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Jaw Augmentation - Jaw Implant Surgery

We mostly think of a large jaw as being masculine, and it is.  Women need less of a defined jaw than a man would but a weak jaw can take away from an otherwise beautiful face.  Even if all of your other facial features were close to perfect, a weak jaw takes away the sense of symmetry and balance.  Personally I find my jaw a little too strong.  It resembles Kathy Ireland's. *Here's an added bonus:  When a woman has a strong jaw she should take care to add height to the crown of the head with her hairstyle.  This helps give balance to the face. 

A weak jaw (considered the mandibular area) can make a normal nose appear large and an already prominent nose seem even larger.  It may also give the appearance of a 'fleshy' neck.  On the other hand a too prominent jaw may give the appearance of being overly masculine or "John Travolta like" (no offense, Vinnie).  Quite frankly you have to have a large head to go with a large jaw.  The goal should be a balanced relationship between the structure of the face, unless you would like a signature feature.

What Is Jaw Augmentation?
Jaw augmentation is the use of synthetics or biologicals to augment, or make the mandible structure of the face more prominent.  It can give balance to an otherwise less defined face or further augment an already existent mandible structure.

It also may be that the face needs mentoplasty/chin augmentation or malar (cheek) augmentation to balance out the features either in addition to jaw augmentation.  It is very common to have jaw augmentation in conjunction with chin augmentation.   A qualified plastic surgeon can help determine your needs by examining your facial structure and photographs.  Some surgeons even draw a graph on a photo of your face to measure the distances from each facial feature or utilize computer imagery to help portray the possibilities.  However, you mustn't rely on the accuracy of the surgical outcome when computer imaging is utilized.  The image is only an approximation although it can be used to help convey your desires to your surgeon.

Are You A Candidate For Jaw Augmentation Surgery?
First and foremost, an individual must be in good health, not have any active diseases or pre-existing medical conditions and must have realistic expectations of the outcome of their surgery.   Communication is crucial in reaching one's goals.  You must be able to voice your desires to your surgeon if he/she is to understand what your desired results are.   Discuss you goals with your surgeon so that you may reach an understanding with what can realistically be achieved.

You must be mentally and emotionally stable to undergo an cosmetic procedure.  This is an operation which requires patience and stability in dealing with the healing period.   There is sometimes a lull or depression after surgery and if there is already a pre-existing emotional problem, this low period can develop into a more serious issue.  Please consider this before committing to a procedure.

You must have no bone disorders, are not or have not been on Accutane for the last 6 months or sometimes more (it causes excessive facial bone growth, called Hyperostosis, and increased, keloid-like scarring after skin trauma (such as incisions).  Only a qualified plastic surgeon can determine this after speaking to you as well as going over your medical history, examining your facial structure and skin.  You must realize that no doctor can perform miracles but a highly skilled surgeon can transform what you do have into a more balanced look altogether.

What Are Your Options In Jaw Augmentation?

  • Bone Grafts

  • Autologous Tissue Grafts

  • Autologous Fat Transfer (Fat Grafting)

  • Cadaveric Tissue Grafts & Cultured Tissue

    • AlloDerm (Lifecell Corp)

    • AlloGraft

    • Apligraft

  • Silicone Implants

    • Popular Manufacturers Of Silicone Implants:

      • Implantech

      • Inamed Aesthetics (formerly McGhan Medical)

      • Advanced Bio-Technologies, Inc.

