When does masseter dehiscence appears

[Astri78]

Hello everyone! I'm new to the forum, and I'd like to thank you in advance for the welcome!

I'm new to the world of looksmaxing and am discovering this forum with great interest!

I'm planning to get mandibular angle implants in two weeks. For your information, the implants are custom-made titanium. One is 3mm wide and 6mm vertical, the other is 1mm wide and 10mm vertical.

I'm obviously worried about the risk of masseter muscle dehiscence. I haven't been able to understand, after reading various websites and forum threads, when this risk is highest in time.

I do weight training and would like to be able to resume my workouts with peace of mind after a few weeks. Some websites state that the risk only exists during the operation (and that dehiscence "appears" when the swelling disapears): https://www.eppleyplasticsurgery.co...cle dehiscence is,later even if trauma occurs.

Is it possible for dehiscence to occur later, if I chew or yawn too hard a month or three months later, for example? In short, to minimize the risk of dehiscence, is it necessary to be very careful in the weeks/months following the operation, or is the risk primarily during the operation itself? (even if it only appears once the swelling has gone down)

Thank you in advance!

 

[lurking truecel]

I mean you should prob be careful snd dont do uneccary things. But you most likely will yawn and stuff in your sleep so its kinda inevitable and it shouldnt depend on that

 

[Astri78]

I mean you should prob be careful snd dont do uneccary things. But you most likely will yawn and stuff in your sleep so its kinda inevitable and it shouldnt depend on that

Thank you for your answer! So basically, you confirm that the high risk is during the operation itself, and that I can come back to the gym 2 or 3 weeks later without any further risk of dehiscience if im carefull (keep the mouth "relax" and low weights)
The surgeon told me that the only dehiscence he ever got was 3 years after the operation, I wonder how it could happen...

just for additional information, I got botox injected in the masseter yesterday for the relaxing effect, two weeks before the surgery

 

[lurking truecel]

Thank you for your answer! So basically, you confirm that the high risk is during the operation itself, and that I can come back to the gym 2 or 3 weeks later without any further risk of dehiscience if im carefull (keep the mouth "relax" and low weights)
The surgeon told me that the only dehiscence he ever got was 3 years after the operation, I wonder how it could happen...

just for additional information, I got botox injected in the masseter yesterday for the relaxing effect, two weeks before the surgery

I mean yea sounds weird that it came so long after. But yea you can gym but dont do it laying down, only sitting and standing

 

[Astri78]

I mean yea sounds weird that it came so long after. But yea you can gym but dont do it laying down, only sitting and standing

Yes thank you so much for this previous advice!
Definitly I will stop the benchpress for 5/6 month and just use sitting machine instead.
I tried and definitely the pressure in the head is much lower than the bench

 

[Astri78]

Hello
Operation has been done 30 days ago
Unfortunately I'm afraid to get the dehiscience on my left side
Hard to be 100% sure. I still have some swelling I guess

Without contracting it looks perfectly OK.
However when contracting the bulge is clearly 1cm above the angle.
I have some hope it could be the botox injected 6 weeks ago (2 weeks prior the operation), that could maybe have totally paralyzed the bottom of the masseter?
The bulge looks quite symmetrical with the other side, juste is not goin down to the angle. It dosnt loo' extra large neither when contracting.

Could the botox totally paralyze a portion of the masseter?

I'm afraid to eat normally, I don't know if it could get worse if I bite on standard food

I don't know, the fact that it looks perfectly OK without contracting is a green flag for me after 30 days, where at least 75% of the sweeling is gone, but still... I don't know

If I get dehiscience, will the masseter still go higher over time? Shall I be more careful in the following weeks?

 

[lurking truecel]

Hello
Operation has been done 30 days ago
Unfortunately I'm afraid to get the dehiscience on my left side
Hard to be 100% sure. I still have some swelling I guess

Without contracting it looks perfectly OK.
However when contracting the bulge is clearly 1cm above the angle.
I have some hope it could be the botox injected 6 weeks ago (2 weeks prior the operation), that could maybe have totally paralyzed the bottom of the masseter?
The bulge looks quite symmetrical with the other side, juste is not goin down to the angle. It dosnt loo' extra large neither when contracting.

Could the botox totally paralyze a portion of the masseter?

I'm afraid to eat normally, I don't know if it could get worse if I bite on standard food

I don't know, the fact that it looks perfectly OK without contracting is a green flag for me after 30 days, where at least 75% of the sweeling is gone, but still... I don't know

If I get dehiscience, will the masseter still go higher over time? Shall I be more careful in the following weeks?

