Introduction

The mandibular line plays a crucial role in facial aesthetics. A well - defined mandibular line can enhance one's overall appearance, giving a more youthful and attractive look. In New York City, there are several top - notch hospitals and medical facilities that specialize in procedures related to improving the mandibular line. These institutions offer a variety of treatments, from surgical interventions to non - surgical options, depending on the patient's needs and goals. In this article, we will explore the top 5 selected hospitals in New York City for enhancing the mandibular line.

1. Mount Sinai Hospital

Comprehensive Mandibular Treatments

Mount Sinai Hospital is renowned for its expertise in treating various jaw - related conditions. Their plastic and reconstructive surgeons are highly experienced and work as a team of specialists. They coordinate with dentists, orthodontists, and other plastic surgeons to provide the best possible outcome for patients.

The hospital treats a wide range of jaw conditions, including mandibular hyperplasia (prognathism), mandibular hypoplasia, maxillary hypoplasia, vertical maxillary deficiency (short face syndrome), and vertical maxillary excess (long face syndrome). For instance, mandibular hyperplasia appears as an excess of the lower third of the face, making it very prominent and may involve an underdeveloped upper jaw.

Jaw in a Day Procedure

Mount Sinai is also at the forefront of developing innovative procedures like the "Jaw in a Day" surgery. This is an all - in approach to jaw tumor resection and reconstruction. It includes the same - day placement of titanium dental implants to anchor temporary teeth that look exactly like the patient's existing teeth.

Before the surgery, patients meet with a multidisciplinary team, including a head - neck surgeon, a maxillofacial surgeon, and a prosthodontist. Extensive scanning of the jaws and teeth is done to develop a virtual surgical plan. The surgical team then performs a virtual tumor and jaw resection along with harvesting and placement of the fibula. The actual surgery takes six to eight hours, and healing typically takes between six weeks and six months. During the healing process, the team closely monitors the patient, cleaning the temporary prosthetic and making adjustments as needed. Once the patient is fully healed, the temporary prosthesis is removed, and a permanent one is fabricated. The benefits of this procedure include enhanced overall well - being due to having teeth, faster healing without scarring or deformity, a shorter time to return to regular chewing and diet, and a choice of permanent prosthetic options such as ceramic, zirconium, and titanium.

Orthognathic Surgery

Another significant service at Mount Sinai is orthognathic (corrective jaw) surgery for overbites, underbites, and crossbites. This procedure involves moving the upper and lower jaws to an anatomically correct position, which allows for a good occlusion (bite), opening of the airway, and facial symmetry. Patients with a bad bite, facial asymmetry, or moderate - to - severe sleep apnea may require this surgery.

The treatment sequence starts with an evaluation by an orthodontist and an oral and maxillofacial surgeon. Advanced 3D x - rays and computer - assisted technology are used for treatment planning. The virtual surgical planning (VSP) process begins with pre - operative orthodontic therapy, which can take 12 to 18 months. Once the patient is ready for surgery, a cone beam 3D CT scan and 3D photo morphometry are used for VSP. The surgery is performed under general anesthesia with braces in place, and internal fixation devices are used to connect the repositioned segments. Patients usually stay in the hospital for 1 to 2 days, and their diet is limited to liquids or non - chew foods for four weeks. After 6 to 8 weeks, they return to the orthodontist for post - operative orthodontic treatment, which can last from 3 to 6 months. The oral and maxillofacial surgeon continues to monitor the patient to ensure long - term stability and manage any potential relapse.

2. UES Facial Plastic Surgery (City Facial Plastics)

Mandible Repair Expertise

Dr. Gary Linkov at City Facial Plastics in New York City is an expert in facial reconstruction and plastic surgery, especially when it comes to mandible repair. Severe trauma to the lower jaw can affect both mouth function and the aesthetics of the face. A broken jaw is not only painful but can also alter the teeth and jaw position, impacting chewing, smiling, talking, and other functions.

Severe damage to the jaw is often caused by a blunt impact to the face, such as in an auto accident, sports activity, or an act of personal violence. Dr. Linkov uses his extensive knowledge of the intricacies of the facial bones, nerves, muscles, and tendons to repair the function and recreate a pleasing appearance to the jaw. Depending on the extent of damage to the mandible, specialized techniques are used to restore both form and function. He uses cutting - edge methods to ensure the highest level of restoration to jaw movement and also employs his artistic skills to improve the aesthetics of the chin and jaw, enhancing the balance of the facial features.

Patient Testimonials

There are numerous satisfied patients who have undergone procedures with Dr. Linkov. One patient who had submental liposuction with him reported being extremely happy with the results. Dr. Linkov has an amazing bedside manner, taking the time to listen to patients' concerns and explain the procedures thoroughly. He is honest about the expected results, which is appreciated by patients as opposed to some doctors who promise drastic changes but do not deliver. The patient was pleased with the tightening of the jawline and the added definition, which gave a more youthful appearance.

3. Lenox Hill Hospital (Northwell Health)

Virtual Reality in Mandibular Surgery

Lenox Hill Hospital is making waves in the field of mandibular surgery as it is the first hospital in New York State to use ImmersiveTouch's state - of - the - art surgical planning technology. This technology creates virtual and augmented reality 3D models of patients' anatomy for enhanced visualization, custom surgical solutions, and improved patient communication.

The FDA - approved technology imports standard imaging files like CT scans and MRI to automatically construct a virtual 3D replica of a patient's anatomy in seconds. Surgeons can then manipulate these models in a completely immersive virtual environment, allowing for a digital workflow when planning patient - specific solutions for complicated reconstructive procedures within five to 30 minutes. This streamlines the creation of custom digital plans, surgical guides, and reconstruction hardware, cutting the time between preoperative planning and surgery. The goal is to improve patient outcomes by enhancing the accuracy of surgical plans and reducing the risk of intraoperative complications.

