Introduction
When it comes to mandibular margin lifting in New York City, finding the right hospital is crucial. A good hospital not only offers advanced medical techniques but also has a team of experienced professionals. Mandibular margin lifting can enhance the facial appearance, improve jaw function, and boost self - confidence. In this article, we will explore some of the top hospitals in New York City for this procedure, along with the services they offer, treatment options, and success rates.
Mount Sinai - New York
Jaw - related Surgical Expertise
Mount Sinai is a well - known medical institution in New York City with a wide range of services related to jaw surgeries. They have expertise in various types of jaw procedures, including those related to the mandibular margin.
- Jaw in a Day Surgery: This is a unique procedure developed at Mount Sinai. The need for jaw surgeries, such as mandibulectomy or maxillectomy, can occur due to various reasons like cancer, radiation - induced jawbone deterioration, or the use of certain antiresorptive medications. After these surgeries, patients often face issues like loss of teeth and the inability to chew for several months. With the Jaw in a Day surgery, patients can have an immediate post - surgical restoration of their smiles and a significantly reduced timeline for the implantation of permanent teeth.
- Procedure Details: Before the mandibulectomy, patients meet with a multidisciplinary team consisting of a head - neck surgeon, a maxillofacial surgeon, and a prosthodontist. Extensive scans of the jaws and teeth are done to develop a virtual surgical plan and create a temporary dental prosthesis. The surgical team then performs a virtual tumor and jaw resection along with the harvesting and placement of the fibula. Once the virtual surgery is completed, the actual procedure is carried out, which involves tumor resection, placement of dental implants in the fibula, and implantation of the fibula to create the new jaw and temporary teeth. The entire procedure takes 6 - 8 hours, and the healing process can take between 6 weeks to 6 months. During this time, the team closely monitors the patients.
- Benefits: For patients eligible for the Jaw in a Day procedure, there are several benefits. They experience enhanced overall well - being as they have teeth soon after the surgery. The healing process is faster without scarring or deformity, which also enables quicker implantation of the permanent dental prosthesis. Patients can return to regular chewing and diet in a shorter time. They also have a choice in permanent prosthetic options such as ceramic, zirconium, and titanium.
Corrective Jaw Surgery (Orthognathic Surgery)
Mount Sinai also performs orthognathic surgery for overbites, underbites, and crossbites. This procedure involves moving the upper jaw (maxilla) and lower jaw (mandible) to an anatomically correct position to achieve a good occlusion (bite), open the airway, and ensure facial symmetry.
- Indications: Patients with a bad bite (malocclusion), facial asymmetry, or moderate - to - severe sleep apnea may require this surgery. Minor malocclusions can sometimes be corrected with simple orthodontics, but skeletal deformities of the jaw require a combination of orthodontic and surgical treatment.
- Treatment Process: The treatment begins with an evaluation by an orthodontist and an oral and maxillofacial surgeon. This includes x - rays, models of the dentition, photographs, facial measurements, and a complete data analysis. The team uses advanced 3D x - rays and computer - assisted technology for treatment planning. After diagnosis and surgical planning, the information is used to communicate with the orthodontist, explain the plan to the patient, and obtain insurance approval. Virtual surgical planning (VSP) is then carried out, which involves pre - operative orthodontic therapy to level and align the teeth. A cone beam 3D CT scan and 3D photo morphometry are used for VSP. Surgical guides are fabricated using 3D printers. The actual orthognathic procedure is performed under general anesthesia with braces in place, and internal fixation devices are used to connect the repositioned segments to the jaws. Patients usually stay in the hospital for 1 - 2 days. After the procedure, training elastics are used, and the diet is limited to liquid or non - chew food for four weeks. Post - operative orthodontics start 6 - 8 weeks after surgery and can last from 3 to 6 months.
Treatment of Jaw Deformities
The plastic and reconstructive surgeons at Mount Sinai treat all forms of jaw deformities. They work as a team, coordinating care with dentists, orthodontists, and other plastic surgeons as needed to provide the best possible outcome.
