Introduction

The appearance of the mandibular border significantly influences one's facial aesthetics. In New York City, a hub of medical excellence, there are several plastic hospitals renowned for their expertise in improving the mandibular border. Whether it's due to congenital issues, trauma, or a desire for aesthetic enhancement, these hospitals offer a range of procedures to address various concerns related to the mandible. This article will explore some of the top plastic hospitals in New York City that specialize in mandibular border improvement, the conditions they treat, and the procedures they offer.

Mount Sinai - New York

Overview

Mount Sinai is a well - known medical institution that has a team of highly experienced plastic and reconstructive surgeons for treating all forms of jaw deformities. Their specialists work together with dentists, orthodontists, and other relevant professionals to provide comprehensive care for patients.

Conditions Treated

• Mandibular hyperplasia (prognathism): This condition presents as an excess of the lower third of the face, making it overly prominent. It may also involve an underdeveloped upper jaw.
• Mandibular hypoplasia: Characterized by a small lower jaw, often with an overbite (skeletal malocclusion). It can be associated with a tall upper jaw and long - face syndrome, where the lower jaw appears small and rotates backward.
• Maxillary hypoplasia: Appears as a small upper jaw with a shallow, concave mid - face and an underbite (skeletal malocclusion). It may be related to a cleft of the lip and palate or other craniofacial syndromes and can involve an undersized, oversized, or normal lower jaw.
• Vertical maxillary deficiency (short face syndrome): Causes an older appearance due to a lack of sufficient dental show resulting from a vertical deficiency of the upper jaw.
• Vertical maxillary excess (long face syndrome): Results in a long - faced appearance with a possible open bite where the teeth do not come together. This is caused by excess vertical growth at the back of the maxilla compared to the front and a relatively short lower jaw.

Treatment Approach

The team at Mount Sinai coordinates care to restore both the function and appearance of the jaw. By collaborating with multiple specialists, they aim to provide the best possible outcome for each patient.

UES Facial Plastic Surgery (City Facial Plastics)

Overview

City Facial Plastics, under the expertise of Dr. Gary Linkov, is a leading facility in New York City for facial reconstruction and plastic surgery, particularly for mandible repair.

Mandible Repair

Severe trauma to the lower jaw can have a significant impact on mouth function and facial aesthetics. A broken jaw can cause pain and alter the position of the teeth and jaw, affecting functions such as chewing, smiling, and talking. Dr. Linkov uses his in - depth knowledge of facial bones, nerves, muscles, and tendons to repair mandible injuries and restore the beauty of the jawline.

Trauma Causes

The most common causes of severe jaw damage are blunt impacts to the face, which can occur in auto accidents, sports activities, or acts of personal violence.

Treatment Techniques

Depending on the extent of the damage, specialized techniques are employed to restore both form and function. Dr. Linkov uses cutting - edge methods to ensure the highest level of restoration of jaw movement and also applies his artistic skills to recreate the aesthetics of the chin and jaw, improving the balance of facial features.

New York Facial Plastic Surgery (Dr. Andrew Jacono)

Jaw Implant Surgery

Dr. Andrew Jacono offers custom - made male jaw implants for mandibular augmentation procedures. Jaw implants, or gonial angle implants, are used to correct small or aesthetically imbalanced mandibles.

Candidates

Men who desire stronger jawlines or have narrow jaw widths are ideal candidates for this surgery. Women with weaker jawlines can also undergo the procedure, but the goal is to create a softer jawline for a more feminine look.

Procedure Details

The implants are typically made of Medpor®, a material that the body grows into, providing more stability than silicone. Incisions are hidden within the mouth, placed further back along the jawline at the crease where the inside of the lips and the gums meet. The mandibular implant is shaped to match the jawline and is held in place with two or three titanium screws. The procedure is repeated on the opposite side of the jawline, and incisions are closed in layers to keep oral fluids out of the wound. The entire insertion process takes one to two hours.

Chin Augmentation

Chin augmentation is another related procedure. It is performed through a small incision inside the lower lip, either between the lower lip and the gums or in the natural crease just beneath the chin. An implant is placed in the created space, and the incisions are closed with fine sutures, leaving an imperceptible scar. Chin augmentation can also improve the appearance of the nose and reduce the appearance of early jowling along the neck and jawline.

Recovery

The majority of swelling, bruising, and discomfort after jaw surgery resolve within one to two weeks. The mouth and jawline may be sore for several weeks, but pain can be managed with prescribed medication. Unexpected side effects such as infection, poor wound healing, and shifts in implant position are extremely rare.

Columbia University - Plastic & Reconstructive Surgery

Overview

Columbia University is one of New York's best hospitals and a world - class medical center. Their plastic surgery division has a team of proficient plastic surgeons with multiple areas of specialization.

Jaw - Related Procedures

In the context of mandibular border improvement, the surgeons at Columbia can perform chin surgery as part of their facial cosmetic procedures. Additionally, in cases of reconstructive needs, they are well - equipped to handle issues related to the jaw, such as craniofacial surgery for conditions like cleft lip and palate which can impact the development and appearance of the jaw.

Other Services

The division offers a wide range of cosmetic and reconstructive services, including breast augmentation, tummy tucks, and body contouring after significant weight loss. Their team is also involved in extensive clinical and laboratory research in plastic surgery.

