Introduction

Many people seem to have something oddly remarkable about their face which almost makes them look like a Greek god or goddess. If you try to observe a little more closely, probably you may not be able to figure out what exactly that is which makes them so attractive to other people. But we can tell you about that one feature which makes few people appear to be so mesmerizing. That is a strong jaw line. A strong and well- defined jaw line is often considered to be a sign of masculinity in males and assertive elegance in females. A good jaw line can really balance put the lower third of the face and make the face look very appealing overall. Jaw implants are done to generally augment the jaw line by making it more widen and sculpted. It gives the face a sharper look. The difference between a sharp and a weak jaw line is that a well- defined jaw line is more angles and contoured whereas a weak jaw line will seem to blend in with the neck and appears to go downward.

Though people who are blessed with a great jaw line may enjoy their look even in their 40s, however as we age the bones tend to lose their structure progressively but slowly. The height and the length of the jaw changes with growing age which affects the whole face consequently. If you are one of those people who had a great jaw line which seems to have lost its contour with time or you are one those who wants to get a new sculpted jaw line, then jaw augmentation by jaw implants could be the procedure that you are looking for.

Another name for jaw implants is gonial implants. Gonial angle is the angle made by the jaws and therefore the name for the implants.

Who can opt for jaw implants?

Before you can opt for jaw implants is it very important that your jaws and teeth are in good working condition. Having a weak jaw line in a case where rest of the teeth and jaw function normally can make the person achieve that strong look with the help of jaw implants. A person should be in overall good health before undergoing any mandibular or jaw implants.

Jaw augmentation by fillers and implants

Jaw augmentation with the help of jaw implants requires surgical intervention. It is more invasive as compared to the procedure for jaw fillers. The implant is inserted via an incision which is made inside the mouth and is put on the current bone structure. This add dimension to the jaw line.

The implants may be made of silicone. Once the implant is place it is then adjusted according to the jaw line and the contour. To ensure that the implant stays in place, it is fixed with the help of titanium screws. The same procedure is done on both the sides of the jaw. To ensure that no salvia enters the wounds as they are healing, the incisions are stitched in layers.

Jaw implants give longer lasting results as compared to jaw fillers.

Jaw implants and chin implants are two different things. But sometimes jaw implantation and chin implantation can be done together to achieve that perfect look.

What to expect from a jaw implant procedure?

Jaw augmentation or reshaping surgery may be done in isolation or in combination with other facial plastic procedures such as cheek implants, chin implants etc. Before the surgery, your cosmetic surgeon will discuss with you about the right size of the implants and your expectations from the procedure. Generally the procedure may be carried on an out- patient basis and the patient is sedated and is not fully unconscious. But your surgeon will tell you about all the anesthesia options before the surgery only. The procedure does not more than two hours if only jaw implants are being placed. If other procedures are being performed along with jaw augmentation it may take longer.

Post- operative scenario

The incision site will be covered in bandage to aid in healing and to avoid infection for a 7- 10 days. The patient will be asked to rest the jaw as much as possible. The stitches are soluble and may take a fortnight to dissolve completely. There could be some post- operative numbness in the lips which subsides within a day. To ensure that the jaw implant stays in place and does not move, the patient is advised to not indulge in any strenuous activity and any contact sport. In very rare cases, the implant may get infected in which case the surgeon will have to do another surgery. Some swelling and soreness in the jaw area is fairly common which should become progressively better and should completely heal in about 20 days.

Jaw Surgery In India

Jaw issues are common for most people who might have too big a jaw line or for those who have had an accident or those who have too narrowed a jaw. Jaw related issues are a serious problem and they make us look exhausted, unhealthy or older than our natural age and hence the requirement of jaw surgery in India. There are several types of jaw surgeries in India offered by professionals at Esthetics Clinic that can help anyone with the problem of jaw.

There are many causes behind an abnormal jawline which require jaw surgery in Indiasuch as-

  • Heredity aging
  • Deformity
  • Accidents
  • Need to appear more beautiful

Jaw line correction treatment and other jaw surgeries in Indiatreatment of top grade are available at Esthetics Clinic. The experts here begin by identifying the underlying cause for the same clubbed with understanding what jaw surgery in India type best works for the individual.

  • We offer laser treatments that can be effective depending on the cause of deformity.
  • We also recommend Filler injection in some cases where the causes are cosmetic needs.

The benefit of undergoing jaw surgery in India is that we offer a complete assessment of the causes that may have led to the defective jaw in the first place. The best doctors available for jaw surgery in India assess the problems and help the patients throughout the treatment span at Esthetics Clinic.

