Introduction

Mandibular border lifting is a specialized procedure within the realm of orthognathic and facial plastic surgery. In New York City, a bustling hub of medical expertise, patients have access to a variety of hospitals offering this treatment. This article aims to comprehensively compare the strengths of different hospitals for mandibular border lifting, taking into account factors such as surgical techniques, medical staff expertise, patient outcomes, and the overall patient experience.

Understanding Mandibular Border Lifting

What is Mandibular Border Lifting?

Mandibular border lifting is a surgical intervention designed to address issues related to the lower jaw. It can be used to correct jaw deformities, improve facial aesthetics, and enhance functionality such as chewing and speaking. Conditions that may require mandibular border lifting include mandibular hyperplasia, hypoplasia, and other developmental or acquired abnormalities of the lower jaw.

Common Surgical Techniques

Several surgical techniques are commonly used for mandibular border lifting. A multi - center analysis in orthognathic surgery (Oliver C. Thiele et al., 2016) identified three dominating techniques for mandibular repositioning: the Obwegeser/Dal Pont (61%), followed by the Hun Suck/Epker (37%), and the Perthes/Schlössmann (29%). Additionally, in terms of osteosynthesis, plates were the main material used (82%), followed by bicortical screws (23.5%) or a combination of both (5.9%).

Top Hospitals for Mandibular Border Lifting in New York City

Mount Sinai

Expertise in Jaw Deformities

Mount Sinai's plastic and reconstructive surgeons are highly experienced in treating all forms of jaw deformities. They work as a team of specialists, coordinating care with dentists, orthodontists, and other plastic surgeons as needed. Conditions they treat include mandibular hyperplasia, hypoplasia, maxillary hypoplasia, vertical maxillary deficiency, and vertical maxillary excess. This comprehensive approach ensures that patients receive personalized treatment plans tailored to their specific needs.

Patient - Centered Care

For patients seeking mandibular border lifting, Mount Sinai focuses on restoring both function and appearance. They aim to provide the best possible outcome through coordinated care. In the case of neck lift surgeries (related to facial rejuvenation which can be an adjunct to mandibular border lifting), Mount Sinai surgeons are knowledgeable about the aging process of the neck and apply the latest surgical techniques. The goal is to achieve a long - lasting, natural - looking, and rejuvenated appearance. Neck lift surgery at Mount Sinai is usually done on an outpatient basis at their private, ambulatory surgery center, with options for local anesthesia, general anesthesia, or a combination of local anesthesia and sedation.

Weill Cornell Medicine

Multidisciplinary Approach

Weill Cornell Medicine's team of oral and maxillofacial surgeons are specialists in orthognathic/corrective jaw surgery. Orthognathic surgery at Weill Cornell Medicine is a combined effort between orthodontics and surgery, which is essential for treating overbites, underbites, and cross - bites. The multidisciplinary approach coordinates complex care, providing focused support before, during, and after surgery. This ensures that patients receive comprehensive treatment that addresses both the dental and skeletal aspects of mandibular issues.

Comprehensive Patient Support

Before surgery, the hospital focuses on determining the exact needs of the patient. They collect data such as radiographs, measurements of the face and teeth, clinical photographs, and health history. A detailed treatment plan is developed in collaboration with the patient. After surgery, patients can expect to stay at the New York - Presbyterian Hospital, Cornell campus, one of the top - ranked hospitals in the country. The hospital also provides support during the recovery process, including dietary and activity restrictions.

New York Center for Orthognathic & Maxillofacial Surgery (NYCOMS)

Orthognathic Surgery Focus

NYCOMS is dedicated to orthognathic surgery, which is the essence of their practice. Their surgeons are considered “orthopedic surgeons of the facial skeleton.” They offer services in multiple locations in NYC, West Islip, and Lake Success, providing convenience for patients. When a patient presents with a jaw abnormality, the team first evaluates the functionality aspects, such as chewing ability, dental occlusion, speech, and breathing. Then they assess the patient's anatomy to develop a personalized treatment plan.

Staged Treatment Process

NYCOMS follows a well - defined staged treatment process for orthognathic surgery. It includes consultation and diagnosis, pre - surgical orthodontics, final records and treatment plan development, surgery, post - op convalescence, and post - surgical orthodontics. This comprehensive process ensures that the bones are repositioned correctly, and the teeth are aligned for optimal function and aesthetics. The use of advanced techniques such as cone beam CT three - dimensional analysis and dental study models helps in precise surgical planning.