Over if you see it this early, it only gets worse with time

 

[Astri78]

Over if you see it this early, it only gets worse with time

Do you think I can have any hope this is not dehiscience but botox?
You mean it can really degrade that bad after 30 days? Shall I only it liquid stuff for some month?
I will get depressed for a while I guess

 

[lurking truecel]

Do you think I can have any hope this is not dehiscience but botox?
You mean it can really degrade that bad after 30 days? Shall I only it liquid stuff for some month?
I will get depressed for a while I guess

nah you fine. Stop worrying. Eat whstever

 

[Astri78]

nah you fine. Stop worrying. Eat whstever

Yes but dehiscience is 100% for you...
Wana cry

 

[lurking truecel]

Yes but dehiscience is 100% for you...
Wana cry

Thats how it is bruh, camoflage with f
Grafts

 

[Astri78]

Thats how it is bruh, camoflage with f
Grafts

OK so 100% for you it cannot be botox

 

[Astri78]

Thats how it is bruh, camoflage with f
Grafts

I'm from France there is no such graft here
Going to cry all night, afraid to look awefull in a few weeks

 

[lurking truecel]

I'm from France there is no such graft here
Going to cry all night, afraid to look awefull in a few weeks

 

[Astri78]

I'm feeling I just ruined my life

 

[Astri78]

What make you sure it cannot be the botox? It is absolutely impossible the botox paralyzed the bottom of the masseter?

 

[lurking truecel]

What make you sure it cannot be the botox? It is absolutely impossible the botox paralyzed the bottom of the masseter?

test

 

[Astri78]

test

OK so the botox cannot paralize I understand
Still the bulge is not wider than before, I would have think that dehiscence would have increase the wide of the bulge
But I guess I'm just trying to find hope in despear

OK so over time, my masseter will get bigger when botox will stop effect, then the swelling will disappear, and then I'll look like Shrek

You seem to suggest that if I can see it this early, it will really look awefull on the end

By worse you mean, go higher? Look wider?

Is it black and with? Maybe it's partially attached, not totally ripped?

Can I have any hope it still invsible with no contraction? Don't know how much swelling I still have

 

[Astri78]

After looking at some stuff, I do think I'm more in the case of 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

I still think my masseter is at least partially attached, or at the very least I would say if it would be more visible if totally ripped of.
I don't have any bulge an no sign of critical retraction, and my soft tissues are moving almost down to the mandibule (maybe 2mm above, I can feel the contraction of the masseter with my finger at the lower part of the mandibule. I do know for sure I could feel a very small contraction at day 7 under the mandibule, just not anymore at day 30, maybe botox making more effect... )
I guess I would feel the contraction muuuch above if it was totally ripped?

Don't know, but I guess it's a little less worse than the dehiscence if it's the case... Like it wont degrade much with time and won't create an ugly wide bulge
I would say the masseter join the mandibule 2cm prior to the angle

 

[Astri78]

Unfortunately the dehiscience is confirmed by my doctor
I'm 5weeks post op, it's almost invisible without contraction so far, and a little bit while clenching. I guess my masseter is not very thick whatsoever

The implant is disocverd on a standard triangle, would say 1cm vertical, 2.5cm horizontal

Do you think it could be acceptable result, or will it absolutely ruin my face?
I have no idea oh many swelling subside

Here in france nobody is familiar with this surgery.

I did it with the only one who is practicing here, and he told me the only solution is to remove the implants... He could not even say me that the muscle was disrupted and could never recover his original position...he looks like a total noobie although he is the reference...
I feel lost and alone, but I guess at the very least I could do some Ah or fat fillers that would dratsticily improve the results.

Nobody seems to do graft in the world appart of eppley

TLDR : for most people, is dehiscience still acceptable, and they live with it?
I'm aboutbto think I would have prefer both masseter dehiscience, at least to be symmetric

 

[justjutting]

Lin00b said on his tt live that dehiscence is pretty much unavoidable and u have to live with it via various cover up methods (stubble, beard, make up)

 

[Palan]

Hello everyone! I'm new to the forum, and I'd like to thank you in advance for the welcome!

I'm new to the world of looksmaxing and am discovering this forum with great interest!

I'm planning to get mandibular angle implants in two weeks. For your information, the implants are custom-made titanium. One is 3mm wide and 6mm vertical, the other is 1mm wide and 10mm vertical.

I'm obviously worried about the risk of masseter muscle dehiscence. I haven't been able to understand, after reading various websites and forum threads, when this risk is highest in time.

