JAW ANGLE IMPLANTS | Why doesn't anyone talk about them?

Рет қаралды 10,315

10 ай бұрын

In this video, Dr. Zelken explores the nuances, challenges, risks, and benefits of jaw angle implants. The mandibular angle, also known as the JAW angle or GONIAL angle is both a measurement (i.e., 140 degrees) AND an anatomic landmark. Its prominence can be attractive, and may be enhanced with jaw angle implant placement. But because the operation is nuanced, challenging, and at higher risk for complications- jaw angle implants are relatively infrequently used. And perhaps because of this, fewer surgeons are trained to place jaw angle implants, and so there are fewer surgeons available to discuss this important procedure to the masses. Dr. Zelken responds to one viewer's request for additional knowledge on JAW ANGLE IMPLANTS in this show and tell session. If you are interested in jawline enhancement with implants, liposuction, facelift, or fillers, call (949) 432-4730 and make an appointment to see Dr. Zelken.

Пікірлер: 80

@racctor 5 ай бұрын

the real qustion is why there are not more surgeons that talk about custom jaw implants?

@GinoOrthodoxChristian 6 күн бұрын

Takes money away from fillers.

@ubettaeat4303 4 ай бұрын

More doctors need to talk about this, pro and cons about jaw implants surgery

@fibbs6533 4 ай бұрын

Very informative.

@Cookingcousin 17 күн бұрын

Thank you so much for talking about this could you do a more detailed video for patients wanting to know if they should get mandibular implants, chin implants or both?

@wintermatherne2524 10 ай бұрын

Thank you for posting this.

@jonathanzelkenmd 10 ай бұрын

My pleasure. Its easy to make videos about my passion projects.

@susanlloyd 9 ай бұрын

Are there before and after pictures?

@GregoryTheGr8ster 3 ай бұрын

Now I wish that I still lived in Newport Beach, cuz I'd pay you a visit in a heartbeat! I have been curious about this exact implant for a while.

@jonathanzelkenmd 3 ай бұрын

We do offer virtual consultations and many of our patients are from out of state.

@GregoryTheGr8ster 3 ай бұрын

@@jonathanzelkenmd Ahhhh, I hadn't thought of that. Nonetheless, I have some other procedures that are higher priority than jaw augmentation; so it will be a long time before I could even consider your work. I will remember you, though!

@nvb455 10 ай бұрын

Finally!

@MarcelloCantu 6 ай бұрын

Have you done many of these implant surgeries? I cant find any before and after pics other than one female on your website. I had a chin implant 7 years ago and want to replace it with a full jaw implant.

@stuartwaterman-fc9pt 7 ай бұрын

Dr. Zelken, which jaw angle implants do you use the most, and from which company? And do you always use screw fixation, even with MEDPOR? Thanks for this much-needed video!

@jonathanzelkenmd 7 ай бұрын

I use Implantech silicone implants most often and rely on screw fixation most of the time. Especially with Medpor. My pleasure

@stuartwaterman-fc9pt 7 ай бұрын

@@jonathanzelkenmd Thanks!

@stuartwaterman-fc9pt 3 ай бұрын

@@jonathanzelkenmd The implant you're handling in the video--is it the RZ Mandibular Angle Implant? I'm planning my own jaw implant procedure, and am researching different implant shapes and styles. Thanks!

@michaeldro7317 10 ай бұрын

Wow thanks for covering this so quick! Did have another question however. With the Stryker implant specifically, you mentioned it cups the gonial angle (which I assume means it slides underneath and around the back of the bone as well), but how would this impact the masseter muscle and where it attaches to the bone? Doesn't the masseter muscle insert/attach on top of the lateral or outside of the mandible? I would think this would tear the masseter or make it impossible for the implant to cup around the bone, as apposed to the implanttech where you mentioned it sorta sits on the bone. So how does an implant like this work when dealing with the masseter? Also is this a procedure you do often and have experience with? Thanks again for the video and featuring me haha.

@jonathanzelkenmd 10 ай бұрын

The masseter doesn’t really connect to the bone directly. It becomes ligamentous and extends to the backside like a sling. The entire implant is placed underneath that sling without disrupting it. I have experience with this procedure and would like to perform jaw implant surgery more often.

