Wrap Around Jaw Implants

Q: Dr. Eppley, I have read about your wrap around jaw implants and I am very pleased with what I have seen so far. 

My lower jaw is small in comparison to the rest of my face, but the bite is good. I think a wrap around implant would improve the appearance of my jaw drastically and have a positive effect on my life, as it can lengthen the ramus, reduce the gonial angle and create a more masculine chin while still looking natural. 

My main concern is whether the implant will manage to to widen my jaw angle substantially. As my lower jaw is very narrow, i wonder if it is possible to widen each side of it about 1.5-2cm or to use smaller implants for the sake of long term stability of the implant and then widen the jaw angle a bit more with the help of masseter hypertrophy or dermal fillers. 

A: Thank you for your inquiry in regards to wrap around jaw implants. A custom jaw angle can substantially widen the jawline and jaw angles. But I am fairly certainly you would not need 15mm to 20mms of additional width per side as that would by extreme and an amount I have not seen done in hundreds of custom jaw angle and total jawline implants. Understandably as a patient you would not grasp the significance of that number on an actual human face. But suffice it to say that your interest is in the most lower facial width that can be achieved.,

Dr. Barry Eppley

Indianapolis, Indiana