I do weight training and would like to be able to resume my workouts with peace of mind after a few weeks. Some websites state that the risk only exists during the operation (and that dehiscence "appears" when the swelling disapears): https://www.eppleyplasticsurgery.com/can-masseter-muscle-dehiscence-occur-long-after-jaw-angle-implant-surgery-due-to-trauma-or-wide-mouth-opening/#:~:text=A: Masseter muscle dehiscence is,later even if trauma occurs.

Is it possible for dehiscence to occur later, if I chew or yawn too hard a month or three months later, for example? In short, to minimize the risk of dehiscence, is it necessary to be very careful in the weeks/months following the operation, or is the risk primarily during the operation itself? (even if it only appears once the swelling has gone down)

Thank you in advance!

Hello Astri, welcome.

 

[Astri78]

Lin00b said on his tt live that dehiscence is pretty much unavoidable and u have to live with it via various cover up methods (stubble, beard, make up)

Ho really?? Surgeon talk about 5% chance
On my other side I dont seem to get the dehiscience
But what you suggest is it is not so dramatic whatsoever

 

[justjutting]

Ho really?? Surgeon talk about 5% chance

His doesnt look too bad, gets covered by the stubble pretty good

 

[Astri78]

His doesnt look too bad, gets covered by the stubble pretty good

OK so overall I could still be satisfied by the final result, even more if I do some injection I Guess?
It kinda warm a little bit my heart...
And I always have stubble for years now, but a short one

 

[Astri78]

After 3 days it become more and more evident
Now I can clearly see the dehiscience without contracting.

I know this message is not useful for anybody.
I'm just depressed and needed to share and talk, I'm crying

I feel I destroyed my face, and knowing even removal will not return to original is petrifying me

 

[justjutting]

Post pics/video. Its probaby less noticable irl than u think

 

[Astri78]

Post pics/video. Its probaby less noticable irl than u think

You're right overall at this point it's not really noticable, it's just that I'm only 35 days post op with the swelling that will fade and the botox that will stop his effect, I cannot imagine the result in 3 month, huge bulge incoming

 

[RazerGlazer]

Hello everyone! I'm new to the forum, and I'd like to thank you in advance for the welcome!

I'm new to the world of looksmaxing and am discovering this forum with great interest!

I'm planning to get mandibular angle implants in two weeks. For your information, the implants are custom-made titanium. One is 3mm wide and 6mm vertical, the other is 1mm wide and 10mm vertical.

I'm obviously worried about the risk of masseter muscle dehiscence. I haven't been able to understand, after reading various websites and forum threads, when this risk is highest in time.

I do weight training and would like to be able to resume my workouts with peace of mind after a few weeks. Some websites state that the risk only exists during the operation (and that dehiscence "appears" when the swelling disapears): https://www.eppleyplasticsurgery.com/can-masseter-muscle-dehiscence-occur-long-after-jaw-angle-implant-surgery-due-to-trauma-or-wide-mouth-opening/#:~:text=A: Masseter muscle dehiscence is,later even if trauma occurs.

Is it possible for dehiscence to occur later, if I chew or yawn too hard a month or three months later, for example? In short, to minimize the risk of dehiscence, is it necessary to be very careful in the weeks/months following the operation, or is the risk primarily during the operation itself? (even if it only appears once the swelling has gone down)

Thank you in advance!

you went 6 mm vertical. Ofc you will have dehiscence.

Was your surgeon Pagnoni? He fucks up those jaw angles so many times and people get dehiscence.

Yes, buldge incoming as the masseteur doesnt sit on top of the implant, stretched - this is the key word.

right now your masseteur relapsed and it sits on top of the implant.

From front you will look like a round ball, no definition at all as the buldge will be so big that the jaw angles will not even be visible.

Its pretty over ngl.

Even if you try botox you have to keep injecting and you might affect your smile in the process.


Your implant right now is discovered and skeletonized, right? In a hard lights it will look very superficial and pointy as it has no soft tissue on top of it.

In your place I would just remove everything.

 

[Astri78]

you went 6 mm vertical. Ofc you will have dehiscence.

Was your surgeon Pagnoni? He fucks up those jaw angles so many times and people get dehiscence.

Yes, buldge incoming as the masseteur doesnt sit on top of the implant, stretched - this is the key word.

right now your masseteur relapsed and it sits on top of the implant.

From front you will look like a round ball, no definition at all as the buldge will be so big that the jaw angles will not even be visible.

Its pretty over ngl.

Even if you try botox you have to keep injecting and you might affect your smile in the process.


Your implant right now is discovered and skeletonized, right? In a hard lights it will look very superficial and pointy as it has no soft tissue on top of it.

In your place I would just remove everything.