Condition | Description |
---|---|
Mandibular hyperplasia (prognathism) | Excess of the lower third of the face, making it appear very prominent. It may include an underdeveloped upper jaw. |
Mandibular hypoplasia | Small lower jaw with an overbite (skeletal malocclusion). It may include a tall upper jaw and long - face syndrome, and backward rotation of the lower jaw. |
Maxillary hypoplasia | Small upper jaw with a shallow, concave midface and an underbite (skeletal malocclusion). It may include an undersized, oversized, or normal lower jaw and may be associated with a cleft of the lip and palate or other craniofacial syndromes. |
Vertical maxillary deficiency (short face syndrome) | May cause an older appearance due to the absence of enough dental show from a vertical deficiency of the upper jaw. |
Vertical maxillary excess (long face syndrome) | Causes the appearance of a long face with a possible open bite where the teeth do not come together due to excess vertical height of the upper jaw, more growth at the back of the maxilla than the front, and an associated shortness of the lower jaw. |
Gotham Plastic Surgery
The G.I. Jaw® Procedure
More and more men are seeking cosmetic procedures to enhance their facial features, and Gotham Plastic Surgery offers the innovative G.I. Jaw® procedure. This procedure is designed to enhance the jawline and chin to create a chiseled and masculine appearance.
- Ideal Jawline and Facial Shape: From a physical standpoint, studies and surveys show that Americans consider a symmetrical face, square chin, strong muscular jaw, and well - defined cheekbones as signs of male attractiveness. A well - defined lower face, including the jaw, chin, and submental area beneath the chin, is considered a hallmark of masculinity.
- Reasons for Enhancement: Traditionally, a strong jawline was advantageous for mating. In modern times, social media and selfies have made men more conscious of their appearance. Strengthening the jawline can add to a man's sex appeal, overall attractiveness, confidence, and make him appear more fit.
- Treatment Options: Dr. Philip Miller's innovative procedure can include facial injectables like Botox®, Restylane®, Juvéderm®, Voluma®. Voluma, for example, can lift, define, and enhance a jawline. Kybella® injections, made with a synthetic form of fat - fighting deoxycholic acid, can target and destroy fat cells for a more sculpted jawline and better chin profile. Liposuction, neck - tite, and facial implants are also options. Facial implants can widen and project the lower facial shape, give the illusion of a shorter, less oval face, and create a stronger, more defined profile view. They can be customized to fit the characteristics of each man's face and are often composed of biocompatible materials.
- Patient Success Stories: Dr. Philip Miller has helped several patients achieve their desired jawline. For example, one patient wanted to accentuate the appearance of his jawline and reduce loose skin. Another wanted to eliminate stubborn fat in the neck and define his jawline. The G.I. Jaw® procedure was successfully used in all these cases to achieve the patients' goals.
UES Facial Plastic Surgery (City Facial Plastics)
Mandible Repair
Severe trauma to the lower jaw, or mandible, can have a significant impact on both mouth function and facial aesthetics. Dr. Gary Linkov at City Facial Plastics in New York City is an expert in facial reconstruction and plastic surgery.
- Causes of Mandible Damage: Severe damage to the jaw is usually caused by a blunt impact to the face, such as in an auto accident, sports activity, or an act of personal violence. This can leave the victim in pain and with alterations to jaw function and appearance.
- Treatment Approach: Dr. Linkov uses his extensive knowledge of the facial bones, nerves, muscles, and tendons to repair the function and recreate a pleasing appearance of the jaw. He uses cutting - edge techniques and methods to ensure the highest level of restoration of jaw movement. He also uses his artistic skills to recreate the aesthetics of the chin and jaw to improve the balance of the facial features.
- Patient Testimonials: Patients have reported high satisfaction with Dr. Linkov's services. For example, one patient had submental liposuction by Dr. Linkov and was very happy with the results. The doctor took the time to listen to concerns, explain the procedure thoroughly, and the results tightened up the jawline and gave more definition.
New York Center for Orthognathic & Maxillofacial Surgery (NYCOMS)
Orthognathic Surgery
NYCOMS focuses on orthognathic surgery, which is also known as corrective jaw surgery. This surgery involves moving various components of the facial skeleton to achieve balance, good jaw function, and a comfortable jaw position.
- Evaluation Process: When a patient comes in with a jaw abnormality, the team first evaluates how the patient is affected in terms of functionality, such as the ability to chew a healthy diet, proper dental occlusion, clear speech, normal breathing, presence of pain, and self - esteem about their smile and appearance. Then, the patient's anatomy is evaluated.
- Procedures: There are three basic orthognathic procedures: moving the upper jaw (Le Fort 1 osteotomy), moving the lower jaw (bilateral sagittal splitting of the mandible), and moving the chin (genial osteotomy or anterior mandibular osteotomy). These procedures are uniquely combined in each case to correct the specific jaw abnormalities of each patient. The decision on which operations to perform and the direction of jaw movement is based on a meticulous clinical examination, accurate records including clinical photographs, cone beam CT three - dimensional analysis, and dental study models.
