Mandibuloplasty. Mandibular plastic surgery to create an attractive face


It is generally accepted that beauty is expressive eyes, a straight nose and a high forehead. But it often happens that even a face with regular features seems ordinary.

This effect is also called the absence of “breed”, when the image is devoid of expressive lines and relief.

Expert comment:

“Have you ever wondered why many successful acting careers in Hollywood begin with correction of the chin and angles of the lower jaw?

The effect of "breed" and an expressive face is usually closely related to the shape of the cheekbones and lower third of the face. This is not always obvious, but it is they who form the general impression of harmony or disharmony of traits. That is why correction of the jaw, its augmentation, very often allows us to solve many appearance problems.”

Vasiliev Maxim, plastic surgeon.

Angelina Jolie

Tom Cruise

Our many years of experience in the field of appearance harmonization allows us to create an expressive jaw line that balances facial features, giving it the missing sculpture and breed.

We perform all procedures strictly after a series of anthropometric measurements and calculations, on the basis of which we individually select the size and shape of the implants. Only this approach allows you to not only make your jaw wider or narrower, but also get an attractive face on which even your worst friends will not find traces of surgical correction.

However, first, let’s figure out what is needed for a beautiful jaw.

What a beautiful jaw in men

Surely, when you hear the words “masculinity,” the first faces that come to mind are the Marlboro cowboy, Tom Cruise, or Sean O’Pry.

But if nature did not bother to develop a man’s chin area, then his appearance evokes completely different associations. Excessive softness, indecision, perhaps even weak character - these are the first impressions of a face with a small chin and soft lines of the lower jaw, even if their owner himself feels quite courageous and strong.

Expert comment:

“The reason for this perception lies in our subconscious.

Sex hormones are primarily responsible for how developed the bone structure of the lower jaw is. Protruding brow ridges, a strong-willed chin and a massive, square, well-developed jaw are testosterone traits. This is a sign of a healthy and strong man.

Such a man always attracts attention as a promising partner in his personal life and in business.

Enlargement of the jaw and chin brings the external appearance into complete harmony with the internal state of a person.”

Vasiliev Maxim, plastic surgeon.

Diagnostics

To select a treatment regimen, the doctor conducts an initial examination:

  • clarifies the medical history, conducts an examination;
  • physical examination is used to assess anomalies in different positions, determine the presence of tumor formations, edema, injuries and consequences, the condition of teeth, oral tissues;
  • X-rays are used to assess the condition of the nasal sinuses, rows and individual units; if necessary, examination of the spinal column and skull is prescribed.
  • sonography of the salivary glands and sinuses is performed;
  • for a detailed examination of the tissues, the dentist may refer the Patient to an MRI or CT scan;
  • analysis of bite, supercontact (if any), occlusion is performed using a complete orthodontic examination.

Additionally, consultation with the following specialists may be required:

  • neurosurgeon (prescribed CT scan to examine the brain);
  • neurologist (the innervation of the muscles of the facial area is assessed, including the movement of the eyebrows, cheeks, eyelids and others);
  • otolaryngologist (audiometry, puncture, tuning fork and other types of studies are performed).

The conclusion is made based on the results of the examination; additional laboratory tests may be prescribed, for example, if bacterial or infectious lesions are suspected. A treatment plan is drawn up only after the diagnosis has been completed and the results have been carefully reviewed.

What a beautiful jaw a woman has

The structure of a woman's face has its own characteristics. In order to look beautiful and graceful, a woman needs chiseled cheekbones and a smooth jawline.

Despite the widespread dictate of Angelina Jolie's image, the convex angles of the lower jaw and protruding chin are a manifestation of masculine traits. A feminine jawline should be smoother, yet firm and well-defined.

To make the image refined and sophisticated, too pronounced angles of the lower jaw require delicate grinding of the bone tissue.

Jaw correction may be accompanied by chin augmentation and removal of Bisha's lumps to enhance the cheekbone line. These procedures allow you to tighten the skin under the chin, get rid of the double chin effect, and create a beautiful line of the chin-cervical angle.

