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As a facial plastic surgeon, I’ve noticed an emerging trend in patients seeking jaw augmentation: a significant number of them have undergone orthognathic surgery, also known as bimaxillary surgery, in the past. While orthognathic surgery is an effective and transformative procedure to correct functional and aesthetic concerns, it’s fascinating to observe how often it leads patients to seek further enhancement with customized jaw implants. To understand this connection, we must first explore what orthognathic surgery entails and how it changes the structure of the mandible. What Does Orthognathic Surgery Do? The mandible, or lower jaw, is a three-dimensional ring-like structure that plays a critical role in facial aesthetics and function. Orthognathic surgery, such as bilateral sagittal split osteotomy (BSSO), involves making strategic cuts in the jawbone to reposition it, typically to correct malocclusions or improve facial balance. This procedure allows surgeons to advance the teeth and chin, improving the patient’s bite and profile. However, the reshaping achieved in orthognathic surgery is often limited to two dimensions. For example, while the teeth and chin can be projected forward, the width and height of the jaw are not typically addressed. This limitation leaves some patients feeling that their jawline still lacks the definition and structure they desire. Why Custom Jaw Implants? This is where custom jaw implants come in. After orthognathic surgery, patients often notice residual concerns, such as: A weak or narrow mandible. Jaw angles that appear too obtuse or high. Palpable irregularities at the osteotomy site. Persistent asymmetries in the jawline. For patients with these challenges, off-the-shelf silicone implants may not provide the precision needed. Custom implants, designed using CT scans to match the patient’s anatomy, allow us to address these unique issues and provide a more balanced, three-dimensional result. Case Study: Enhancing the Post-Surgical Jawline Let me share an example of a patient who came to me after having had BSSO and mid-facial surgery to improve their airway. While the surgery succeeded in its primary goal, it left behind a small, asymmetrical mandible with a canted chin. Using customized PEEK (polyetheretherketone) implants, we were able to: Enhance gonial height and width for a stronger jaw angle. Improve lateral projection for a more balanced frontal view. Correct asymmetry in both the jaw angles and chin. PEEK implants are particularly advantageous because they closely resemble bone in both feel and appearance, are durable, and can be removed with relative ease if necessary. The Takeaway Orthognathic surgery and custom jaw implants are not mutually exclusive; rather, they often complement each other. While orthognathic surgery addresses major functional and structural concerns, custom implants refine the aesthetic by enhancing dimensions that standard techniques cannot. If you’ve undergone orthognathic surgery and feel that something is still missing, custom jaw implants may be the solution. At the Zelken Institute in Newport Beach, CA, I specialize in designing and implementing customized implants to help you achieve your ideal jawline and facial balance. 📍 Dr. Jonathan Zelken MD 📍 1617 Westcliff Drive, Newport Beach, CA 92660 📞 (949) 432-4730 🌍 https://www.zelkeninstitute.com/ / @jonathanzelkenmd / jonathanzelkenmd / jonathanzelkenmd What?! https://heyzine.com/flip-book/0d5e48a... Dr. Zelken Results - https://www.zelkeninstitute.com/galle... Lip Filler - https://www.zelkeninstitute.com/conta... Botox - https://www.zelkeninstitute.com/conta... Facelift Cost - https://www.zelkeninstitute.com/facelift Jawline Implants - https://www.zelkeninstitute.com/custo... Chin Implants - https://www.zelkeninstitute.com/custo... Face Implants - https://www.zelkeninstitute.com/custo... Custom Implants Results - https://www.zelkeninstitute.com/custo... Facial Plastic Surgery | Orange County - https://www.zelkeninstitute.com/plast... Plastic Surgery | Newport Beach, CA - https://www.zelkeninstitute.com/plast... #FacialImplants #PEEKImplants #PEKKImplants #JawlineImplants #ChinImplants #CustomImplants #3DPrintedImplants #FacialPlasticSurgery #NewportBeachPlasticSurgery #JawAngleImplants #SiliconeImplants #BiocompatibleImplants #CraniofacialSurgery #AestheticSurgery #FacialSurgery #PlasticSurgeryInnovations #FacialReconstruction #JawlineEnhancement #MedicalTechnology #drjonathanzelken