3 months after jaw angle implant. Thinking about removing it. In need of experts and honest opinions here

[stressftw]

Straight forward: I got jaw angle implants 3 months ago, the design i made with the doc was lookin really decent. Before the surgery i had a very decent jaw width and around 0.91-94 bigonial wdith, but i had a very short ramus which i wanted to correct. So we opted to do a thin design with only 3mm horizontal augmentation and bigger vertical augmentation. The problem is that dehiscence/implant reveal in those cases are very likely to happen and i didnt knew much about masseter dehiscence/implant reveal. My masseters is sitting higher than the implant site, it look really bad when i clench, which creates a discrepancy in volume in those areas. I havent had a sharp design so the implant reveal doesnt look that bad overall but another problem is that the volume on my masseters was the thing that gave my jaw a good width and i dont have it anymore.

The good points and bad points: Now i have a good angularity, very good ramus, also im starting to see hollowing on my face, 3/4 and side profile improved although im not liking the front. My bigonial to bizygo is around 0.83 now, it think maybe it doesnt look too narrow because my gonions are sitting low now giving a more square appearence, but i lost alot of width.

Note: Im still presenting swelling, specially on the right side, there is alot of hanging and thick skin specially inside my mouth and in the area of the sutures. I think the final results will be more visible at 6month mark. But i think at this point i already can access my new face shape. The process was absolutely brutal, mentally and phyisically speaking, i was looking like a complete abomination til 2.5month mark and only started to look "normal" now at 3 months. So for anyone that had jaw implant and are reading it, the recovery process is really long and my face still changing every day.

Concern about the decision of removing it: Im feeling trapped here as im afraid that removing the implants now will leave me with masseter position fucked up anyway and also give me excess skin and sagg. Im feeling very fucked up mentally lately. Also im creating this topic to alert the risks of doing jaw angles, specially if your aim is increase ramus height. it's not a simply thing, is a very invasive procedure, with alot of risks and not easy at all to go back, also if you drop down it vertically like i did you most likely have 99% chance of ending up with dehiscence/ implant reveal. Also the dehiscence can happen whilist removing the implant too, thats why im so worried.

I wanna know opinions on the current state of my face shape because at this point i really dont know if it will be worth it to remove it as i maybe will look even worse now removing it. I think my jaw looks kinda narrow now, but it's mostly because of the lack of soft tissue of the missing masseters that should be there. Im afraid switching for larger horizontal implant would make the masseter discrepancy look even worse too.




Im sorry for blurring the middle of my face in pics is that i dont want to leave it here at this point, hope u guys understand.

Looking like this now at 3 months

before

before / after: this photo is like 2.5 months after

before / after

before 3/4

 

[yyamann]

face looks very long in the after picture ngl, shouldve looked into getting some CCW rotation in the maxilla to bring it more forward and upward before getting implants bc now the implants made ur face longer and look downgrown

 

[Soychadcell]

Straight forward: I got jaw angle implants 3 months ago, the design i made with the doc was lookin really decent. Before the surgery i had a very decent jaw width and around 0.91-94 bigonial wdith, but i had a very short ramus which i wanted to correct. So we opted to do a thin design with only 3mm horizontal augmentation and bigger vertical augmentation. The problem is that dehiscence/implant reveal in those cases are very likely to happen and i didnt knew much about masseter dehiscence/implant reveal. My masseters is sitting higher than the implant site, it look really bad when i clench, which creates a discrepancy in volume in those areas. I havent had a sharp design so the implant reveal doesnt look that bad overall but another problem is that the volume on my masseters was the thing that gave my jaw a good width and i dont have it anymore.

The good points and bad points: Now i have a good angularity, very good ramus, also im starting to see hollowing on my face, 3/4 and side profile improved although im not liking the front. My bigonial to bizygo is around 0.83 now, it think maybe it doesnt look too narrow because my gonions are sitting low now giving a more square appearence, but i lost alot of width.

Note: Im still presenting swelling, specially on the right side, there is alot of hanging and thick skin specially inside my mouth and in the area of the sutures. I think the final results will be more visible at 6month mark. But i think at this point i already can access my new face shape. The process was absolutely brutal, mentally and phyisically speaking, i was looking like a complete abomination til 2.5month mark and only started to look "normal" now at 3 months. So for anyone that had jaw implant and are reading it, the recovery process is really long and my face still changing every day.