Edmund Kwan, MD

Jaw Reshaping Surgery

Dr. Edmund Kwan is a board - certified plastic and reconstructive surgeon who offers a variety of jaw reshaping procedures. He understands the diverse ethnic backgrounds of his patients and tailors treatment plans accordingly.

Procedures Offered

• Jawbone reduction: Also known as shaving, contouring, or “v - line” surgery. Dr. Kwan can use different techniques depending on the amount of adjustment required. For minor reductions, he may burr or shave down the outermost layer of bone, while for more significant reductions, more bone is excised. The surgeries are performed through tiny incisions inside the mouth to avoid visible scarring.
• Muscular reduction: This procedure is used when the issue is overworked muscles rather than oversized bone. Patients who clench or grind their teeth may develop hypertrophic masseter or chewing muscles. Dr. Kwan uses Botox injections to relax these muscles, providing a temporary fix that requires follow - up treatments every six to eight months.
• Jaw augmentation: Some patients may need jaw augmentation to add balance to an asymmetrical jawline or strengthen recessed contours. Dr. Kwan uses safe implants inserted through discreet intraoral incisions.

Patient Experience

Dr. Kwan uses the Vectra imaging system, allowing patients to see the expected results of the procedure before it is scheduled. His patients also benefit from reasonable prices despite being in New York City.

NewYork - Presbyterian

Overview

The expert team of plastic surgeons at NewYork - Presbyterian Hospital is dedicated to improving patients' quality of life through various cosmetic and reconstructive surgeries related to the face, including potential mandibular border improvement.

Services

They have specialists with expertise in aesthetic procedures such as facial rejuvenation, which can have an impact on the appearance of the jaw area. In reconstructive surgery, they deal with issues related to trauma, cancer, or congenital disabilities, which may involve the jaw.

Collaboration

The surgical departments at NewYork - Presbyterian Hospital/Columbia University Medical Center and NewYork - Presbyterian Hospital/Weill Cornell Medical Center offer extensive reconstructive and aesthetic surgery. The plastic surgery divisions in the departments of otolaryngology also provide expert surgical care for the head and neck, which can include procedures for the mandible.

NYU Langone Health - Hansjörg Wyss Department of Plastic Surgery

Overview

NYU Langone Health's department of plastic surgery is a global leader in patient care, physician training, and research. They have a multidisciplinary approach to treating complex clinical problems related to the face, including those involving the mandible.

History and Milestones

The department has a long - standing history of innovation in plastic surgery. They have been involved in the development of various surgical techniques, such as performing the first mandibular distraction and the world's first craniofacial distraction. Under the leadership of Dr. Eduardo D. Rodriguez, they have made significant strides in facial transplantation, which also has implications for complex jaw and facial reconstruction cases.

Services

They offer a high standard of patient care, including comprehensive evaluations and treatments. Their clinical services are designed to address a wide range of congenital, traumatic, and aesthetic issues related to the mandibular border.

Weill Cornell Medicine - Department of Otolaryngology - Head and Neck Surgery

Overview

The facial plastic and reconstructive surgery team at Weill Cornell Medicine provides comprehensive, state - of - the - art cosmetic or reconstructive medical and surgical care for the face, head, and neck. Their surgeons are nationally recognized leaders in their fields.

Conditions Treated

They treat a variety of conditions related to the face that can impact the mandibular border, such as facial injuries, fractures, and cleft lip and palate. They also offer cosmetic facial surgery that can improve the overall appearance of the jaw area, including rhinoplasty and otoplasty.

Benefits

Patients at Weill Cornell Medicine benefit from multidisciplinary care, as the team collaborates with other specialists such as neurologists, facial nerve physical therapists, and speech therapists. The hospital also partners with NewYork - Presbyterian, one of the top hospital systems in New York City.

Comparing the Plastic Hospitals

Choosing the Right Plastic Hospital

When choosing a plastic hospital for improving the mandibular border in New York City, several factors should be considered. First, the hospital's reputation and the experience of its surgeons are crucial. Look for hospitals with a proven track record in treating mandibular - related conditions. Second, the range of procedures offered is important. Depending on your specific needs, such as jaw repair, augmentation, or reshaping, you need to ensure that the hospital can provide the appropriate treatment. Third, consider the hospital's approach to patient care. A hospital that offers a multidisciplinary approach, involving other specialists like dentists and orthodontists, can provide more comprehensive care. Additionally, patient reviews and testimonials can give you insights into the quality of care and the patient experience at the hospital.

Conclusion

In conclusion, New York City offers a wealth of options for individuals seeking to improve their mandibular border. From well - established medical institutions like Mount Sinai and Columbia University to specialized clinics like City Facial Plastics and New York Facial Plastic Surgery, each hospital has its own unique strengths and areas of expertise. Whether you are dealing with a congenital jaw deformity, a traumatic injury, or simply looking for aesthetic enhancement, these hospitals can provide the necessary care and treatment. By carefully considering the factors mentioned above, you can make an informed decision about which hospital is the best fit for your needs.

If you are interested in improving your mandibular border, we encourage you to do further research on these hospitals. Contact them for consultations to discuss your specific concerns and explore the available treatment options. Don't hesitate to share this article with others who may be interested in similar procedures. And stay tuned for more information on plastic surgery and related topics.