Can Osteotomy Make The Jaw Angles Flare Out More?

Q: Dr. Eppley, In a previous response you gave to someone else, you mentioned that custom PEEK implants could be used to correct an inwardly tilted ramus. Is it also possible to correct this using procedures such as osteotomies or bone grafts?

A: There is no osteotomy that can change the angle of the mandibular ramus. Onlay bone grafts will largely melt away and lose significant volume.

Dr. Barry Eppley

Plastic Surgeon