Concern about the decision of removing it: Im feeling trapped here as im afraid that removing the implants now will leave me with masseter position fucked up anyway and also give me excess skin and sagg. Im feeling very fucked up mentally lately. Also im creating this topic to alert the risks of doing jaw angles, specially if your aim is increase ramus height. it's not a simply thing, is a very invasive procedure, with alot of risks and not easy at all to go back, also if you drop down it vertically like i did you most likely have 99% chance of ending up with dehiscence/ implant reveal. Also the dehiscence can happen whilist removing the implant too, thats why im so worried.

I wanna know opinions on the current state of my face shape because at this point i really dont know if it will be worth it to remove it as i maybe will look even worse now removing it. I think my jaw looks kinda narrow now, but it's mostly because of the lack of soft tissue of the missing masseters that should be there. Im afraid switching for larger horizontal implant would make the masseter discrepancy look even worse too.




Im sorry for blurring the middle of my face in pics is that i dont want to leave it here at this point, hope u guys understand.

Looking like this now at 3 months
View attachment 2760009View attachment 2760005View attachment 2760079View attachment 2760090View attachment 2760022

before

View attachment 2760024



before / after: this photo is like 2.5 months after
View attachment 2760026View attachment 2760032

before / after
View attachment 2760056View attachment 2760057



before 3/4
View attachment 2760135View attachment 2760144

Before making any descion, wait at least a year and get used to your new look. It might take up to 10 months dor swelling to fully disappear.

 

[stressftw]

Before making any descion, wait at least a year and get used to your new look. It might take up to 10 months dor swelling to fully disappear.

face looks very long in the after picture ngl, shouldve looked into getting some CCW rotation in the maxilla to bring it more forward and upward before getting implants bc now the implants made ur face longer and look downgrown

Yeah, face changed so much since 3 months, still changing, i have had botox at 1month post surgery to see how it would deal with dehiscence, face thinned alot, making it look kinda bad, but now face widened again because botox wear off and i dont think it looks that bad and narrow like before specially with the hollowing. I still think there is alot of room to skin to readapt and thighten and more residual swelling to subside, ill keep u guys updated

 

[PrimoMaxxer]

you added way too much height with the implants. that increases the risk dehiscence, and it was also unnecessary. Your ramus is too long relative to your mandible now, and your jaw frontal angle is too low. Your jaw also become too narrow. You should swap them out for smaller implants if possible. May i ask who the surgeon was?

 

[stressftw]

Been a while since i dont shave so i will throw a update here clean shaven

 

[PrinceofDarkness]

Been a while since i dont shave so i will throw a update here clean shaven

View attachment 2977182View attachment 2977184View attachment 2977186

it looks good bro, can you dm the surgeon who did it?

 

[Itsnotmeiswear]

Looked better before imo

 

[kingofkings]

I also preferred how your frontal jaw shape looked before, quite honestly.

I can see you're trying to mimic Cavill's jaw and cheek hollowing, which kinda makes some sense since all women thirst over him, but obviously there's more to his appeal than just his jaw.

 

[stressftw]

I also preferred how your frontal jaw shape looked before, quite honestly.

I can see you're trying to mimic Cavill's jaw and cheek hollowing, which kinda makes some sense since all women thirst over him, but obviously there's more to his appeal than just his jaw.

I also do prefer my frontal angle before. Although the hollowing is interesting and striking and sides, 3/4 are clearly better, i also do prefer my old front. My copium in regards to the front is that i was always clenching in those situations and photos and thats why i had this angularity in the frontal angle in the before, in normal situations not clenching it wasnt that angular and wide. Regardless i share the same thoughts as you and do hope definition keeps improving til 1year mark+

 

[kingofkings]

I also do prefer my frontal angle before. Although the hollowing is interesting and striking and sides, 3/4 are clearly better, i also do prefer my old front. My copium in regards to the front is that i was always clenching in those situations and photos and thats why i had this angularity in the frontal angle in the before, in normal situations not clenching it wasnt that angular and wide. Regardless i share the same thoughts as you and do hope definition keeps improving til 1year mark+

Yep, the sides and 3/4 are undeniably a solid improvement. Side profile isn't that important though. My chin wing that I posted about here gave me a perfect side profile result, I literally couldn't have morphed it any better. But I'd give anything to trade it for my dream frontal-view result. I need jaw angle implants on top to reach my goal.

