Can a Jaw Implant Be Done Under a Local Anaesthetic ?

By "jaw Implant" do you mean a chin implant or a mandibular angle implant.

Chin implants are typically placed under local anesthesia with oral sedation, IV sedation, or with a general anesthetic. Mandibular angle implants most often use general anesthesia.

Both types of implants do not need to be replaced like breast implants as they are solid and form stable.

 

 

Jaw implants can be placed under local anesthesia but this would be a very uncomfortable approach. Chin implants can be done more easily under local. In my opinion, both are better done under iv sedation.
 

This is a more complex operation than a chin implant as mentioned previously, but using local anesthesia is very much dependent on the patient as well as the surgeon. I do not use screws when placing these implants and have done so under local anesthesia. But, pure local anesthesia is what you get when you have your teeth worked on and in surgical operating room, we can occasionally augment this with oral medications that can make the procedure more tolerable. As long as no bone work is involved, then local anesthesia can be used in the right patient.

When you refer to jaw implants for facial widening, I assume you are referring to jaw angle implants. Unlike chin implants which could be done under local anesthesia, such is not the same for jaw angle implants. These implants are placed from inside the mouth with an incision way back along the jawline, posing much more difficulty than placing chin implants. in addition, lifting up the large masseter muscle on each side of the jaw to place angle implants is not a  manuever that can be done very comfortably, if at all, under local anesthesia. 

I do not feel a jaw implant can be placed and fixated with the techniques we presently utilize easily under local Anesthesia. Presently I think I would prefer general anesthesia for placement  of a jaw implant. This is different than a chin implant.