What is The Best Treatment for Masseter Muscle Dehiscence After Jaw Angle Implant Surgery?

Q: Dr. Eppley, I got mandibular angle implants and now have masseter dehiscence. I have no outward projection, and the sunken angles have made my face look round from the front. My masseter is noticeably high up. This is the opposite of what I wanted. I find almost nothing when I research this, but nearly everything I do see is from Dr Eppley. As of now, is the surgery to reattach the masseter still likely to fail? I really do not want to use filler, so what would be my best course of action?

A:This is classic masseteric muscle dehiscence in which you have correctly assumed that actual muscle repositioning usually is unsuccessful. The most effective approach I have found is a graft (Alloderm,- cadaveric dermis) or soft tissue implant augmentation method done through a small direct incision (1 cm) right behind the jaw angle area.