Custom Jaw Angle Implants after Orthognathic Surgery
Q: Dr. Eppley, I had jaw surgery and genioplasty almost a year ago to correct my recessed upper and lower jaw, which was fairly successful. However I still have a few remaining issues. One being that I have pretty significant notching along my jaw line where the cuts were made (14mm advancement). I also need to add length and width to my ramus. I figure I would have to go the custom route due to the asymmetry I have and large notching from my sagittal split jaw osteotomy.
A: Deformities of the mandibular ramus are not uncommon after sagittal splits osteotomies particularly large advancements. By your description a custom jaw angle implant would have the best success rate insect cases of jaw asymmetry. The first place to start is to send me some pictures of your face for my assessment and I will have my assistant contact you to schedule a virtual consultation time. Ultimately a 3D CT scan will be needed to not only show the anatomy but it designing the custom jaw angle implants for insertion. The 3D Ct scan can be done where you live and I can place the order for it.
Dr. Barry Eppley