: I am interested in getting a complete mandibular implant and would like to know an approximate cost.
A: When people use the term, complete mandibular implant, their objective is to enhance along their jawline from the angles to the chin. To achieve that look, there are two different approaches. These different methods affect how the procedure is done and the cost. The first approach, and the most common, is to use three separate implants. This includes off-the-shelf chin and jaw angle implants placed through a submental and intraoral incisions. That total cost averages around $8500 to $9500. The other approach is a custom one-piece implant that is made off of a 3-D CT scan taken from the patient. It may or may not be put in as a one-piece implant but it is completely customized to the patient’s jaw anatomy and aesthetic desires. That total cost is in the range of about $15,000.
Dr. Barry Eppley
Indianapolis Indiana
Tags: complete mandibular implant, dr barry eppley, indianapolis, jawline enhancement, plastic surgery of the jawline
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Wednesday, April 13th, 2011
Q: Hello Dr. Eppley, I am interested in having a stronger structured jawline. I have been wanting this and am now prepared to have this done. I am tired of seeing a round fat face and with your expertise I think I can get the sculpted jawine that I have always desired. Here are some pics of myself and pics of jawlines that I want to look like. I think my jawline needs to be built up with a chin and jaw angle implants. Let me know what you think.
A:Thank you for sending your pictures. I have reviewed them and done some realistic computer imaging. My comments are as follows:
1) A big reality check is needed here. You can not get to or look like any of those examples. You have a completely different anatomy and skin and fat thickness of your face. While an admirable goal, it is not realistic. You can be improved and maybe end up about halfway between where you are now and those examples. All I can do is take what you have and make it more defined as much as possible.
2) A square chin implant will help the front of the jaw. Your chin needs to come forward and down to become the leading point of your face.
3) You need aggressive neck and side of the face liposuction with removal of your buccal fat pads. As much facial defatting needs to be done as possible.
4) I do not think that jaw angle implants will help you. You don’t need a wide lower jaw in the back. It is plenty wide, you need better definition of what you already have. Jaw angle implants will just make your face look fatter with no better definition.
Dr. Barry Eppley
Indianapolis Indiana
Tags: chin implants, jaw angle implants, jawline enhancement, jawline sculpting, plastic surgery of the jawline
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Wednesday, October 13th, 2010
Q: I hope you can help answer some questions about chin/jaw implants please? I have a weak jaw line in that my bottom jaw is slightly further back than that of my front, if you follow. I was wondering if I would be a candidate for a chin/jaw implant and if you believe this would assist in aligning my jaw whilst avoiding a lower jaw construction which I would rather not go through?
A: Small horizontal chin deficiencies are usually the result of lack of bone growth in the chin area only. (symphysis) More significant chin deficiencies, however, are a problem with the growth of the entire lower jaw (condyle, ramus and body), meaning that the whole jaw is short not just the chin. This can be clearly evident by how one’s teeth comes together. In a jaw deficiency, the lower teeth are offset behind the upper teeth by a 1/2 to full tooth. (known as a Class II malocclusion) Chin augmentation, whether done by an implant or cutting just the chin bone, improves the projection of the chin and the facial profile but does not align the entire lower jaw.
Aligning the lower jaw, by bringing the entire jaw forward that contains the teeth, provides chin enhancement but also improves one’s bite (occlusion) as well. This is most commonly done by a sagittal split osteotomy of the lower jaw which is performed in the ramus of the mandible. It is clear to see that jaw alignment and chin augmentation are the not the same thing. Jaw alignment by bone advancement will simultaneously give chin augmentation but chin augmentation alone will not create a lower jaw alignment.
Dr. Barry Eppley
Indianapolis, Indiana
Tags: chin augmentation, dr barry eppley, indianapolis, jaw angle implants, jawline enhancement, plastic surgery
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Monday, May 24th, 2010
Q: I’m a 62 year old female interested in widening a narrow face with a chin/jaw widening implant that would also help with jaw lifting and mild jowls. Is this possible for someone my age?
A: It is unusual for a female at any age to desire a wider lower face. This is almost always a male procedure for the obvious reason of making the jaw line more prominent to create a masculinizing effect. It would be particularly rare, and the first time in my Indianapolis plastic surgery experience, to have an older woman make that request.
I suspect that the real reason for this request is to help improve the classic signs of facial aging which is that of jowling, loss of the jaw line, and neck sagging. While it is true that jaw line enhancement at the chin and even more posteriorly at the jaw angles can help fill out a lower face, I question whether the effect would be significant enough to achieve your goals.
While I will have to see your pictures, it is possible that chin and jaw widening in combination with a limited or tuck-up facelift may create a more ideal result. Widening and lifting along the jaw line is a diametric movement of soft tissues that will usually result in a better outcome than either procedure done alone.
Dr. Barry Eppley
Indianapolis, Indiana
Tags: chin implants, dr barry eppley, facelift, indianapolis, jawline enhancement, plastic surgery
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Wednesday, April 14th, 2010
Q : I have a weak chin that has bothered me my whole life. I am so self-conscious that I turn away so people can not see me in profile. I also think my entire jawline is weak, it overall looks too small for the rest of my face. Can my jawline be improved with different types of implants?
A: Historically, most people think of jaw enhancement as that of the chin only. Chin implants have been around for over fifty years and have evolved today to include a wide variety of different chin styles and sizes. For horizontal jaw shortness, a chin implant can provide a simple, quick and permanent method of significant profile improvement.
Today, jaw enhancement has progressed to consider changes along the entire jawline from back to front. Besides chin implants, the use of implants to accentuate the jaw angle have become popular. Designed to increase the width of the jaw (and some designs will lower the jaw angle as well), they increase bigonial width and create a stronger and more masculine.
Chin implants are most commonly done as a stand alone facial augmentation procedure. Jaw angle implants can also be done by themselves if an adequately projecting chin already exists. For cases of an overall weak lower jaw, the combination of chin and jaw angle implants together can make for a more dramatic change in jawline appearance. This combination (the ‘jawline trifecta’) is increasingly popular for those men who have a congenitally shorter jaw or for those want to make a stronger jawline out of an otherwise normal sized one.
Dr. Barry Eppley
Tags: chin implant, dr barry eppley, indianaoplis, jaw angle implants, jawline enhancement, plastic surgery
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