Featured patient experiences

Featured Case 09/20: Cosmetic Jaw Surgery

FPE 09 Before treatment

Patient:

Chad

The problem:

  • Chad is a 30-year-old who had concerns about his facial appearance.
  • In particular, he was not fond of his relatively short and “square” facial shape.
  • He wanted to have a smile that was more attractive but not certain what it took to fulfill that desire.
Patient Video Testimonial thumbnail

Patient History:

  • Chad sought numerous consultations for orthodontics (braces), jaw reconstructive surgery, and facial plastic surgery.
  • After seeing multiple specialists, he narrowed his search down to 2 orthodontists and 2 Oral & Maxillofacial Surgeons from which to choose.
  • He had no perceptible issues with his bite or chewing ability.
  • The other orthodontist and Oral & Maxillofacial team recommended he have braces and lower jaw advancement surgery.
  • After numerous consultations, Chad felt comfortable with our recommendations to address his cosmetic request.

Pertinent Information:

  • Chad demonstrated what has described as a Brachyfacial (short vertical and square shape) presentation.
  • His lower face (below the nose to the chin) was shorter than the midface (between the brows to under the nose).
  • He showed very little upper teeth when smiling making him seem aged.
  • His teeth and bite appeared very acceptable and stable.
  • Computer simulations were performed to give Chad a sense of facial proportions.
 
 FPE 09 Facial Proportion Analysis
 FPE 09 before smile1
 FPE 09 before photo 3
 FPE 09 before photo 2
  • Since his teeth and bite were stable, only minor orthodontic fine-tuning was necessary.
  • He needed skeletal and soft tissue solutions to his cosmetic problem.

Procedures:

  • Cheiloplasty or lip lift contouring was performed.
  • Reconstructive augmentation of his upper jaw was performed to increase vertical length and show the appropriate amount of his upper teeth.
  • The upper jaw surgery is known as a Le Forte I osteotomy.
  • Reconstructive augmentation of his chin was performed to also increase the vertical dimension.
  • This approach to the chin is called a genioplasty via Mandible (lower jaw) inferior border osteotomy.
  • All cosmetic jaw surgery was performed inside the mouth so no visible scarring would occur on his face.
  • Soft tissue filler was placed to soften the deep fold under his lower lip.
  • All procedures were performed as an outpatient in our AAAHC accredited surgery center.
  • He was discharged on the morning of surgery to the comfort of his home.
     FPE 09 cosmetic procedures performed
     FPE 09 cosmetic procedures before and after

FPE 09 before and after smile

Treatment Course:

  • Chad had a very uneventful recovery.
  • He experienced typical facial swelling for about one week.
  • He was instructed to stay on a soft diet and non-strenuous activity for 2 weeks.
  • He completed orthodontic fine-tuning (braces) within 2 months of his surgical procedure.

FPE 09 treatment course

Commentary:

  • Facial cosmetics is a function of harmony of hard and soft tissues, proportions, and perception.
  • Understanding all components of facial anatomy as it relates to aesthetics is paramount to achieving acceptable results.
  • Addressing the facial bones along with soft tissues is important to determine the true nature and solution to the condition.
  • It is sometimes stated that “there is usually one correct diagnosis but numerous ways in which to approach it”.
  • Comprehensively trained Oral & Maxillo-Facial surgeons have unique expertise in treating all aspects of the face.
  • A comprehensive approach to, and surgical skill set of the entire face, is integral to our core competence at Inland Institute.
  • We are overjoyed to see how pleased Chad felt about his results and overall experience in our practice.

Get the Best Oral and Maxillo-Facial Surgery Services!

Experience personalized, comprehensive and a passionate commitment to patient care by
Dr. David Gilbert

Please call our Upland CA office at (909) 982-8888 with any questions or schedule an online consultation