- Treatment Stages:
- Consultation and Diagnosis: The first step is an evaluation with a member of the maxillofacial team, which takes about an hour. All relevant data such as radiographs, photography, models, facial measurements, and health history are collected. A second follow - up visit is made to compile the data and determine if corrective jaw surgery is appropriate. Computer - generated surgery demonstrations may be available.
- Pre - surgical Orthodontics: The next step is a visit to the orthodontist. Appliances (braces) are placed on the upper and lower teeth to align and level them into the correct position within the bone. This usually takes 6 - 12 months. During this time, the progress of tooth alignment is monitored to plan the surgical date.
- Final Records and Treatment Plan Development: Once the teeth are aligned, new records are taken, and a scale model of the jaws is created. Surgery is performed on the model to create guides for the operating room.
- Surgery: The operation takes place in one of the affiliated hospitals, and the average length of stay for jaw surgery is one night.
- Post - op Convalescence: After surgery, the bones are healing into their new location. A liquid to soft - consistency diet is necessary for 8 weeks, and physical activity is limited.
- Post - surgical Orthodontics: When the bones are stable, the orthodontist resumes aligning the teeth for an ideal fit. Orthodontic retainers are used to maintain the stability of the bone and the bite.
Dr. Edmund Kwan
Jawbone Reduction and Shaping
Dr. Edmund Kwan offers jawbone reduction surgery, also known as jaw shaving or jaw contouring. This procedure is suitable for men and women with large, broad jaws that make the face appear disproportionate.
- Procedure Details: Dr. Kwan begins by understanding the patient's desired outcome. He uses three - dimensional imaging software to help patients visualize the possible results. The most common technique for jawbone reduction is accessing the jaw from inside the mouth, near the molars. This reduces the risk of external scarring and damage to nerves. The procedure involves removing a small amount of bone, muscle, or both, and then refining the shape by shaving parts of the bone and positioning the muscle in an ideal location.
- Other Jaw Shaping Procedures: In addition to jawbone reduction, Dr. Kwan offers minor surgical contouring for patients who only need a small amount of jawbone reduction. He also provides jaw augmentation for those with unusually small jaws, especially popular among male patients. He can correct jaw asymmetry using reduction, augmentation, shaping, or a combination of techniques. For non - surgical options, he offers Botox injections to soften muscles and give the jawline a slimmer, softer, more contoured appearance.
- Recovery and Side Effects: The average recovery time for jawbone reduction is a few weeks, depending on the technique used and the amount of bone removed. Side effects may include temporary bruising, swelling, and numbness. Dr. Kwan provides detailed aftercare instructions, such as sleeping with the head elevated for the first few days, rinsing the mouth frequently with a recommended mouthwash, and eating soft foods for the first couple of weeks.
MirSkin
Non - surgical Jaw Lift
MirSkin offers a non - surgical PDO jaw lift in NYC. This is a great option for those who want a defined chin and jaw without the need for surgery.
- How it Works: Dr. Tabasum Mir uses specialized lifting and vector technological skills and sophisticated aesthetic understanding to implant PDO threads around the jawline. These threads raise the skin and fat, and the behind - the - ear technique is used to avoid obvious pokes or scarring. Mesh threads, which consist of 16 smooth fibers woven together, can also be used to add volume and lift sagging tissues.
- Recovery and Results: The recovery period is short, and patients can resume their regular activities right away. However, they need to follow Dr. Mir's aftercare recommendations to ensure long - lasting effects. Possible side effects include swelling and soreness in the treated areas, which usually go away within a few days. The results of the non - surgical jaw lift can last from several months to a few years, and patients who want to maintain the defined jawline are encouraged to return for follow - up treatments.
Conclusion
New York City offers a plethora of excellent options for mandibular margin lifting and related jaw procedures. Hospitals like Mount Sinai provide advanced surgical solutions for various jaw conditions, including those related to cancer and deformities. Gotham Plastic Surgery offers a specialized cosmetic procedure for men to enhance their jawline. UES Facial Plastic Surgery focuses on mandible repair after trauma. NYCOMS is an expert in orthognathic surgery, while Dr. Edmund Kwan provides a range of jaw - shaping procedures, both surgical and non - surgical. MirSkin offers a non - surgical jaw lift option. Each of these institutions has its own unique approach, expertise, and treatment options.
If you are considering mandibular margin lifting or any related jaw procedure, it is important to consult with the appropriate professionals. Research each hospital or clinic, read patient testimonials, and understand the risks and benefits of the procedures. Don't hesitate to reach out to these institutions for a consultation. Whether you are looking to improve your facial aesthetics, correct a jaw deformity, or recover from jaw trauma, there is a suitable option for you in New York City. Take the first step towards achieving your desired jaw appearance and function by scheduling a consultation today!