      • Allied Biomedical

  • Expanded Polytetrafluoroethylene (ePTFE)

    • Popular Manufacturers (ePTFE) Implants:

      • Gore-Tex® (Gore Industries Worldwide)

      • SoftForm®

  • Polyethylene Implants

    • Popular Manufacturers Polyethylene Implants:

      • MEDPOR® Biomaterial (Porex)

  • Hydroxyapatite Implants

  • Injectable Augmentation Products

    • Popular Injectable Products:

      • Collagen (technically: suspended bovine collagen)

      • Hyaluronic Acid

      • Injectable Hydroxyapatite Paste

      • Injectable Hydroxylapatite Microsphere Suspension

        • Radiance

      • Poly-methyl (methacrylate) (PMMA)

        • Popular PMMA Manufacturers

          • Artecoll® 

          • MetaCrill®: 

      • Hydrophilic Polyacrylamide Gel

        • Popular Hydrophilic Polyacrylamide Products:

          • Interfal Gel

          • Formacryl

          • Argiform

          • Bioformacryl

          • DermaLive

          • Aquamid

          • BioAlcamid

          • Kosmogel

      • Injectable Silicone (polydimethylsiloxane oil)

        • Popular Injectable Silicone Products:

          • Adatosil

          • Silikon 1000

          • SilSkin

Does Jaw Augmentation Surgery Hurt?
Although, there is normally no extensive pain related to jaw implantation, pain medication is prescribed beforehand.  Your surgeon may also prescribe pharmaceutical grade Arnica montana to reduce swelling and bruising.  You may feel a degree of numbness that should disappear within 1-3 months.  You may continue to wear a support brace while you sleep to allow your tissues and implant to heal in the desired position and prevent shifting in the first few weeks.

How Long Will I Be Bruised & Swollen?
Don't be alarmed at the presence of bruising and swelling.  The swelling will begin to disappear within the first 5 to 7 days.  Many patients return to work with the help of camouflaging cosmetics at about 5 days post-op.  The swelling of jaw angle implants resembles inflammation of wisdom teeth or their removal and sometimes this excuse is used at "the office."  Although please realize that the swelling may be apparent for months and the defined, chiseled look that you so desire may not become evident for quite a while.

How Much Does Jaw Augmentation Surgery Cost?
The costs of jaw augmentation surgery varies significantly between surgeons, medical facilities, and regions of the country.  Patients who need additional or more extensive surgery will require more intensive and expensive treatment.  In non-private surgery centers or in-office Operating Rooms the prices may include the following.  However, in hospitals - surgery charges can usually be separated into five parts: 

  1. the surgeon's fee

  2. the anesthesiologist's fee (if applicable)

  3. the hospital charges, which includes nursing care and the operating room

  4. the medications (antibiotics, topicals, dressings)

  5. and any additional charges

All fees are averages; out-patient charges, including surgeon fees, anesthesia, Operating Room charges, and implants if applicable -- unless otherwise noted.  Lab fees, such as preliminary blood work (complete blood count, CBC, are normally an extra $35. to $75., plus medications are usually an additional $120.  Physicals are more, HIV tests are additional and any other fees that you may be responsible for (X-rays, etc.).  If you are to be staying in a hospital or are opting for home healthcare -- these expenses are additional. This factor really depends upon the region, surgeon, etc.

Injectable Products
This usually requires no surgical team, operating room or anesthesia other than local/regional and possibly an oral sedative.  The costs are significantly lower regarding the procedure it self - although the product may be more expense and cc (cubic centimeters of product) do add up.  Inquire beforehand regarding your needs and the going price at that time for the desired product.  Also inquire regarding touch ups for permanent injectables.

Various Options And Their Average Costs

  • with implant(s), $4,000. - $9,000.    

  • with injectables $500. - $3,000.+

  • fat grafting $500. - $3,000.

*Costs for medications, blood tests, and emergency surgeries, if applicable, are not included.

What Are The Risks, Complications & Contraindications Of This Surgery?
There is a chance of hematoma (blood clots), seroma, numbness from nerve damage and hyperpigmentation (permanent discolorations) caused by the bruising.  There is the risk of implant shifting which results in additional surgery to reposition the implant.  There is the chance of your disapproval which may result in a re-do or removal.  There is also a chance of asymmetry from tissues healing differently and bone resorption.

 

 

 

 

 

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