A corrective jaw surgery for the purpose of realignment of jaw is a common surgery performed these days for correcting the following issues:-

  • Open bite which causes a gap between the lower and the upper jaw when they are closed together
  • Pain in the TMJ
  • Headache caused due to movement of the jaw
  • Problems in mastication
  • Breathing from mouth due to jaw malposition
  • Trauma to the dental structure
  • Congenital defects
  • Realignment of jaw to correct the protruding jaw
  • Sleep problems that occur due to malocclusion such as excessive drooling and snoring

Main objectives of a corrective jaw surgery or dental realignment surgery:-

  1. Restore the stability of dental occlusion
  2. Improve or restore the function of the TMJ
  3. Restore the aesthetics of the facial features

Deformities of the mandible and maxilla along with the shape of the chin may cause serious functional and aesthetic issues for a patient. A combination of orthodontics and corrective jaw surgery is utilized for complete realignment of the jaws.

Anatomy of the jaws:-

In case of perfect alignment of the maxilla and the mandible, that is the upper and the lower jaw, the two align with each other perfectly. If the maxilla does not align perfectly in a definite position with the mandible, then functional and aesthetic issues are caused. A person’s jaws may become disproportionate due to trauma or functional habits or may be such because of congenital deformity. Either way, the malocclusion of the jaw may affect the function of the joint, shape of the face; airway patency etc. Uneven growth of the maxilla and the mandible may also result in an open bite which causes incomplete opening of the upper and the lower jaw. Though, orthodontics may be helpful in mild cases of realignment, if the corrective scope is more than 2-3 mm, then a corrective jaw surgery has to be performed by a maxillofacial surgeon.

What is the need for surgical realignment of jaws or a corrective jaw surgery?

Malposition of the upper or the lower jaw can lead to several health conditions. Apart from common issues of jaw dysfunction and problems in chewing, problems like obstructive sleep apnea may also occur in long term which may affect the function of the heart and lungs. Therefore, jaw realignment surgery or a corrective jaw surgery can help in normal jaw movements, prevent any further issues of the TMJ and also resolve the sleep apnea by clearing up the airway.

How is a corrective jaw surgery performed?

Before commencing with the realignment of the jaws, an evaluation is done to assess and classify the bite or the occlusion. A completely normal bite in which all dento- facial features are correctly aligned is classified as a class I bite. In case the mandible is smaller than the maxilla, the malocclusion is known as a class II bite and a class III bite refers to protrusion of maxilla over the mandible. In a class II bite, the patient’s chin looks smaller and in a class III bite the patient’s chin looks bigger in comparison to rest of the facial features.

Before a corrective jaw surgery is performed, to confirm the need of a corrective jaw surgery, various evaluations are made which include evaluation of the dental structure, the condition of the soft tissues and the relationship of the jaw and the teeth.

Patients who need to undergo a jaw surgery for their bite malocclusion can be classified under three categories.

  1. Patients who do not need any jaw surgery and the problem can be corrected with orthodontics.
  2. Patients with skeletal deformities as well as dental problems fall into second category if the treatment can be possibly done by orthodontics with surgical intervention at later stages. In this category, a dentist and surgeon have to work together to consistently evaluate the condition of the patient’s bite occlusion as the treatment is being performed.
  3. Patients belonging to this category require surgery as well as use of orthodontics for jaw realignment.

A jaw surgery is mostly performed in cases of maxillofacial deformity once the orthodontist has performed the alignment of the upper jaw and the lower jaw with braces. An orthodontist cannot fully resolve the malposition of the jaws without surgery because even after the dental compensation the jaw deformity will still be present. Also, there will be no scope left for the surgeon to perform the surgery. Therefore, before the jaw surgery is performed the braces are removed to evaluate the extent of abnormality. If this is not done, the jaw would still retain their malocclusion post surgery as well. This is a common occurrence in the cases of patients belonging to the second and third category mentioned above. If patients chooses only orthodontics but not jaw surgery then, once the surgery becomes inevitable it takes longer to correct the jaw malposition and the surgery is also delayed.

To obtain the best results after the jaw realignment surgery, it is important that the patient’s jaws are stabilized before the surgery. After the jaw surgery, some patients may also need to undergo minor tooth reshaping. The reshaping of the teeth is done to ensure that the teeth are comfortably fitting with each other after the jaw surgery is completed. A maxillofacial surgeon plays a crucial role in repositioning the facial bones with surgery to help in restoring the normal anatomy and functions of the jaws after the surgery. In most cases, the wisdom tooth is also removed six months before the corrective jaw surgery is performed. Once the teeth are positioned, the surgery involves moving the upper jaw or the lower jaw to achieve the objectives of the jaw surgery. The ossification of bones is monitored closely after the surgery. Today, modern technology allows testing of the surgical plan before the actual surgery with the help of computers.

