MANDIBLE AUGMENTATION ( JAW IMPLANT ) SURGERY SINGAPORE BY DR. SANDEEP MANIBLE AUGMENTATION PROCEDURE SINGAPORE Dr Sandeep and his team are committed to providing a comprehensive and personalized experience. Their meticulous attention to detail and client-centric approach ensures that each mandible augmentation procedure is performed with the utmost care and expertise. Our approach combines medical expertise with a deep understanding of facial aesthetics. Meticulous preoperative planning and postoperative management are the linchpins of a successful mandible augmentation procedure. Such diligence ensures a harmonized understanding between the clinician and the client regarding anticipated outcomes and potential perioperative challenges. INITIAL CONSULTATION Medical History A thorough review of the client’s medical history is taken to assess suitability for surgery and anaesthesia. Dr Sandeep has a thorough discussion with the client to assess their aesthetic goals and makes sure that they have realistic expectations before proceeding with surgery. Facial Analysis Dr Sandeep conducts a comprehensive facial analysis, using advanced imaging techniques like 3D scanning to assess the jawline and overall facial structure. Computer Simulation Client’s photographs are taken, and state of the art software is used for computer image manipulation to educate the client regarding what can be realistically achieved with surgery and for surgical planning. Discussion Dr Sandeep discusses the goals, risks, and expectations with the client. Different implant materials and sizes are considered. PREOPERATIVE INSTRUCTIONS The client receives a set of guidelines to follow before the surgery, which might include discontinuing certain medications or dietary restrictions. ANAESTHESIA After admission to the surgical facility, the client undergoes general anaesthesia, administered by a qualified and experienced anaesthetist who works closely with Dr Sandeep’s team. INCISION Depending on the specific case, an incision is made either inside the mouth to avoid visible scars or under the chin. IMPLANT PLACEMENT A pocket is created along the mandible where the preselected implant will be inserted. If autologous grafts are used, these are harvested and prepared before placement. Adjustment and Assessment: Dr Sandeep meticulously adjusts the implant or graft to achieve the desired augmentation while maintaining facial symmetry. CLOSURE The incision inside the mouth is closed using dissolvable sutures. External incisions are closed with sutures that need to be removed after 7 days. IMMEDIATE POSTOPERATIVE CARE The client is moved to a recovery room where vital signs are closely monitored until full consciousness is regained. RECOVERY PROCESS For a successful mandible augmentation surgery, thorough preparation is key. This ensures that both the medical professional and the client have aligned expectations concerning the results and are aware of potential challenges. Immediate Postoperative Symptoms: After the surgery, it’s typical to experience swelling, bruising, and some pain. These symptoms generally diminish within a couple of weeks. Postoperative Pain Management: Dr Sandeep’s team provides medication to manage any discomfort or pain. Oral Care: Maintaining impeccable oral hygiene is paramount, especially when incisions are made inside the mouth, to ward off infections. Dietary Recommendations: Clients are often advised to stick to a soft food diet in the initial recovery phase. Time Off: It’s prudent to anticipate a break of 2 to 3 weeks from professional commitments or school post-surgery. Recovery Duration: While the primary convalescence phase is estimated to span a couple of weeks, it is noteworthy that residual oedema may persist for an extended period, potentially several months. Support: In the days immediately following the surgery, particularly if general anaesthesia was administered, having someone around for assistance can be beneficial. FOLLOW-UP APPOINTMENTS Scheduled Reviews: It’s essential to pencil in post-operative visits with the surgeon to oversee the healing process and tackle any arising issues with the integration of the implant. Any issues arising are dealt with promptly. Monitoring Progress: Continuous check-ins with Dr Sandeep are vital to track the healing process and ensure the results align with the client’s expectations. Activity Restrictions: Clients are generally advised to avoid strenuous activities for a certain period. Contact sports must be avoided for 3 months after surgery. Long-term Monitoring: Periodic reviews are conducted to ensure the lasting success of the procedure. FINAL ASSESSMENT Once the swelling has fully subsided, Dr Sandeep performs a final evaluation to confirm that the client’s goals have been met. POTENTIAL RISKS AND COMPLICATIONS Mandible augmentation in Singapore, like any surgical procedure, carries inherent risks. While many clients undergo this procedure without complications and achieve their desired outcomes, it’s essential to be aware of potential risks and discuss them with a qualified surgeon. Here are some of the potential risks associated with mandible augmentation: Infection: Any surgical procedure carries the risk of infection. If an implant is used, there’s a chance that it could become infected and might need to be removed. Hematoma or Seroma: A hematoma is a collection of blood, and a seroma is a collection of clear fluid. Both can develop in the surgical area and may require drainage. Nerve Damage: The surgery could potentially damage the nerves in the area, leading to numbness, tingling, or even muscle weakness. The inferior alveolar nerve, which runs through the mandible, is of particular concern. Implant Issues: If implants are used, they could shift, become exposed, or get infected. There’s also a risk of the body rejecting the