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Help! how to widen my jaw (make it angular)?

Help! how to widen my jaw (make it angular)?

Postby FransD » Sat Feb 02, 2008 8:35 am

Hi guys,

I am looking for procedure to widen/broaden my lower jaw to make it angular without implants. Is it possible? how angluar/wide can the lower jaw get?

Also, is there a specific name for it. I've searched but couldnt find anything.

A friend mentioned that it is possible if i went to a Maxillofacial surgeon.

any input from you guys would be great!
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Postby MissJ521@aol.com » Sat Feb 02, 2008 9:07 am

Gotta tell ya that the implants are used to increase width of lower face. As far as technical terms go, the act of increasing the width of the lower face with reference to the jaw angles is called increasing the "inter gonial distance".

The max fax surgery used to do that is referred to as the "Bi Sagittal Split Osteotomy " (BSSO) in which the "displacement" would be pretty much to rotate angle of jaw outwards laterally or flair it out laterally (more to the sides). BSSO displacements are limited by the position of the JOINT your jaw has (it has a joint near your ear). Sometimes (aesthetically speaking) the jaw would need to be displaced in more directions than one for a really good aesthetic result. (Not to mention that the upper jaw might need to be displaced also and years of braces etc). Problem is the joint will limit displacement in all directions needed aesthetically if it's actually more than one displacement you would need in addition to just flaring it out to the side.

The max fax surgeon would have to perform "diagnostics" to answer your question as to "how wide and angular". Examples of the type of diagnostics they do are things like "cephs" (X rays showing your maxillo-facial relationship), other X rays involving the bite (occlusion of teeth), models of your teeth etc.

Later on, they do a "ceph tracing" that marks out the displacements they want to make so that the changes are in more line with the 'norm' of max-fax relationships. Thing is that sometimes, they want you to have the braces on for a while because the displacements they can make are pretty much contingent on the extent that the braces have moved your teeth.

That said, you still could consult with a max fax about the possibility of just moving your jaw angles outward. Just be sure to stress you are inquiring about COSMETIC possibilities. Most of them are trained with perspective of using the surgeries they do to the bone to address function and to bring you closer to a norm with regard to aesthetic balance.
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Postby FransD » Sat Feb 02, 2008 12:46 pm

Hiii

Thanks MissJ521 for your amazing insight. I do have a question about what you discussed above. What do you mean by this following statement:

"Problem is the joint will limit displacement in all directions needed aesthetically if it's actually more than one displacement you would need in addition to just flaring it out to the side"

Thanks again... ur a star!
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Postby MissJ521@aol.com » Sat Feb 02, 2008 12:56 pm

It means that cuts are made to the jaw as to move it around to change it's contour and you are limited to how much you can move it around.
It can change the stress distribution on the condyle which is part of 'joint' I'm referring to.
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Postby FransD » Sat Feb 02, 2008 5:13 pm

Thanks for the clarification! ITs starting to make sense to mee...

I dont have that 'angle' on my jaw if you know what i mean.. that 90 degrees angle (perpendicular angle) ... so my jaw is basically a straight line... if that makes sense...

will this hinder what i want to achieve?
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Postby MissJ521@aol.com » Sat Feb 02, 2008 5:29 pm

Ideal angle is actually more than 90 degrees but I know what you mean; you can't see any articulation of any angle from front view. Don't have enough info to predict what the max fax will do for you specifically.
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Postby FransD » Sun Feb 03, 2008 3:39 am

Also from the side view.. you know that drop from the joint to the jaw., that looks a bit like an "L".. I dont have that....

sorry for the layman terms .. still learning my medical terminology.

Thanks MissJ521! I'm doing my research now.. before I do go to a Max Fax surgeon.

Thanks again
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Postby MissJ521@aol.com » Sun Feb 03, 2008 10:25 am

It could probably mean you don't have a highly articulated angle due to: an angle more "obtuse" than ideal, the angle you have has an unfavorable rotation to it or is 'set' too high with reference to your ear.
One or all of the above.
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Postby FransD » Sun Feb 03, 2008 12:26 pm

oh ok. does that mean that its harder to fix? Will it hinder broadening my jaw?