In case the mandible or maxilla has to be repositioned, the surgeon may begin the surgery form either of the positions. Bone grafts may be taken from the patient’s own body if larger bone gaps are to be dealt with. Generally, bone grafts may be taken from the thigh of the patient. After the surgery, if the patient is still unconscious a nasal airway may be provided to assist breathing. Oral airway is not given because of the chances of the patient moving the newly positioned bones while gaining consciousness after the surgery.

There is a possibility of complications after the surgery. The complications after the surgery may range from mild to severe; therefore it is important to follow the instructions of your health care provider closely after the surgery. In various situations like nonunion or malunion of bones additional surgery may be required. It is very normal for the patients to experience numbness in the lower lips for a very long time after the jaw surgery. Rarely, the numbness may be permanent after the surgery. One of the complications of jaw surgery is infection at the point of surgery.

Complications after the surgery can be avoided if the surgery is meticulously planned and all aspects are well handled before and after the surgery as well. At Facial Plastic surgeon India, you can get elaborate information about jaw surgery which is performed by none other than Dr. Debraj Shome.

Dr. Debraj Shome And His Work

Dr. Debraj Shome is one of the leading Plastic, Facial Plastic and Cosmetic Surgeons in the world. Dr. Shome is the Co-Founder of and heads the Institute of Aesthetic Surgery –

The Esthetic Clinics, at JCI accredited leading multi-specialty corporate hospital. Dr. Shome was also the head for the Department of Facial Plastic & Cosmetic Surgery at the aforesaid clinic from the years 2009 to 2011. Since Oculoplastic Surgery is of high demand among patients across Pakistan and other countries, Dr. Shome’s fame is spreading all the more.

Dr. Debraj Shome specializes in facial cosmetic and reconstructive surgery, oculoplastic surgery, ocular and facial cancers, orbital, lacrimal & socket surgery. His top honors include-

Best Plastic Surgeon Mumbai

  • Top 10 Cosmetic Surgeon India
  • Best Oculoplastic Surgeon India
  • Marquis Who’s Who
  • Celebrity Plastic Surgeon in World
  • Marquis Who’s Who Asia Pacific

He has been awarded the following over his long experience-

  • Reviewer for Indian Journal of Ophthalmology’s ‘Head and Neck Surgery’;
  • Bharat Biotech – LVPEI Travel Grant Award in 2005
  • The American Academy of Ophthalmology’s Journal, ‘Dermatologic Surgery’ and for
  • the ‘Archives of Facial Plastic Surgery.’
  • Travelling Grant Fellowship Award from the Royal College of Surgeons, Glasgow for his work in Oncology research in 2005

He is presently attached to a number of multi-specialty hospitals including Breach Candy Hospital, Saifee Hospital, Nova Specialty Hospital and Holy Family Hospital. He is the present head of Facial Plastic Surgery centre at Nova Superspecialty Hospital, Mumbai, India. This is among the best centres that cater to ultra-super specialty surgery in the counter. He also co-founded the Esthetic Clinic at Apollo Health City, Hyderabad. Some specialities that Dr.Shome offers services in are-

  • Oculoplastic Surgery
  • Auricular Repositioning
  • Facial implants
  • Lip Augmentation & enhancement
  • Non-surgical Facial Rejuvenation
  • Face Lifts
  • Mid-Face lifts
  • Facial Reconstructive Surgery post Facial fractures and cancers
  • Rhytidectomy
  • Cosmetic Facial Plastic Surgery
  • Hair Transplants and Hair Restoration Surgery
  • Facial & Orbital Fracture Repairs
  • Neck Lifts
  • Jaw Contouring
  • Reconstructive Surgery for Facial & Eyelid Cancers
  • Blepharoplasty
  • Eyelash enhancement
  • Rhinoplasty
  • Facial Flaps & Grafts for Facial Cancers,
  • Orbicularis Oculi Myectomy for intractable Hemifacial spasm & Blepharospasm
  • Eyelid Surgery viz. Ectropion

About Dr. Debraj Shome

Debraj Shome-2
Debraj Shome, MD, DO, DNB, FRCS (Glasgow), FICO (USA), MNAMS, MBA (Healthcare Management, Vanderbilt University, USA), is Consultant Facial Plastic Surgeon, Oculoplastic Surgeon & Cosmetic Surgeon at Nova Specialty Surgery, Mumbai, India..Read more

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