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Resection of the lower jaw

Using this operation, a beautiful line of the chin is created by cutting or resection of the lower jawbone. The operation is considered safe, but the rehabilitation period lasts longer due to swelling. The result is a beautiful natural look.

Is this procedure for you?

1. You have a wide jaw
2. You have a square or broad face
3. You have a slight asymmetry
4. You have a low chin line

How is the procedure performed?

The incision is made in the oral cavity from the second molar to the canine. The desired shape is cut along the line from the back of the jaw to the chin opening. Removing only the outer layer of the jaw, you can significantly reduce the width of the face. The volume of the cut depends on the width of the jaw.

Chin reduction

This procedure makes the wide chin and the lines of the lower jaw smaller and sharper, through T-osteotomy or direct resection. The chin can move a little forward or inward to create a beautiful and correct face profile.

Is this procedure for you?

1. You have a wide chin
2. You have a protruding or hollow chin
3. You have a slight asymmetry
4. You have a slightly elongated chin
5. You are unhappy with the look of your chin

How is the procedure performed?

T-osteotomy

The incision is made inside the mouth from the canine to the canine, below the gum line. One horizontal and two vertical incisions are made to the jaw bones. Another horizontal slice can be made to further reduce the length of the chin. The central bone fragment is removed, and the rest of the bone is fixed with a titanium plate and screws. Soluble material is also available. Then the bottom line of the chin is ground to create a smooth line. This procedure is often used in resection of the lower jaw.

Direct resection (cut)

This procedure is suitable for people who do not need to correct the position of the chin, but want only to reduce the width of their chin and jaw. Also used to correct minor asymmetry of the chin.

Reducing the cheekbones

Reducing the cheekbone is a very effective way to make the face smaller and smoother. Large cheekbones can visually increase the size of the face. This procedure will help to soften facial features. Also, often the presence of large protruding cheekbones makes the face broad and creates an incorrect line of face. In the clinic, specialized surgeons can create a smooth and natural face shape.

Is this procedure for you?

1. You have protrusive cheeks
2. You have protrusive cheekbones
3. You have high cheekbones

How is the procedure performed?

The incision is made in the upper part of the oral cavity (~ 4 cm) above the gum line. Cuts are made in the front and back of the cheekbone. To reduce the size of the cheeks, the cheek is moved to the inside of the face. To prevent any movement, the bone position is fixed tightly with titanium plates. Soluble materials can also be used, they will be invisible in X-rays. Details of the procedure depend on the needs and preferences of our patients.

Jaw plastic surgery

Surgery of the jaw involves moving the upper and lower jaw, including the teeth, to create a beautifully balanced line of face.

Is this procedure for you?

1. You have an asymmetrical face
2. You have a protruding line of mouth
3. You have a protruding lower jaw
4. You have a very small and hollow chin
5. You have an elongated lower face

How is the procedure performed?

Different approaches are used depending on the position and the line of the patient's teeth. The clinics use 3D CT, X-rays and virtual 3D surgery to determine the best approaches.

Traditional approach

For 1-2 years before the operation on the jaw, teeth are aligned in an optimal way through orthodontics. Then, after aligning the teeth, an operation can be performed. After, to achieve optimal alignment of the teeth, you can undergo minor orthodontic treatment.

Operation - First approach

This approach is used in cases where the position of the teeth is optimal for the operation. The total time for treatment is much shorter than for the traditional approach, because of the unnecessary preoperative orthodontic procedure. The jaw is corrected through surgery, and only then is orthodontic treatment necessary.

Modified operation - First approach

This approach combines a traditional approach and operation for cases where teeth have minor lineage problems or orientations. Preoperative orthodontic treatment can be done for a short period (3-4 months) and then proceed with a jaw surgery with postoperative orthodontic treatment.

Operation on the jaw

Upper jaw (LeFort I Osteotomy)

LeFort I osteotomy is the most commonly used procedure for cutting bones in the upper jaw. This procedure is performed under general anesthesia. The operation is performed completely in the oral cavity. A U-shaped incision is made on the gums of the upper teeth to gain access to the jawbone. Then the gum is lifted from the bone. The upper incisions of the jaw are made with the help of highly specialized instruments, which make it possible to clearly dissociate the tissues. If the upper jaw should be minimized, the additional bone is removed. Bone can be built if it is necessary to lower or lengthen the jaw (bone graft). The upper jawbone is then inserted into its final position (planned before your operation) and strengthened in place by tiny titanium plates and screws that remain in place permanently. Gums are sewn with soluble screeds, which dissolve within 3-4 weeks. After the bones heal, the jaw restores its strength.

