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.


View attachment 4583188



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.
View attachment 4583193
View attachment 4583186
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.
View attachment 4583187

this was the before btw

View attachment 4583190


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.


View attachment 4583189


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.

View attachment 4583192

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

 

[it_will_begin]

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 bro, i'm getting small jaw implants soon with bimax (ramieri), how i can avoid this?
My theory is just get a well designed not extreme flared implant and if u get dehiscence just botox in the masseter and fillers to "smooth" the skin...

 

[Aqualad]

damn bro, i'm getting small jaw implants soon with bimax (ramieri), how i can avoid this?
My theory is just get a well designed not extreme flared implant and if u get dehiscence just botox in the masseter and fillers to "smooth" the skin...

I don’t think it’s going to happen to you

And like I said you can get a tissue graft to fix it

 

[lurking truecel]

damn bro, i'm getting small jaw implants soon with bimax (ramieri), how i can avoid this?
My theory is just get a well designed not extreme flared implant and if u get dehiscence just botox in the masseter and fillers to "smooth" the skin...

Its fine, not a big deal. You want the implant to be kinda round and almost expect some dehinsence. Ask some knowledgeable on implant design when you have the design

 

[monk321]

looks like shit and botched , i got scammed with a genio can't imagine if i did those pathetic implants too just to look like a deformed lord farquaad

 

[jackinthebox]

Jaw angle implants are fine if you only add 3mm of height? The dehinsence should barely be perceptible then. Not to mention normal Chad jaws will have some degree of bony undergrowth.

 

[it_will_begin]

Its fine, not a big deal. You want the implant to be kinda round and almost expect some dehinsence. Ask some knowledgeable on implant design when you have the design

i'll have the design some weeks before the surgery, at the end of march i'll go to Ramieri for the last check and then i'll schedule the surgery (in october-november), what should i ask to ramieri?

Jaw angle implants are fine if you only add 3mm of height? The dehinsence should barely be perceptible then. Not to mention normal Chad jaws will have some degree of bony undergrowth.

unfortunately i need more than 3mm height expecially on one side (i have very asymmetrical jaw), i hope i can get away with some condylar torquing on the shorter side (+implant obv)

 

[kaydd]

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.

Is it entirely the position of the masseters or can it be the masseter's ability to adapt to it too? Could a hypertrophied masseter prove to be less gentle with the foreign object?
Is there a way pre surgery to measure the elasticity and thickness of the muscle that sits on top? Any possible way to presume the dehiscene basically

 

[kaydd]

Jaw angle implants are fine if you only add 3mm of height? The dehinsence should barely be perceptible then. Not to mention normal Chad jaws will have some degree of bony undergrowth.

3mm is comical if one of your main issue is the ramus height

 

[Psl.sinper]

Good

happy for you that everything went good. I'm also going to get my infras done

 

[kaydd]

does jaw widening sound bad when paired with angle implants? And what effect does it have on dehiscence

 

[lurking truecel]

does jaw widening sound bad when paired with angle implants? And what effect does it have on dehiscence

Doesnt really affect it

 

[shedontluv-U]

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.


View attachment 4583188



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.
View attachment 4583193
View attachment 4583186
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.
View attachment 4583187

this was the before btw

View attachment 4583190


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.


View attachment 4583189


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.

View attachment 4583192

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

Straight to bookmarks

 

[kaydd]

Doesnt really affect it

thanks
my initial question, i could imagine if you get some widening during your bimax, your designing and cost could be simpler for your jaw angle

 

[lurking truecel]

thanks
my initial question, i could imagine if you get some widening during your bimax, your designing and cost could be simpler for your jaw angle

I mean, i know that bimax itself if you do it and after do implants you are more likely to get problems like dehiscence because of the muscle somehow being beaten during the bimax surgery. Both pag and ram said that. I dont know if its true but i guess so. Doing more widening and needing a smaller implant is favorable for sure. Buy i think its soft tissue thickness and design thats really important on how noticeable it is

 

[kaydd]

I mean, i know that bimax itself if you do it and after do implants you are more likely to get problems like dehiscence because of the muscle somehow being beaten during the bimax surgery. Both pag and ram said that. I dont know if its true but i guess so. Doing more widening and needing a smaller implant is favorable for sure. Buy i think its soft tissue thickness and design thats really important on how noticeable it is

Ill avoid it ig, not worth much doing widening on a short ramus anyways