Factors Affecting Hospital Strength for Mandibular Border Lifting

Surgical Expertise

The skill and experience of the surgical team are crucial for the success of mandibular border lifting. Surgeons who are well - versed in different surgical techniques and have a high success rate in treating jaw deformities are more likely to provide better outcomes. Hospitals that attract and retain top - notch surgical talent, such as Mount Sinai, Weill Cornell Medicine, and NYCOMS, have an advantage in this regard. These hospitals often have surgeons who are actively involved in research and continuing education to stay updated on the latest advancements in the field.

Multidisciplinary Collaboration

Mandibular border lifting often requires a multidisciplinary approach. Collaboration between oral and maxillofacial surgeons, orthodontists, dentists, and other specialists is essential. For example, pre - surgical orthodontics is usually necessary to align the teeth before jaw surgery. After surgery, orthodontic work may be required to refine the bite. Hospitals like Weill Cornell Medicine and NYCOMS emphasize this collaborative approach, ensuring that all aspects of the patient's treatment are coordinated effectively.

Technology and Facilities

Advanced technology and state - of - the - art facilities can enhance the quality of mandibular border lifting procedures. For instance, cone beam CT technology provides detailed three - dimensional images of the jaws, which can aid in surgical planning. NYCOMS uses such advanced imaging techniques to create accurate models of the patient's jaws and plan the surgery precisely. Additionally, hospitals with well - equipped operating rooms and recovery facilities can contribute to a smoother patient experience.

Patient Outcomes and Satisfaction

Patient outcomes, such as the success of the surgical procedure, improvement in function and aesthetics, and the rate of complications, are important indicators of a hospital's strength. High patient satisfaction is also a key factor. At Mount Sinai, in the context of facial rejuvenation procedures (related to mandibular border lifting in some cases), a study on thread lift (Samad Rezaee Khiabanloo et al., 2019) showed an increase in patient and surgeon satisfaction over time, indicating a positive surgical experience. Hospitals that track and report patient outcomes transparently are more likely to build trust with patients.

Challenges in Mandibular Border Lifting

Stability and Predictability

According to a study on the stability and predictability of orthognathic surgery (L’Tanya J. Bailey et al., 2004), different orthognathic procedures have varying levels of stability. For example, superior repositioning of the maxilla is the most stable orthognathic procedure, closely followed by mandibular advancement in patients with short or normal face height and less than 10 mm advancement. On the other hand, procedures like mandibular setback, downward movement of the maxilla, and maxillary expansion are considered more problematic in terms of stability, with a 40% - 50% chance of 2 - 4 mm postsurgical change and a significant chance of more than 4 mm change.

Long - Term Effects

There can be long - term effects associated with mandibular border lifting, such as condylar changes. Some patients who have orthognathic surgery to correct class II problems may experience surprisingly large changes in jaw dimensions and relationships beyond 1 year post - surgery. Condylar resorption after mandibular advancement and relapse into anterior open bite have been reported as potential long - term clinical problems. However, long - term data is still limited, and more research is needed to accurately predict and manage these long - term effects.

Making an Informed Decision

Researching Hospitals

Patients considering mandibular border lifting in New York City should conduct thorough research on different hospitals. They can start by looking at the hospital's reputation, the expertise of the surgical team, and the range of services offered. Online reviews and patient testimonials can also provide valuable insights into the patient experience at a particular hospital. Additionally, patients can consult with their primary care physicians or other healthcare providers for recommendations.

Consultation and Second Opinions

It is advisable for patients to schedule consultations with surgeons at different hospitals. During these consultations, patients can ask questions about the surgical procedure, the expected outcomes, the recovery process, and the potential risks. Obtaining a second opinion can also help patients make a more informed decision. Some hospitals, like Weill Cornell Medicine, offer remote second opinions, allowing patients to connect with expert physicians and specialists.

Conclusion

In conclusion, New York City offers a range of hospitals with varying strengths for mandibular border lifting. Mount Sinai stands out for its expertise in treating jaw deformities and patient - centered approach to facial rejuvenation. Weill Cornell Medicine is known for its multidisciplinary approach and comprehensive patient support throughout the orthognathic surgery process. NYCOMS focuses specifically on orthognathic surgery and follows a well - defined staged treatment process. When choosing a hospital for mandibular border lifting, patients should consider factors such as surgical expertise, multidisciplinary collaboration, technology and facilities, and patient outcomes. By conducting thorough research and seeking consultations, patients can make an informed decision that best suits their needs.

If you or someone you know is considering mandibular border lifting, take the time to explore your options in New York City. Contact the hospitals mentioned in this article to schedule consultations and learn more about their services. Share this article with others who may benefit from this information and continue to educate yourself on the latest advancements in mandibular border lifting procedures.