@SnjuSachin 4 ай бұрын

i want a cheek bone just like diamond face shape people have ..is it possible to get that

@stevenmichaeleich9856 3 ай бұрын

What is the estimated cost of this procedure? I don't see it listed on your website. Thanks!

@frasierfrasier1769 6 ай бұрын

Is there a lot of downtime and is the swelling a factor.

@morningmayan 9 ай бұрын

Dr. are jaw implants an option for me - a sixty year old woman with minor jowling who is losing bone in her jaw in leiu of a facelift? I'm also have teeth bone issues - thanks for your input

@jonathanzelkenmd 9 ай бұрын

You would need to seen. For the dental issues - it may impact the maxilla and mandible relationship but assuming not, you might not need jaw implants given mild jowling and the prospect of deep fat transfer.

@markmcgrath4853 6 ай бұрын

very good work ! do you do any treatments in england uk ? thank you

@jonathanzelkenmd 6 ай бұрын

I do not, sorry. Someday.

@bobbyperu8414 5 ай бұрын

@@jonathanzelkenmd ever in Europe ?

@btxteppei7327 Ай бұрын

😊hi from Brazil viewer

@jonathanzelkenmd Ай бұрын

Hello

@jamesbauer8516 2 ай бұрын

Dr. Zelken, Are polyethylene jaw implants capable of being removed after a certain timeframe if the final result isn’t satisfactory once healing is complete? If so, is a polyethylene jaw implant difficult to remove after a potential malposition? I’m a little confused as to the “absorption” part… Does the implant itself essentially become part of the actual jaw bone over time making it difficult for removal? What does the implant absorb? Very interesting video Thank you!

@jonathanzelkenmd 2 ай бұрын

Thank you. Its not resorption so much as remodeling. And PEEK implants can certainly be removed. The risk of implant malposition is lower with custom devices that “key” in to position.

@ohtajeule 6 ай бұрын

hello doctor, Placing implants in the angle and jaw line will pull the soft tissues and have a lifting effect on the jowls and turkey neck? I have a high, short and stiff mandible.

@jonathanzelkenmd 6 ай бұрын

It is certainly possible but you would have to be seen in person to better assess your question and set expectations

@Soulxter 3 ай бұрын

I have a short ramus(not visible tbh)but a relatively long and sharp jawline but i feel like the chin is bit recessed Can jaw angle implants help aslo ig theres a need of chin implants alongside it to match the ratio and facial symmetry

@jonathanzelkenmd 3 ай бұрын

You would certainly need to be examined to make this determination

@po54ful 9 ай бұрын

What do you think about custom implants? Are they worth the extra cost? I am afraid if I go with off the shelf implants, they won't fit well

@jonathanzelkenmd 9 ай бұрын

It truly depends on your anatomy and goals. Remember: off the shelf implants can be customized with a scalpel to some degree

@jinxful2658 9 ай бұрын

Could this be used to fix jaw asymmetry, for example if one side is bigger than the other? If so what are the best options

@jonathanzelkenmd 9 ай бұрын

Yes to a certain extent- it depends on your bite (occlusion) and other features as well.

@mepansur 7 ай бұрын

Thank you for the information. I have a question please about custom made implants. Once the implant is in and everything is set and done, how long does it last ? How many months or years ?

@jonathanzelkenmd 7 ай бұрын

I have patients who have facial implants that were placed 40-50 years ago.

@MegaCosmoVision 6 ай бұрын

@@jonathanzelkenmdhow much does the surgery cost?

@bobbyperu8414 5 ай бұрын

@@jonathanzelkenmd would it be possible to reduce an implant after 20 yrs ? ...like bone shave it / grind it into shape ?.... if too big

@markpommett5712 7 ай бұрын

What is the probability of silicone jaw implants moving position over time? I'm a bit concerned about having them screwed in case I don't like them but I also don't know how reliable silicone is. Thanks

@jonathanzelkenmd 7 ай бұрын

Unlikely to move over time. Silicone can easily pull free from a screw but it holds things in place while scar tissue secures the device in position.

