Question about jaw implants looking bulky rather than aesthetic?

Question

Jaw angle implants seem to be a bit hit and miss; sometimes they look great, other times they just make the face look bulkier and puffier. Why is this? Is it down to masseter muscle insertion points like in the image I’ve linked? And if so, do custom implants that vertically lengthen as well as slightly widen help prevent this puffy issue from occurring? In the less than ideal results I’ve seen, faces are wider, yet, but not necessarily better. Many thanks!

Gerald Wittenberg, MSc, DMD (retired) · Answer

The observation is not untrue - the type of material used is often the issue. If one uses a 'preformed' implant, then the material is even more important since 'hard' materials look too strong especially for females. As well, there is a misconception that 'CT scans' will improve the outcome; but CT does not show the overlying soft tissue properly and the 'density/thickness' of t he soft tissue will affect the esthetics since eg a 6 mm implant may not 'show' 6 mm if the tissue is thick versus thin. In any event, the surgeon should be prepared to 'carve/adjust' the implant at the time of surgery to achieve the most ideal result.

Question about jaw implants looking bulky rather than aesthetic?

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