Clinical Application

Dr. Brett Miles, the chair of otolaryngology and head and neck surgery, and Dr. David Hirsch, the chair of oral and maxillofacial surgery, used this innovative technology when planning for the removal of a cancer on a patient's lower jaw and the subsequent reconstructive jaw surgery. In a case of a 58 - year - old man with a malignant tumor on the right side of his jaw, during an eight - hour surgery, they removed the mass and replaced it with a bone graft from the patient's lower leg. The surgical plan and hardware used in the surgery were custom - made for the patient using the digital workflow generated by the ImmersiveTouch technology. This not only improved the surgical precision but also allowed the patient and his family to view the reconstruction plan in a virtual reality environment before the surgery, enhancing their understanding of the complex procedure.

National Recognition

Lenox Hill's mission to deliver expert care and stay at the forefront of technological advances has garnered national recognition for superior patient outcome in otolaryngology. U.S. News and World Report has ranked the hospital within the top 50 in the nation for ear, nose, and throat care for 2022 - 23.

4. Zuckerman Plastic Surgery

Jawline Contouring with Dermal Fillers

Dr. Zuckerman at Zuckerman Plastic Surgery specializes in jawline contouring. The formation of jowls and soft tissue descent are part of the natural aging process, genetics, and the effect of gravity. The jawline is central to our perception of weight gain and aging. Dr. Zuckerman uses either Radiesse or Voluma for injectable treatments to camouflage jowling along the jawline and restore a more crisp, angular appearance.

He performs targeted injections both in front of and behind the jowl. This treatment is suitable for those with mild jowling or who are not yet ready for surgery. The recommended regimen is two treatments per year to maintain a continual effect. The treatment is visible immediately and finalizes within one week, lasting up to six to nine months. The results may vary depending on the amount of product injected and how quickly the patient metabolizes hyaluronic acid. The procedure takes 10 - 20 minutes per treatment.

Pretreatment and Recovery

Dr. Zuckerman recommends some precautions before the treatment to minimize bruising. Patients should avoid NSAIDs such as aspirin or ibuprofen within a couple of days before and a day after the treatment, not drink alcohol to excess a day before and a day after, and refrain from lying flat or working out within 2 hours after injection. Some patients may experience slight redness near the injection sites along the jawline immediately post - treatment, and there may be minimal bruising. However, these effects generally resolve within 24 - 48 hours. Most of his patients can go straight back to work after a daytime treatment. The injection of hyaluronic acid filler to contour the jawline is very safe, but it is important to apply the product uniformly to avoid unsightly bulges or lumps. Dr. Zuckerman, as a board - certified plastic surgeon, is an expert in this area and will perform the treatment himself to ensure the desired results.

5. Weill Cornell Medicine

Orthognathic Surgery Specialization

At Weill Cornell Medicine, the team of oral and maxillofacial surgeons are specialists in orthognathic (corrective jaw) surgery for overbites, underbites, and crossbites. Orthognathic surgery is performed to correct developmental growth abnormalities of the jaws and facial bones. Patients with these abnormalities usually have an imperfect positioning of the teeth when the jaws are closed, which can affect chewing, speech, overall health, and the esthetic appearance of the face.

The surgical treatment is usually conducted in combination with orthodontics. The goal is to correct these conditions as they may be the root causes for improper chewing, facial dysfunction, speech issues, joint pain, and sleep disorders. The hospital offers convenient, individualized care, being sensitive to the patients' needs and creating a supportive, comfortable environment. They also provide multidisciplinary care from leading experts, as orthognathic surgeries require comprehensive, collaborative care from both orthodontics and surgery.

Pre - and Post - surgery Care

Before surgery, the hospital collects data in the form of radiographs, measurements of the face and teeth, clinical photographs, and health history. They answer all the patients' and their family members' questions, analyze the data, create models of the bite, and develop a comprehensive plan to correct the problem. Patients need to work with their orthodontist to move their teeth into the correct position within the jawbone, which typically involves six to twelve months of braces. When the teeth are close to alignment, the surgery is scheduled.

After surgery, which takes place at New York - Presbyterian Hospital, Cornell campus (one of the top - ranked hospitals in the country by U.S. News and World Report), patients can expect to stay in the hospital for one to two nights. Approximately six weeks after surgery, they return to the orthodontist to finish aligning their teeth to the new jaw position. For the first six to eight weeks after surgery, the bones are healing, and patients are restricted to a diet of liquids and soft foods, with limited activity. The cost of evaluation can be inquired about, as the hospital participates with many medical insurances for oral surgery care.

Comparing the Hospitals

Conclusion

In New York City, these top 5 hospitals offer a wide range of options for improving the mandibular line. Whether it's a surgical solution for a complex jaw deformity, a repair due to trauma, a non - surgical contouring with dermal fillers, or an orthognathic surgery to correct bite issues, each hospital has its own strengths and areas of expertise. Mount Sinai's innovative procedures, City Facial Plastics' mandible repair skills, Lenox Hill's use of virtual reality technology, Zuckerman Plastic Surgery's non - invasive contouring, and Weill Cornell Medicine's comprehensive orthognathic surgery approach all contribute to providing high - quality care for patients looking to enhance their mandibular line.

If you're considering a procedure to improve your mandibular line, we encourage you to do further research, read patient reviews, and schedule consultations with the hospitals. This will help you make an informed decision based on your specific needs and preferences. Don't hesitate to reach out to these medical institutions to learn more about the available treatments and take the first step towards achieving the perfect mandibular line you've always wanted.