Lower jaw

1) Sagittal Split Ramus Osteotomy (SSRO)

This procedure is used to correct the mandibular retraction and prognathism of the lower jaw (deep bite and jaw protrusion). First, a horizontal incision is made on the inner side of the lower jaw, expanding access to the front. Then, a cut is made downwards, spreads on the lateral border of the lower jaw in the area between the first and second molars. At the same time, a vertical incision is made, extending access to the jaw, to the lower border of the jaw. All incisions are made up to the middle of the bone where the bone marrow is located. The medical bit is then inserted into pre-existing incisions and gently punctured into all areas to divide the lower jaw into the left and right sides. From this position, the lower jaw can be moved forward or backward. If there is a shift in the opposite direction, the additional segment must be trimmed to make room to move the lower jaw in the opposite direction.

2) Varus Rotational Osteotomy (VRO)

Vertical osteotomy is a procedure in which the whole thickness of the branches of the lower jaw is cut. It is carried out on both sides, the lower jaw is divided into 2 small segments with condyles and onto a large segment consisting of the anterior part of the lower jaw and the part including the teeth and chin. The dissections are made behind the lower alveolar canals, and therefore the chance of damage to the alveolar nerve is minimized. This operation can be used for repositioning, changing the angle of the lower jaw, and also shortening the posterior part of the lower jaw. However, this operation can not be used to lengthen the lower jaw.

3) Anterior Segmental Osteotomy (ASO)

The upper and lower first molars are removed from both sides of the mouth along with the bone on which they are located. The front part of the upper and lower oral cavity is moved back and fixed to the jaw by means of titanium plates to firmly fix it. It is usually done for people with protruding mouth (bimaxillary protuberance).

 

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Recessed chin

The recessed chin can also be considered as a chin with an incorrect bite where the lower jaw is underdeveloped. This is very noticeable when looking at the profile and full face.

Is this procedure for you?

1. You have an underdeveloped jaw
2. You have an incorrect bite due to the recessed chin
3. For men who want a more masculine appearance

How is the procedure performed? 

1. Small chin: small chin with normal jaw size

Installation of the implant.

The operation is performed under local anesthesia, and the patient will not feel pain or discomfort. The cut is made through the mucosa of the oral cavity to the lower jaw, where an implant of silicone or Gore-Tex is inserted. Such a simple procedure takes about 20 minutes.

1. Taking the chin forward

Sliding Genioplasty

This procedure is performed when the position of the jaw and its development are normal, but the chin is recessed. A horizontal slice is made on the chin, and only the chin moves forward. Titanium plates and screws are used to fix the chin in place.

1. Moving the lower jaw forward

A cut is made of the oral cavity, the chin bone is cut and moved forward, and set using the technique of SSRO (Sagittal Split Ramus Osteotomy). Using the titanium plates, screws and / or wires, the jaw is fixed in place. The jaw must remain closed until the bones have healed. The operation itself takes about 1.5-2 hours, and there are no problems in getting to work or easy active. Depending on the condition of the bones of the upper

 

Forehead plastic surgery

This procedure is for people who have flat or small foreheads. For a more rounded beautiful forehead shape, an implant or filler is used. Particular attention is paid to ensuring a smooth round view from all sides.

Is this procedure for you?

1. You have a flat forehead
2. You have a dented or small forehead
3. You are unhappy with how your forehead looks like

How is the procedure performed?

1. Preparing the implant

Implants that are inserted into the forehead are made to order, and also pre-checked in shape and size before the operation.

1. Operation

Installation of the implant

The incision is made along the hair growth line in the scalp, where the implant will be inserted. The surgeon inserts an implant. This procedure is done under local anesthesia, where there is no pain, no discomfort.

С. Lipofilling (Fat injection, using your own fat tissue)

Adipose tissue is taken from the bottom of your abdomen / hips, and then a small (1cm) incision is made on the hairline. Fat is injected through the upper part of the forehead down to the eyebrows between the muscles.

Nasolabial Fold, Parentheses or "smile lines"

Is this procedure for you?

You have nasolabial folds.

How is the procedure performed?

The incision is made inside the mouth about 1.5 to 2 cm in length. The implant is inserted into the place of the maxillary bone recess. The implant can be made of silicone or Goretex. The surgeon can determine the size and shape of the implant before the procedure.