View attachment 5012619

The round ball is finished for me? Did you say I just fucked up my life?
And even if I remove I understand I will look awefull with round ball?

No it was in France

Yes my implant is kind of skeloetonzed and the bulge is so far not too much visible, but only thanks to swelling and botox I guess

 

[RazerGlazer]

The round ball is finished for me? Did you say I just fucked up my life?
And even if I remove I understand I will look awefull with round ball?

i dont know really.

Was your surgeon Pagnoni?

Also Giant design?

 

[RazerGlazer]

The round ball is finished for me? Did you say I just fucked up my life?
And even if I remove I understand I will look awefull with round ball?

No it was in France

you will have to reattach the muscle. Probably an external incision(like I did)

 

[Astri78]

i dont know really.

Was your surgeon Pagnoni?

Also Giant design?

No giant diseong in wodeness, but in vertical (6 and 10mm) only 3 and 1mm wide

 

[Astri78]

you will have to reattach the muscle. Probably an external incision(like I did)

I thought this procedure had a very low success plus the scar omg I just lost 15k euros + fucked up my whole life

 

[RazerGlazer]

I thought this procedure had a very low success plus the scar omg I just lost 15k euros + fucked up my whole life

sorry man

 

[Astri78]

sorry man

It worked for you the rattachement? Where Did you do it?
Is the scar visible?

 

[RazerGlazer]

It worked for you the rattachement? Where Did you do it?
Is the scar visible?

it is a bit visible, its still healing

Yes, it worked for one side, other i got infection

TUrkey

 

[Astri78]

On you got dehiscience both side my poor guy I think I also have dehiscience the other side.
It will continue to retract upward even after 35 days?

 

[RazerGlazer]

On you got dehiscience both side my poor guy I think I also have dehiscience the other side.
It will continue to retract upward even after 35 days?

no, i dont think so

 

[Astri78]

no, i dont think so

Could you pm me name of chir + price?

 

[Astri78]

no, i dont think so

Also just to let me know, was it really obvious after 35 days for you?
Mine is really almost not noticeable so far due to swelling, and the bulge is almost not visible. Even conteacring.. But I'm afraid of the future and the following weeks...

 

[monk321]

Cope with fillers or fat graft to mask it or remove it and address the mess it will be after removal (sagging etc..)

 

[Astri78]

Cope with fillers or fat graft to mask it or remove it and address the mess it will be after removal (sagging etc..)

From your point of you it can be acceptable Ith fat filler? What I'm afraid of is that the bulge will still be higher while contraction, but maybe if I'll be less visible Ith lipofilling
Is there anybody here that can testimony about that?
I may not search good, but I cannot find thread about lipofilling testimony

As I say so far it's not a big bulge and not ultra visible
+ my implant is not wide at all (1mm), only vertical (10mm) so no "flare"

 

[monk321]

From your point of you it can be acceptable Ith fat filler? What I'm afraid of is that the bulge will still be higher while contraction, but maybe if I'll be less visible Ith lipofilling
Is there anybody here that can testimony about that?
I may not search good, but I cannot find thread about lipofilling testimony

As I say so far it's not a big bulge and not ultra visible
+ my implant is not wide at all (1mm), only vertical (10mm) so no "flare"

It will be less visible , what other options you got tho? If i was you i would consider removing that garbage if doesn't fuck you up even more but hard to tell need some autist here that had this exact situation to tell us or you need to find a good surgeon for this. I only had a genio that was pretty much botched so i have no experience with implants.

 

[Astri78]

It will be less visible , what other options you got tho? If i was you i would consider removing that garbage if doesn't fuck you up even more but hard to tell need some autist here that had this exact situation to tell us or you need to find a good surgeon for this. I only had a genio that was pretty much botched so i have no experience with implants.

Maybe just remove + reattach
I don't know, I don't know... I'm lost and petrified
I cannot do anything, have to return to work in following days but have my thought lost in hell

Why The HELL did I do this surgery

Nevvvvver do it...

 

[monk321]

Maybe just remove + reattach
I don't know, I don't know... I'm lost and petrified
I cannot do anything, have to return to work in following days but have my thought lost in hell

Why The HELL did I do this surgery

Nevvvvver do it...

I don't blame you it's easy to get lost before you experience what invasive surgery means , also i don't know if you can detach and reattach like that

 

[Astri78]

I don't blame you it's easy to get lost before you experience what invasive surgery means , also i don't know if you can detach and reattach like that

Don't know
This is a challenging proxedure
In best case the operarion succeed, and I lost time, 15k, and a good scar on the mandibule...
I may consider eppley silicon graft, do we have any review here?