Indications and contraindications

The absolute indication for the extension procedure is implantation in case of tissue atrophy, tooth extraction, or rejection of the installed implant.

The procedure has some contraindications:

  • oncology;
  • infectious, systemic, immune diseases;
  • inflammatory processes of ENT organs;
  • drug intolerance, allergies;
  • blood clotting disorder;
  • mental disorders.

A relative contraindication is pregnancy and breastfeeding.

Renaissance and plastic surgery

So, how do you understand that the lower third of the face is underdeveloped and needs correction? Take a full-face photo of yourself and mentally or with a pencil, divide your face into three parts horizontally. The upper third of the face is from the line of the nose to the middle of the eyebrows, the middle third is from the middle of the eyebrows to the tip of the nose, and the lower third is from the base of the nose to the chin. Now take a ruler and measure these three parts.

In a harmoniously beautiful face, the distance from the hair growth to the eyebrow line, from the eyebrow line to the base of the nose and from the base of the nose to the chin is approximately the same.

Even Renaissance artists showed that on a proportional face these three parts are equal. If one of them is significantly larger or smaller than the others, the face is perceived as inharmonious.

Side effects

Inflammatory processes, fibrosis, necrosis and other complications occur most often due to insufficient qualifications of the specialist who performed the procedure or due to the fault of the patient who did not inform the day before the procedure about the presence of previously administered drugs.

If the gel is introduced too superficially, the consequence of contouring may be its translucency or migration - an experienced cosmetologist will not allow this to happen. It is important to remember that contouring is a serious cosmetic procedure that must be performed exclusively under sterile conditions by a doctor with the appropriate certification and medical education.

Non-surgical correction of the angles of the lower jaw with fillers

Is it possible to increase the angles of the lower jaw without surgery? If the bone deficiency is minor, we suggest trying fillers in the lower jaw.

Temporary increase in the angles of the lower jaw with filler.

Performed: upper blepharoplasty, ️installation of a chin implant, medial and lateral platysmaplasty with neck lift through an incision in the earlobes.
Performed by a surgeon - Maxim Vasiliev .
At Platinental we use Voluma, Radiess or Juvederm fillers for this purpose - they are quite dense, safe and create the desired contour for a long time.

The main disadvantage of increasing the angles of the lower jaw with fillers is that the effect is temporary: the gel is completely absorbed, and after two years the fillers will need to be reinjected.

However, this procedure can be considered a rehearsal. If you like the result, it makes sense to consider permanent correction of the angles of the lower jaw with implants.

What to do after the procedure

No special rehabilitation is required after such an intervention. The result is noticeable immediately; there are usually no traces left after the injections. In the first couple of days after the session, you need to protect your face as much as possible, try not to touch it unless necessary (so as not to cause an infection). You cannot use foundation and powder. For 2 weeks after the procedure, it is not recommended to sunbathe on the beach or in the solarium, or visit the bathhouse or sauna.

After this time, you can return to your normal life and enjoy the results.

To make an appointment for correction of jaw angles in Moscow, just call us or use the form on the website. We are located in the very center of Moscow, next to the Baumanskaya metro station and 1905 Goda Street. Our specialists will select the optimal solution for your case and help you achieve the best aesthetic result.

Jaw contouring with permanent implants

A much greater effect will be achieved by increasing the angles of the jaw using porous Medpor implants.

Expert comment:

“Medpor is a very dense porous biomaterial that has been known in plastic surgery for more than 30 years.

Medpor is ideally compatible with tissues and does not require special fixation to the bone. It grows with connective tissue and blood vessels and literally becomes “one” with its own bone tissue.”

Andrey Iskornev, plastic surgeon

We always start with careful planning of the operation. Our task is not just to build up the lower jaw, we look at the issue much more broadly and our goal is to create a beautiful, harmonious face. Enlarging your lower jaw should improve your appearance.

Therefore, in addition to experience in plastic surgery, the doctor must have artistic taste and an analytical mind.