@Mr-vi1up 8 ай бұрын

What are the ramus lengthening limitations with porous polyethylene implant? Is 20 - 25 mm achievable?

@jonathanzelkenmd 8 ай бұрын

If placed properly that would extend the pterygomasseteric sling considerably and may be too much. Of course you would need to be examined first.

@Geneattenborough 7 ай бұрын

Can you do bone (rib) instead of artificial elements?

@jonathanzelkenmd 7 ай бұрын

Yes, it’s possible but would take a much larger incision to shape and position the graft, and would not reliably take. Resorption would be unacceptable and unpredictable. Not to mention the donor site…

@paulshealthfitness7922 2 ай бұрын

you have any before/afters? also what is the healing time?

@jonathanzelkenmd 2 ай бұрын

Hi there, we just posted one on our Instagram page @jonathanzelkenmd

2 ай бұрын

do you know of any ways to fix masseter muscle disinsertion from jaw implants?

@jonathanzelkenmd 2 ай бұрын

I am sorry you re dealing with this. I have not treated this complication before. If pressed, I would consider accessing the masseter through a deep plane facelift approach and repairing the dehiscence under direct visualization. Or you could remove the implant and let the tissue contract.

@channel-yg2xc 2 ай бұрын

What do you think about bone resorption caused by silicone implants?

@jonathanzelkenmd 2 ай бұрын

I think it happens but is not as big a deal as you might think. Stay tuned for a video on the topic.

@ngalahansel6066 5 ай бұрын

What if someone has a sort of square looking face and wants a little more V-shape look. How much would that cost?

@thedjflawless 4 ай бұрын

I second that!

@rachedhaddar9741 8 ай бұрын

If someone does it late 20s how the aging effect will be, do they cause harmony issues with aging?

@jonathanzelkenmd 8 ай бұрын

Probably not as it is simply reshaping the jawline for the better.

@Benjamin-ml7sv 2 ай бұрын

Is there a way to make the gonian outward?

@jonathanzelkenmd 2 ай бұрын

Absolutely

@edenferriss768 2 ай бұрын

What can one do for hypertrophied parotids due to bulimia?

@jonathanzelkenmd 2 ай бұрын

Neurotoxins like Botox may be a starting point

@tuxipops 8 ай бұрын

Can genioplasty or Orthognathic surgery achieve this wider jaw angle or only with implants ?

@Alesedit 7 ай бұрын

Implants

@amandahuber8715 Ай бұрын

Can this be combined with a deep plane necklift procedure or would it not be recommended to do both at once?

@jonathanzelkenmd Ай бұрын

Depends on your physical examination but its possible

@amandahuber8715 Ай бұрын

@@jonathanzelkenmd Thank you!

@keepitreal6640 4 ай бұрын

Have you ever done a Jaw implant? I had cancer five years ago that left me without a lower jaw. I am cancer free but at what cost. Talk about quality of life.

@jonathanzelkenmd 4 ай бұрын

Yes but it sounds like you are looking at a total mandibular reconstruction. I am sorry for your loss and glad you are cancer free, at the very least. Let me know if there’s anything I can do to help.

@user-js5uk6fd9v 2 ай бұрын

I had jaw angle implants 2 years ago but I don't like them. Is it possible to remove them? They are titanium material implants

@jonathanzelkenmd 2 ай бұрын

Yes these can be removed and you are not alone

@shakmanproductions9659 7 күн бұрын

Is it possible to just widen and not lower the jaw angle? Even if it’s a little bit, I just want to widen the jaw angle and not to lower it.

@jonathanzelkenmd 7 күн бұрын

Yes, although every widening implant has some impact on length, and vice versa

@naegleriafowleri2230 8 ай бұрын

Maybe cause is very expensive i read is like $10-15k

@jonathanzelkenmd 8 ай бұрын

Correct

@heresmytwocents5977 12 күн бұрын

Good to know. Some day, both my daughter and I will schedule a consultation (maybe when we win the lottery 😬). Chins and jaws are almost nonexistent in our DNA. 😒