Long term micro swelling in the face is definitely a real thing, you've got some hope there.

If I was in your shoes I'd wait for the 1 year mark and if necessary you could always consider getting them redone with the same dimensions but less drop-down. You'd be basically guaranteed a better result.

 

[stressftw]

7 months and few days out and 6 months and few days post botox, i feel that my jaw is starting to visibly widening up again as the botox tappered off. My only issue right now is some soft tissue and skin excess on the right side, dont know if its from residual swelling or fibrosis, hope it improves til 1 year mark, also think it will get little bit more wider

 

[Francefag]

View attachment 3020434View attachment 3020458 7 months and few days out and 6 months and few days post botox, i feel that my jaw is starting to visibly widening up again as the botox tappered off. My only issue right now is some soft tissue and skin excess on the right side, dont know if its from residual swelling or fibrosis, hope it improves til 1 year mark, also think it will get little bit more wider

mogger

 

[stressftw]

Just to add that i still dislike my front although i like the angularity from 3/4 and sides. I dont know if i should persue a revision to fix the dehis or leave it and accept my new face because there are many risks envolved. I honestly miss my old face and regret the surgery still.

 

[stressftw]

@RealSurgerymax i tried to get in contact with you several times, if you can reply me somehow will be very grateful.

 

[Deleted member 84849]

Jaw angles r a shit implant in general, everybody gets dehiscence.

You didn't even need them, this is what happens when you combine body dismorphia and brainrot.

 

[Deleted member 84849]

 

[stressftw]

Jaw angles r a shit implant in general, everybody gets dehiscence.

You didn't even need them, this is what happens when you combine body dismorphia and brainrot.

That's harsh. Sadly i agree with you. I had no ramus and and a bad mandibular plane, jaw angles look to be ideal in my case, unfortunately i had no idea about the deshis impact and how hard it is to fix it.

Now i want to fix this.. But doesnt seem to have many options,

i know @RealSurgerymax know's how to deal with it, im trying to contact him without success for months unfortunately

 

[RealSurgerymax]

That's harsh. Sadly i agree with you. I had no ramus and and a bad mandibular plane, jaw angles look to be ideal in my case, unfortunately i had no idea about the deshis impact and how hard it is to fix it.

Now i want to fix this.. But doesnt seem to have many options,

i know @RealSurgerymax know's how to deal with it, im trying to contact him without success for months unfortunately

dm

 

[jackinthebox]

Been a while since i dont shave so i will throw a update here clean shaven

View attachment 2977182View attachment 2977184View attachment 2977186

Looks really good imo, don't know why you are asking for removing. I can't tell you got surgery, if I saw you without knowing that I"d just assume you have great jaw genetics.

 

[RoyaleWithCheese]

That's harsh. Sadly i agree with you. I had no ramus and and a bad mandibular plane, jaw angles look to be ideal in my case, unfortunately i had no idea about the deshis impact and how hard it is to fix it.

Now i want to fix this.. But doesnt seem to have many options,

i know @RealSurgerymax know's how to deal with it, im trying to contact him without success for months unfortunately

Chiming in again. Like i said before I have the same issue as you. While i still have not gotten around to fixing it I still plan on doing so at some point. Here’s the reality: You simply cannot add significant height to your gonion thru implant without getting some deshis. Still, big gonia are so important that I do not regret my implants. Here’s what I understand potential solutions to be:

1) Filler to literally fill in and conceal the dishes. This seems the most simple option and is what I plan on doing later this year.

2) Have a surgeon cut you open there and attempt to reattach the masseter muscle. I have read that it can be done however the surgeon i consulted with said he felt it was too risky.

3) Newly designed custom implant. Cons: Expensive. Difficult and invasive for a surgeon to pluck out those implants and put in new ones with no guarantee that you’ll successfully fix the deshis.

So filler really seems the best option to me, I was assured that it can fix it so we’ll see. I just haven’t had time to get to it yet because I wanna take time off work for it.

 

[stressftw]

Chiming in again. Like i said before I have the same issue as you. While i still have not gotten around to fixing it I still plan on doing so at some point. Here’s the reality: You simply cannot add significant height to your gonion thru implant without getting some deshis. Still, big gonia are so important that I do not regret my implants. Here’s what I understand potential solutions to be:

1) Filler to literally fill in and conceal the dishes. This seems the most simple option and is what I plan on doing later this year.

