Mandibular Angle Augmentation

Most people do not recognize that they need a mandibular angle augmentation, as it is a rarely discussed topic and it is difficult to notice by the patient. The mandible (lower jaw) delineates the lower face and is distinctly demarcated from the neck by the extent of its outward projection. The Chin and the mandibular angle are important demarcation structures. The mandibular angle is the prominence of the lower jaw in front of the lowest part of the ear. This prominence of the lower jaw frames the lower face. Just as high prominent cheek bones are associated with beauty, a corresponding and proportionately prominent mandibular angle is equally desirable.

Are you a candidate?

Mandibular angle augmentation is particularly beneficial if you have an underdeveloped lower jaw angle or if you have undergone a facelift. A facelift can obscure the jaw line and jaw angle, thereby artificially creating one that is higher and with no prominence. Restoring the shape and prominence of the jaw angle will restore dynamic balance and depth to the contours and shapes of the face.

Are there different types of mandibular angle implants?

Mandibular angle implants are available in a variety of shapes, sizes, and materials. For some patients, mandibular angle augmentation with Fat Transfer may be indicated. Your surgeon will discuss the ideal implant and procedure with you in detail during your consultation.

Can you undergo mandibular angle augmentation and other procedures simultaneously?

Mandibular angle augmentation can be performed alone or in conjunction with other facial rejuvenating procedures, such as Blepharoplasty to brighten your eyes, Chin Augmentation to restore your chin and neck, or a Midface Lift to enhance the projection of your own cheeks.

How is the procedure performed?

Mandibular angle implants are typically inserted through an incision from inside the mouth next to the wisdom teeth. The implant of the size and shape that the surgeon has selected is then inserted through these incisions into a pocket created in the tissue. In rare cases, a small titanium screw is used to attach the implant and the bone. The incisions are closed with sutures that the body later absorbs. At the conclusion of the surgery, a dressing is applied to the skin to reduce swelling.

Will the scars be visible?

Mandibular angle augmentation surgery usually leaves no visible scars. The incisions are well concealed inside the mouth.

What are the risks of this surgery?

Complications from mandibular angle augmentation are infrequent and usually minor; however, individuals vary greatly in their anatomy, their physical reactions, and their healing abilities. The outcome of surgery is never completely predictable.

Complications may include hematoma (a collection of blood under the skin that must be removed by the surgeon), infection, and reactions to the anesthesia. You can reduce your risks by closely following your surgeon’s instructions before and after surgery.

How do you prepare for surgery?

Your will be given specific instructions on how to prepare for surgery, including guidelines on eating and drinking, taking or avoiding certain vitamins and medications, and not smoking. Carefully following these instructions will help your surgery go more smoothly. If you smoke, it is especially important to stop at least a week or two before surgery; smoking inhibits blood flow to the skin and can interfere with the healing of your incision areas.

Where is the procedure performed?

Mandibular angle augmentation may be performed in our office-based facility, an outpatient surgery center, or a hospital. It is usually performed on an outpatient basis.

What will the recovery period be like after surgery?

Most patients do not experience any significant discomfort after surgery; pain and swelling may be alleviated with medication prescribed by your surgeon. You will be told to keep your head elevated and as still as possible for a couple of days after surgery to help minimize swelling.

Your will be given more specific guidelines for gradually resuming your normal activities. Avoid strenuous activity, including sex and heavy housework, for at least two weeks (walking and mild stretching are fine); avoid alcohol, steam baths, and saunas for several months. Above all, get plenty of rest and allow your body to spend its energy on healing.