Thanks MissJ521! BTW, how come you know about all of this? are you a doctor?
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Postby MissJ521@aol.com » Sun Feb 03, 2008 12:53 pm

I know about because I have studied the relationships in detail over a course of years and also have had many consultations with max-fax doctors.

However without actually seeing what you have or could have, I'm unable to 'translate' how these things specifically apply to you. It would depend on which thing you had.
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really complicated jaw thingy....

Postby rj988 » Mon Feb 11, 2008 7:44 am

I have retrognathia/micrognathia. I'm in braces now awaiting maxillofacial surgery to slide my jaw forward...even after, (I dont go out in public without forcing my jaw forward, which causes tmj) im afraid i still will hate my face because of the vertical shortness and shape because when i force my jaw forward, i hate it still. During the next consult with my maxillofacial surgeon, how do you suggest I ask (specific procedures?) about increasing vertical jaw/chin height as well as chin angles (my chin is small and rounded like a female's). He seems to be focused, of course, on my teeth and function, but im so tired of hiding and overcompensating for my hatred of my face because i dont want to sound "superficial".
P.S.- my surgeon is kind of a prick, so if i cant get him to listen to MY personal concerns, do you know if i could still get implants after the jaw sliding? It would be so nice if we could just do all this stuff at once, though...I have a crooked deviated septum as well, and want a lip reduction/reshaping (asymmetry). I'm just worried about how to bring this all up to him or if its possible to do it all together and money. I dont know why, but i really, really want a long, rectangulr face and thin lips...like Trent Reznor or Adrian Brody. Odd, but i do. It is very important to me as a person and as an artist, and for a music career i could pursue if only i could finally look in the mirror and see my true self. I like what I like, and though it may never be "perfect", i want to get as close to my ideal as possible.....so, any suggestions? thanks.
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Postby FransD » Tue Feb 12, 2008 1:33 pm

that's such a good question rj988.

Hopefully, MissJ521 will give you some insight.
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Postby spy9doc » Fri Feb 15, 2008 6:56 pm

Jeez........you gals are talking about major reconstruction here! Do you really want an angular jaw badly enough to have that kind of invasive surgery??

Why not consider something like cheek implants and a chin implant, along with some well-placed fillers? That would be far less invasive and perhaps give you the changes you're looking for.

Just be aware that as you age you will lose much of your midface fat and your face will naturally be more angular. I'm seeking the opposite effect.....I would like my face to be less angular and more softly rounded.
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Postby MissJ521@aol.com » Fri Feb 15, 2008 7:00 pm

Well, if someone really wants a changed jaw line, cheek implants or chin implants and filler don't really do that.


spy9doc wrote:Jeez........you gals are talking about major reconstruction here! Do you really want an angular jaw badly enough to have that kind of invasive surgery??

Why not consider something like cheek implants and a chin implant, along with some well-placed fillers? That would be far less invasive and perhaps give you the changes you're looking for.

Just be aware that as you age you will lose much of your midface fat and your face will naturally be more angular. I'm seeking the opposite effect.....I would like my face to be less angular and more softly rounded.
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Postby rj988 » Fri Feb 15, 2008 10:06 pm

Is it true that plastic surgery in general costs more over here on the east coast as compared to other parts of America? I cant recall exactly where I heared that, but anyways....yes, I am considered to have a "congenial deformity", spy9doc, which is why insurance is covering the jaw surgery;(i.e., it effects my ability to eat, and the bone is deteriorating, so i could lose teeth, etc.), but it is also plain ugly and i got picked on all the time (a.k.a. "Homer Simpson"-overbite). I dont feel so ugly inside, so it bothers me very much, especially now that i want to date and get notoriety in the music industry. So, since it is deemed medically necessary and reccomended that i have jaw surgery anyways, I dont want to go through all this preparation/pain (its not fun!) and STILL not be happy with my face.
Just sliding my jaw forward a couple mm's or whatever wont make much difference, because, like i said, since I was about 12, I dont go in public without purposely jutting it forward into a normal position, and at best (because of undergrowth of bones) I have an averagely proportioned face- for a female! (im a boy, so it sucks)...it is still vertically short, soft, rounded oval, with a narrow, pointed chin...and I HATE IT!!
MissJ, if you could, could you please respond to my other messages/technical questions regarding how to approach a nasty maxfax surgeon about specific desires, and implants afetrward? Thanks.
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