How to choose a surgeon for jaw implants? (Photo)

Question

Hi, I tried googling my options but I've been scared off. This procedure seems to be rare and not many surgeons preform it. Many of the ones I've found have very sketchy track records and reviews. In addition, most silicone implants I've seen look terrible, asymmetrical and bumpy with no definition. Medpor is allegedly unsafe but looks better? I'm looking for results like the picture. I just want to find a reliable surgeon & choose the right material Thanks

Benjamin C. Paul, MD · Answer

This is a great question, as jaw implants have not received a lot of positive press though can create a beautiful shape to the jaw. Likely, the happy patients do not write much and anyone unhappy is ultra-focused on the outcome and populating the internet with his/her experience and opinion.This all being said, I think jaw implants can really enhance the shape of the face. I have yet to see a medpore jaw implant placed. In my fellowship year, I saw Dr. Phil Miller place many silicone jaw implants beautifully. Best of luck!

Francis R. Palmer, III, MD (retired) · Answer

Hi, I have performed many facial shaping procedures using dermal fillers, silastic facial implants (cheek, chin), liposuction and/or facelifts for over 30 years.  Non smiling photos of your face from the front and side would help in the evaluation. Following my beauty principles, men look chiseled and handsome with angularity in the cheeks, chin and mandibular angles.  From the photos, your cheeks are flat anteriorly (in the front), the chin is weak as are the mandibular angles and there is excess facial fat in front and below the cheeks.  This combines to create an elongated oval shaped face.  The following procedures would create a more ruggedly handsome face.
Cheek augmentation with cheek implants to add angularity to the cheeks and mid face.  Liposuction can be combined to reduce any excess fat to further shape the cheeks and face.
Chin augmentation, using a chin implant, to add projection to the chin creating harmony and balance to the lower face.  I have performed many facial shaping procedures, including Chin Augmentation with dermal fillers or silastic chin implants, for over 30 years.  When the chin is weak, this creates an imbalance making the nose appear larger, the mid face top heavy, the lower face looks short, de-emphasizes the lips and allows early formation of a "double chin".  Proper placement of a silastic chin implant adds forward projection to the chin thereby creating harmony and balance to the lower face.  Using the same incision, liposuction can be performed to reduce the fat and further shape the neck.  Excess skin, from below the chin, can also be removed through the same incision.  I have found that placement of a silastic chin implant, through a small curved incision under the chin (also allows excess skin removal) to be very safe, quick, highly effective and far less invasive than a sliding genioplasty (requires extensive tissue dissection, bone cuts and placement of metal screws and plates to secure the cut bone segments).  I perform chin implant surgery in 30 minutes or less, often using a local anesthetic alone.  In my opinion, you are a good candidate for chin implant surgery.  
Augmentation of the mandibular angles using a dermal filler (jaw implants have too many unwanted side effects IMHO) to add volume, angularity and flare to the jaw line.
Hope this helps.

Gerald Wittenberg, MSc, DMD (retired) · Answer

There are 3 basic materials used including Gortex, silastic and medpor. The Gortex is most ideal since the tissues actually infiltrate the material and the final 'look' is more tapered/tight as opposed to materials like Silastic. I prefer to 'carve' the material custom-wise for all patients; since it allows a better result and can alter the asymmetry as well. Further, the concept of 'small, medium, large' with standard implants is dated and one must adapt to the patient anatomy. Some of us do have extensive experience with this approach but one must also consider the entire jawline and not just one aspect.

How to choose a surgeon for jaw implants? (Photo)

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