Aesthetic implants for the lower jaw

The enlargement of the central part of the chin with alloplastic implants has been used for more than 40 years. The popularity of this procedure has increased significantly over the past 10 years, as our understanding of the anatomical structure and aging process of this area has improved, and alloimplants have become more sophisticated in terms of size, shape and function. Evaluation of indications for an increase in the central part of the chin and mid-section of the lower jaw is based on an understanding of the aesthetic proportions of the face and the anatomical structure of the young and aging mandibular region.

One has only to look at fashion models in fashion magazines in order to understand that one of the necessary conditions for beauty is a harmonious proportion of the central part of the chin and a straight, youthful, completed line of the lower jaw, where the central part of the chin turns into the mid-section of the lower jaw. The beauty of a strong lower jaw was also portrayed by some of the great artists of the past. Although there is a difference between the "strong" chin of a man and a woman, they both give a feeling of energy, strength, confidence, self-confidence, aesthetic balance and beauty. The chipped chin is often associated with negative qualities, such as a weak character, and in combination with the lack of the right proportions of the face, this deprives the person of attractiveness. At first glance, an increase in the chin can be considered a small operation. With an understanding of the anatomy of the optimally balanced lower jaw, as well as the genetic characteristics of the jaws and the aging process, the plan for surgical correction of this area is usually fairly clear.

However, the qualitative side of the result is based on the correct selection of the implant. The choice is complicated, if the surgeon is not aware of the options and conditions of choice. A large number of alloplastic, silastic (Dow Corning, USA) and elastomeric implants, as well as implants for the lower jaw of other materials can sometimes be confusing. However, 98% of the needs of an aesthetic surgeon operating on the face can be provided with a relatively small arsenal of alloplastic implants for the lower jaw. When the surgeon understands the anatomy and the process of aging of the lower jaw, which he increases, the operation can be performed so that the surgical results are optimal, depending on the degree of complexity of this operation.

When using various alloplastic materials, it is important to understand that almost the same operation can be performed in the treatment of genetic underdevelopment of the mandible, injuries of the lower jaw and to correct the aging process of the mandible region, which is one of the classic signs of aging. No aesthetic surgical operation in the authors' arsenal brings such a clear aesthetic success with little time and effort, like an increase in the mandible by a properly selected implant of allogeneic material, Silastic or elastomeric rubber.

[1], [2], [3], [4]