Do I Need Custom Jaw Angle Implants for V Line Surgery Reversal?

Q: Dr. Eppley, Can I get custom jaw angle implants after failed jaw angle implants after V line surgery?

A: In my experience with V line surgery correction the ostectomy lines on each side are rarely symmetric and more commonly asymmetric. Given that what is really missing is vertical length from the amputation of the jaw angles it is best to use a custom implant approach to get a stable and symmetric result. While your initial effort at that resulted in a wound dehiscence and subsequent implant removal without custom implants the aesthetic result may have ended up unsatisfactory anyway.

Dr. Barry Eppley

World-Renowned Plastic Surgeon