2) Have a surgeon cut you open there and attempt to reattach the masseter muscle. I have read that it can be done however the surgeon i consulted with said he felt it was too risky.

3) Newly designed custom implant. Cons: Expensive. Difficult and invasive for a surgeon to pluck out those implants and put in new ones with no guarantee that you’ll successfully fix the deshis.

So filler really seems the best option to me, I was assured that it can fix it so we’ll see. I just haven’t had time to get to it yet because I wanna take time off work for it.

Fillers can mask the issue indeed. if you like your design they might be a best solution. In my case i dont know if my design is optimal, and regardless of a likely dehis, i have implant reveal because my drop down was huge and it should be way less..

 

[Rea]

Before VS Before

 

[SubhumanityForce]

Straight forward: I got jaw angle implants 3 months ago, the design i made with the doc was lookin really decent. Before the surgery i had a very decent jaw width and around 0.91-94 bigonial wdith, but i had a very short ramus which i wanted to correct. So we opted to do a thin design with only 3mm horizontal augmentation and bigger vertical augmentation. The problem is that dehiscence/implant reveal in those cases are very likely to happen and i didnt knew much about masseter dehiscence/implant reveal. My masseters is sitting higher than the implant site, it look really bad when i clench, which creates a discrepancy in volume in those areas. I havent had a sharp design so the implant reveal doesnt look that bad overall but another problem is that the volume on my masseters was the thing that gave my jaw a good width and i dont have it anymore.

The good points and bad points: Now i have a good angularity, very good ramus, also im starting to see hollowing on my face, 3/4 and side profile improved although im not liking the front. My bigonial to bizygo is around 0.83 now, it think maybe it doesnt look too narrow because my gonions are sitting low now giving a more square appearence, but i lost alot of width.

Note: Im still presenting swelling, specially on the right side, there is alot of hanging and thick skin specially inside my mouth and in the area of the sutures. I think the final results will be more visible at 6month mark. But i think at this point i already can access my new face shape. The process was absolutely brutal, mentally and phyisically speaking, i was looking like a complete abomination til 2.5month mark and only started to look "normal" now at 3 months. So for anyone that had jaw implant and are reading it, the recovery process is really long and my face still changing every day.

Concern about the decision of removing it: Im feeling trapped here as im afraid that removing the implants now will leave me with masseter position fucked up anyway and also give me excess skin and sagg. Im feeling very fucked up mentally lately. Also im creating this topic to alert the risks of doing jaw angles, specially if your aim is increase ramus height. it's not a simply thing, is a very invasive procedure, with alot of risks and not easy at all to go back, also if you drop down it vertically like i did you most likely have 99% chance of ending up with dehiscence/ implant reveal. Also the dehiscence can happen whilist removing the implant too, thats why im so worried.

I wanna know opinions on the current state of my face shape because at this point i really dont know if it will be worth it to remove it as i maybe will look even worse now removing it. I think my jaw looks kinda narrow now, but it's mostly because of the lack of soft tissue of the missing masseters that should be there. Im afraid switching for larger horizontal implant would make the masseter discrepancy look even worse too.




Im sorry for blurring the middle of my face in pics is that i dont want to leave it here at this point, hope u guys understand.

Looking like this now at 3 months
View attachment 2760009View attachment 2760005View attachment 2760079View attachment 2760090View attachment 2760022

before

View attachment 2760024



before / after: this photo is like 2.5 months after
View attachment 2760026View attachment 2760032

before / after
View attachment 2760056View attachment 2760057



before 3/4
View attachment 2760135View attachment 2760144

please explain to me how can someone lose bigonial width/. you did NOT shave bone, only ADDED 3mm. if you didnt touch your zygomatic bones, then your bigonial to bizygomatic ratio should increase , closer to 1, NOT decrease. (even though im not a huge fan of 0.9 ratio and definitely not 1 (Andreas Erikssen's ratio beats every living thing.

2nd. you painted black the key areas where we can determine your vertical midface distance, even though it appears to be long indeed. Most probably , if you woudnt have any surgery, you would need to NOT touch your chin vertical height, and ADD ramus vertical height only. thats the only way to achieve something like cavill's jaw (also add chin WIDTH (again, not VERTICAL).

