Do Jaw Implants Go Above or Below The Masseter Muscles?

Q: Dr. Eppley, If a jaw implant waS designed to correct the asymmetry (vertical high discrepancy as seen in my scan) would that be where the issue would be with masseters and other soft tissue not wrapping around it (which can cause the irregularity in draping)?  Essentially, would that just be adding fake skeletal structure, but masseters would stay where they were before the implant?

A: In any form of jaw implant that involves the ramus (angle) the masseter muscle is elevated off the bone to accommodate the implant. Thus the premise of your concern has no anatomically accurate. 

Dr. Barry Eppley

World-Renowned Plastic Surgeon