All jaw angle implants are always selected individually in accordance with the concept of appearance harmonization. In difficult cases, a stereolithographic model of the skull is performed to plan the operation and select implants.

"Jolie angles" in young patients.

For young people and girls, the procedure is carried out to make their appearance sexy and similar to the stars ! Preference is given to contouring with fillers, although there is also the option of surgical intervention with implant placement.

Plastic surgery at a young age is not very desirable: as the practice of surgical corrections shows, the implant must be changed after 10-15 years.

Taking into account all the costs and harm to health, it is more profitable to visit a cosmetologist once every 13-15 months to introduce fillers into the area of ​​the corners.

The volume of correction with fillers is 1-1.5 ml on each side, the cost ranges from 18,000 to 35,000 rubles, depending on the cost of the filler. With the cost of plastic surgery starting from 250,000, the costs are approximately the same.

When correcting, use 1-1.5 ml of the drug for each corner; fillers must be chosen dense so that they keep their shape for as long as possible.

The cost of correction is from 25,000 to 60,000 rubles , depending on the chosen drug and its quantity.

Correction technique - only a cannula!

A cannula is a long, flexible, blunt-ended needle that does not damage tissue and allows you to avoid bruising and large swelling after the procedure!

We promise to all our patients to do everything possible so that you leave our doctors’ office without hematomas!

Photos before and after correction of “Jolie angles”

How is plastic surgery of the angles of the lower jaw performed?

After planning the implant, it is time for surgery. It lasts about an hour under general anesthesia. We usually use intraoral access, so there are no stitches on the face after surgery.

Of course, jaw augmentation surgery, like any plastic surgery, requires time for rehabilitation. The recovery period lasts about two weeks, and for the first few days you will have to wear a bandage that helps stabilize the implant.

Subsequently, there is no danger of it migrating: the pores of the material from which the implant is made grow with connective tissue so that the implant simply grows into the bone tissue. The implant is installed once and for life, does not require replacement.

REHABILITATION AFTER CHIN PLASTY

After the operation, the patient remains in the clinic until the next morning. The chin area is fixed with a special “invisible” plaster (without using a bandage).

Rehabilitation after chin correction takes up to 14 days. At this time, it is necessary to carefully observe a gentle regimen, avoid intense physical activity, and avoid sudden head movements.

In the first days after surgery, patients may experience swelling of the chin and discomfort in the suture area. To reduce unwanted effects and speed up healing, the doctor prescribes special medications, and physical therapy may be prescribed.

Strengthening the muscular-ligamentous apparatus (massage, ultrasound, laser and RF influences)

Loss of facial contour definition usually occurs due to weakening of muscles and ligaments. With age, collagen and elastin fibers, which are responsible for tissue elasticity, lose their quality and stretch. Puffiness is added, which accompanies the deformational type of aging to which most people are susceptible.

To restore clarity to the lines, it is important not only to remove excess fat, but also to carry out measures to strengthen the muscular-ligamentous apparatus and lymphatic drainage.

  • Massage techniques
    that have a good lymphatic drainage, fat burning and tissue strengthening effect (for example, LPG, Endosphere).
  • RF devices
    (radio frequency exposure) allow tissues to be heated, which causes activation of collagen and elastin, restoring tissue density and elasticity.
  • The RF needle lifting procedure
    additionally creates microtraumas in the skin with small needles, forcing the tissue to regenerate.
  • Laser devices and focused ultrasound devices
    provide deep heating of tissues, triggering the formation of new collagen and reducing adipose tissue.

But if ptosis is too pronounced and there is significant excess skin, it makes no sense to use hardware techniques. In this case, surgical lifting of the lower third of the face and neck is indicated, the results of which will last for a long time.

If you want to get a tightening effect faster and not have to undergo a long course of hardware procedures, you can turn to thread technologies.

Ligature lifting is used to harmonize the lower third of the face, restore the contour of the lower jaw, eliminate a double chin and sagging tissue. The fabrics are stitched with special threads and secured in the desired position, while activating the production of new collagen.

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