 

[stressftw]

please explain to me how can someone lose bigonial width/. you did NOT shave bone, only ADDED 3mm. if you didnt touch your zygomatic bones, then your bigonial to bizygomatic ratio should increase , closer to 1, NOT decrease. (even though im not a huge fan of 0.9 ratio and definitely not 1 (Andreas Erikssen's ratio beats every living thing.

2nd. you painted black the key areas where we can determine your vertical midface distance, even though it appears to be long indeed. Most probably , if you woudnt have any surgery, you would need to NOT touch your chin vertical height, and ADD ramus vertical height only. thats the only way to achieve something like cavill's jaw (also add chin WIDTH (again, not VERTICAL).

Because my gonions now are lower and there are no masseters covering it, so the gonion itself is narrower. That should be expected because long ramus usually dont look good overly wide. By the time i made the thread i also did masseters botox and it was at it's peak
which decreased alot the width of my face overall and jaw

I havent touch my chin and did exactly what u said in the 2nd

i made a draw to explain in simple terms how decreasing gonions can make the jaw "narrower"

When i did the design i opted for a narrower jaw design because my masseters were already wide, also if your jaw implant design is overly exaggerated wide u can do nothing but remove it, if its not too wide u can augment with soft tissue to mask the masseters atleast, that was my thought. There shouldnt be any issues in regards to jaw width if my masseters followed the implant, but the dehiscence kinda fucked up this. Fillers should help in that sense although the ideal scenario would be the masseters in the right place..

My ramus/ gonios are more or less like this now

No ramus wide masseters 2 first photos( i was clenching in both) vs Long ramus average width ( no clenching)

 

[trueceI]

Update?

 

[trueceI]

how much vertical augmentation was that

 

[stressftw]

how much vertical augmentation was that

Sup, im 10 months out, i discovered have had massive 15mm vertical augmentation (previously thought it was 0.8mm).

Know studying better in that regard i shouldve had around 0.4mm augmentation max

As it seems i dont think i have dehiscence at this point but massive implant reveal from the insane augmentation. Im looking for a revision to replace the implants with smaller ones or removing them completely. My main concern at this point is avoiding potential masseter muscle dehiscence from the replacement / removal.

 

[trueceI]

Sup, im 10 months out, i discovered have had massive 15mm vertical augmentation (previously thought it was 0.8mm).

Know studying better in that regard i shouldve had around 0.4mm augmentation max

As it seems i dont think i have dehiscence at this point but massive implant reveal from the insane augmentation. Im looking for a revision to replace the implants with smaller ones or removing them completely. My main concern at this point is avoiding potential masseter muscle dehiscence from the replacement / removal.

View attachment 3223193

.4mm? U mean 4 rite?

 

[lemonmaxxing]

you look good man dw

 

[stressftw]

.4mm? U mean 4 rite?

Yeah, i meant 4mm sorry.

 

[Acromegaly_Chad]

First mistake was being Indian

Second mistake was being a subhuman

Your masseter will likely remain fucked even after removal.

 

[stressftw]

First mistake was being Indian

Second mistake was being a subhuman

Your masseter will likely remain fucked even after removal.

No need for that type of bashing bro

Im Brazilian


Not fucking my masseters after removal is what im trying to persue right now as it seems i only have implant reveal

 

[Acromegaly_Chad]

No need for that type of bashing bro

Im Brazilian


Not fucking my masseters after removal is what im trying to persue right now as it seems i only have implant reveal

send some pics that actually show the implant reveal it's hard to see on the other ones.

 

[Acromegaly_Chad]

No need for that type of bashing bro

Im Brazilian


Not fucking my masseters after removal is what im trying to persue right now as it seems i only have implant reveal

Avoiding Jaw Angle Implant Reveal in Custom Jawline Implant Designs - Explore Plastic Surgery

In designing custom jawline implants the temprtation to square out the jaw angle design should be avoided to prevent aesthetic implant reveal.

exploreplasticsurgery.com

 

[stressftw]

Avoiding Jaw Angle Implant Reveal in Custom Jawline Implant Designs - Explore Plastic Surgery

In designing custom jawline implants the temprtation to square out the jaw angle design should be avoided to prevent aesthetic implant reveal.

exploreplasticsurgery.com

yup, since that happened ive read alot about this also, i have talked with alot of people that had the same issue. One issue that scares me is that removing implants can also cause dehiscence, thats why it needs to be done carefully

send some pics that actually show the implant reveal it's hard to see on the other ones.

firest is before / after clenching. Then ther other ones im covering the implant area while clenching