Jaw angle implant thread, whats is muscle dehiscence etc

[lurking truecel]

I want to get jaw angle implants but want to avoid dehisinence. My problem is that the ramus height I need for optimal ratios is pretty significant. Or just take the TMJ torquing / MSDO pill?

Just get jaw implants, the reveal isnt that big of a problem. Just dont go overboard woth the design and stay with a more safe shape

 

[salvation]

I have been wondering whether you can really lower the risk significantly by just doing little to no vertical augmentation. I think Eppley said that in one of his posts though I don't know if there are any other factors at play.

I already have tall rami and just need width but I don't know if it's worth the risk. Just need a couple of mms on each side... anyway personally I'd say don't go overboard with vertical augmentation if you decide to get some. It's super easy to end up looking like a block if you have tall rami + good width which is why I only really want a conservative implant.

 

[nishka]

I have been wondering whether you can really lower the risk significantly by just doing little to no vertical augmentation. I think Eppley said that in one of his posts though I don't know if there are any other factors at play.

I already have tall rami and just need width but I don't know if it's worth the risk. Just need a couple of mms on each side... anyway personally I'd say don't go overboard with vertical augmentation if you decide to get some. It's super easy to end up looking like a block if you have tall rami + good width which is why I only really want a conservative implant.

a couple of mm on each side wont really make the change you think it will maybe?

 

[Nahorscend]

I have been wondering whether you can really lower the risk significantly by just doing little to no vertical augmentation. I think Eppley said that in one of his posts though I don't know if there are any other factors at play.

I already have tall rami and just need width but I don't know if it's worth the risk. Just need a couple of mms on each side... anyway personally I'd say don't go overboard with vertical augmentation if you decide to get some. It's super easy to end up looking like a block if you have tall rami + good width which is why I only really want a conservative implant.

True, same question. If your ramus is already 100% fine but your gonion point just needs to be more outwards, can you do an implant which does not cover ramus and do you think that would that be much safer for dehiscence? @lurking truecel

(ofc you still need good design and not flare the gonion much else implant reveal but that's a different issue)

 

[whitepill_is_true]

wow masseter insertions seem really important in jaw implants, nice thread

 

[Aqualad]

firstly, i am not a fucking surgeon so dont take everything i say seriously, i am just a hobby cuck like the rest of you. My info comes from reasoning what surgeons shared and what people on this forum has shared which is not that much info to be fair.

heads up, Look whats written in the pics and in the thread.


But yea firstly, most people dont even know what dehisinence is, but its basically just the muscle sitting above the implant as the pic below shows.


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this one is not dehisence tho, this is just implant reveal from having to much flare on the implant so it pierces thru the skin like a arrow.
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as we can see on the design its too pointy at the gonion, he fell for the flared gonion meme. Which is only valid on real bone when the muscle sits over it.
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this was the before btw

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In the pic below it explains anatomically the reasons for dehisinence or implant reveal. I would call it the fundamental problem with jaw angle implant.


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In the ideal world it would work like in the pic where you can detach the muscle and place it so it covers the implant in a natural way. But news alert some people masseter muscle naturally sits higher then the gonions too.

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But afteralll the jaw implant is still a valid procedure but should be done conservatively. and with the correct design, and this is your surgeons task obv, but this is some ground basics that is shown in the pics below(this is not a deep dive on to how design implants):

View attachment 4583191


overall jaw implant is a valid procedure if one wants a more pronounced jawline. but it wont lower your ramus with 1 cm and look good obv if not lucky i guess.

And it will def not make your gonions sharp like brad pits or any other guy with those naturally as that is the muscle not the bone.

Btw the photos are taken from other threads, i didnt save reference so if someone finds the orginal threads, you can link below

This actually happened to me when I got my jaw implant (which is now removed) at least I think were referring to the same thing I didn’t really read ur thread

It basically looked like I had a dimple on my gonions. My surgeon said it was not that uncommon and he gave me a soft tissue graft of some kind to hide it and it was perfectly fine afterwards. So I don’t think this is the main concern with jaw implants, your main issue is being satisfied with your initial implant, which is a gamble. Personally I just gave up and removed it because everyone said it looked kinda shit especially my fam

 

[lurking truecel]

This actually happened to me when I got my jaw implant (which is now removed) at least I think were referring to the same thing I didn’t really read ur thread

It basically looked like I had a dimple on my gonions. My surgeon said it was not that uncommon and he gave me a soft tissue graft of some kind to hide it and it was perfectly fine afterwards. So I don’t think this is the main concern with jaw implants, your main issue is being satisfied with your initial implant, which is a gamble. Personally I just gave up and removed it because everyone said it looked kinda shit especially my fam

Damn, your fam said it looked shit? Thats kinda funny, but yea true i guess. Was it fat graft in the Corners or what kind of soft tissue did the surgeon do ? What material btw