What makes or break jaw angle implants?

[Realism]

People seem to argue left and right what actually makes or break jaw angle implants. Some say you need certain conditions to be met, some say fillers will always be superior, some say they'll always end up looking uncanny.

Are there any high IQ folks who knows what makes or breaks them?

For example, I have undergone trimax, but I have a very round ramus with inward gonions. I could also benefit from vertical lengthening at the gonions as well.

My plan was to ideally get them, in combination with jaw shaving, to recountor instead of just adding material, which is one of the factor I believe can turn people just bloated.

 

[kingofkings]

1. They are hard to design well because of the amount of tissue and muscle on top of them

2. They are hard to place well. This matters more than you think

3. Those who need jaw implants most are ironically the worst candidates because the bigger the implant the more risk of implant show and/or dehiscience

Those are the 3 big problems

 

[kingofkings]

Random extra - if your face is shaped like a perfect boneless orange and you have thick facial skin it will be extremely challenging to get even a decent result.

You see a lot of these perfect boneless oranges getting jaw implants and it just turns them into even more of a perfect boneless orange

This is why I'm waiting and watching for the final result of Tim closely, as he was the archetypal perfect boneless orange face shape and imo Giant is the best jaw implant designer around, so it's the ultimate test

 

[Usurper]

I will ask Ramieri and other surgeons about them. I would like taller ramus. Not a huge failo but I would benefit.

 

[lurking truecel]

I mean the most obv and clear things is that they cost like 10k+, often more. And have the highest infection risk upon installment. And they will allways be kinda ass for the soft tissue, not a huge problem tho.

 

[Realism]

1. They are hard to design well because of the amount of tissue and muscle on top of them

2. They are hard to place well. This matters more than you think

3. Those who need jaw implants most are ironically the worst candidates because the bigger the implant the more risk of implant show and/or dehiscience

Those are the 3 big problems

What is the ideal candidate? (if any)

 

[Realism]

I mean the most obv and clear things is that they cost like 10k+, often more. And have the highest infection risk upon installment. And they will allways be kinda ass for the soft tissue, not a huge problem tho.

Why would they have a bigger infection risk? What differentiates that from a normal wraparound? I know Eppley covers the whole implant with antibacterial powder and have had barely any infection cases since doing that

 

[lurking truecel]

Why would they have a bigger infection risk? What differentiates that from a normal wraparound? I know Eppley covers the whole implant with antibacterial powder and have had barely any infection cases since doing that

Wraparound u place thru chin incision often, doing it intra orally makes infection more likely. Also where the hell you got his inferction number from lol, u think surgeons reveal those numbers and say it truthfully in many cases

 

[Realism]

Wraparound u place thru chin incision often, doing it intra orally makes infection more likely. Also where the hell you got his inferction number from lol, u think surgeons reveal those numbers and say it truthfully in many cases

told me in person

 

[lurking truecel]

told me in person

Yea i mean all surgeons dont lie but sometimes they def do. For a surgeon 1 in 20 chance of infection on a procedure might mean its not even a case a year. Since he does prob 200 surgeries a year at most, most of them are not jaw implants. Maybe around 10 are, then its once every 2 years less

 

[Aqualad]

If you don’t have the money for like 2 extra revisions don’t even bother

 

[RoadToPersianChad]

1. They are hard to design well because of the amount of tissue and muscle on top of them

2. They are hard to place well. This matters more than you think

3. Those who need jaw implants most are ironically the worst candidates because the bigger the implant the more risk of implant show and/or dehiscience

Those are the 3 big problems

Would u say bsso is better then jaw angle for recession. Say someone had previously a class 2 malocclusion but had it fixed but is still recessed

 

[RoadToPersianChad]

If you don’t have the money for like 2 extra revisions don’t even bother

Would u say bsso is better then jaw angle for recession. Say someone had previously a class 2 malocclusion but had it fixed but is still recessed

 

[Aqualad]

Would u say bsso is better then jaw angle for recession. Say someone had previously a class 2 malocclusion but had it fixed but is still recessed

They achieve 2 completely different things wym

 

[RoadToPersianChad]

They achieve 2 completely different things wym

Like in general for a short mild recessed lower third what would be better. I had my class 2 bite fixed but didn’t change jaw structure. I’m not sure wether to get a consult for jaw angle or bsso.