implant. Bone Resorption: If bone grafts are used, there’s a chance that the body might reabsorb the bone over time, diminishing the augmentation’s effects. Scarring: While incisions are often made inside the mouth to minimize visible scarring, there’s still a risk of scarring, especially if external incisions are made. Asymmetry: The two sides of the face might not look symmetrical after the procedure, either due to surgical technique or the body’s healing process. Adverse Reaction to Anaesthesia: As with any procedure that requires anaesthesia, there’s a risk of complications such as allergic reactions or breathing difficulties. Prolonged Swelling or Pain: Some clients might experience swelling or pain that lasts longer than expected. Unsatisfactory Results: The final appearance might not meet the client’s expectations, necessitating revision surgery. Unsatisfactory results may be due to implant migration, infection or poor healing and scarring. Difficulty in

MANDIBLE ANGLE REDUCTION Dr Sandeep and his team often consult with clients who are interested in facial contouring procedures, including mandible angle reduction. This specific surgery aims to narrow and soften the jawline, providing a more refined facial appearance. Below is a detailed description of the procedure. PROCEDURE Preparation for a mandible angle reduction surgery is a meticulous process that involves several steps to ensure the safety and success of the procedure. Proper planning is the cornerstone of a successful mandible angle reduction surgery. It ensures that both Dr Sandeep and the client are on the same page regarding the expected outcome and potential risks. Here’s a detailed breakdown of the planning process: INITIAL CONSULTATION Assessment: Dr Sandeep will evaluate the client’s facial anatomy, skin quality, and overall health. This includes understanding the client’s medical history, any previous surgeries, and current medications. Desired Outcome: Dr Sandeep will discuss the desired aesthetic outcome with you in detail. It’s essential for the client to communicate their expectations clearly. Feasibility: Dr Sandeep will determine if the client is a suitable candidate for the procedure based on their anatomy and health status. Imaging: X-rays or CT scans are taken to assess the bone’s anatomy, thickness, and the location of vital structures like the inferior alveolar nerve. 3D Reconstruction: 3D reconstruction software to visualize the expected outcome and plan the exact bone resection is used in some cases. Model Creation: Using the CT scans, a 3D model of the client’s jaw might be created. Trial Surgery: Dr Sandeep might perform a mock surgery on this model to plan the exact amount and location of bone resection. Medications: Clients might be advised to stop certain medications, especially those that can increase bleeding risk, like aspirin or certain supplements like vitamin E, Gingko biloba and Garlic. Smoking and Alcohol: Clients are usually advised to stop smoking and limit alcohol consumption as they can delay healing. Oral Hygiene: Proper oral hygiene is crucial since the incision will be inside the mouth. Dr Sandeep might recommend dental cleaning before the surgery. ANAESTHESIA The procedure is typically performed under general anaesthesia, ensuring the client is comfortable and pain-free throughout the surgery. INCISION The surgery is usually performed intraorally, meaning the incision is made inside the mouth, which avoids visible external scars. This incision is typically made along the mucosa overlying the mandibular ramus (the vertical part of the mandible). EXPOSURE The soft tissues are gently retracted to expose the mandibular angle and the posterior border of the ramus. BONE RESECTION Using surgical instruments like a bone saw or burr, Dr Sandeep will shave or cut off a portion of the mandible’s angle. The amount of bone removed is based on preoperative planning and the desired outcome. SMOOTHING After the desired amount of bone is removed, the edges are smoothed to ensure there are no sharp or rough areas. CLOSURE The incision is sutured closed using absorbable sutures. RECOVERY Immediate Post-Operative Period Hospital Stay: A short hospital stay may be needed for monitoring, based on the surgery’s complexity and Dr Sandeep’s advice. Pain Relief: Prescribed medications are provided to manage post-surgical discomfort. Initial Diet: Soft or liquid foods are advised to minimise stress on surgical areas. Physical Activity: Limitation on strenuous exercises is recommended for 3 weeks, contact sports is prohibited for 3 months. Sleep Position: Elevating the head while sleeping is suggested for quicker recovery. Nasal Care: Nose-blowing and nasal douches may be advised to prevent air accumulation and clear blood clots. First Week Swelling/Bruising: Peaks around day two or three; cold compresses can alleviate symptoms. Oral Care: Antiseptic mouthwash is advised to maintain hygiene and prevent infections. Activity Restrictions: Heavy lifting and strenuous activities should be avoided. First Check-Up: A follow-up appointment is usually scheduled within the week, any non-resorbable sutures are removed. Sleep Position: Head elevation during sleep continues to be advised. Nasal Care: Continued recommendations for nose-blowing and nasal douches. First Month Residual Swelling: Expected to gradually reduce but may persist for up to 8 weeks, the final 10-15% of swelling may take many months to subside. Sensory Changes: Temporary numbness or altered sensations in the cheek area may occur. Diet Transition: Reintroduction of solid foods as comfort permits. Activity Level: Light activities can resume, but high-impact activities and contact sports are prohibited for three months. Long-Term Recovery Bone Recovery: Bone healing is a prolonged process; caution is advised to avoid facial trauma. Final Outcome: Aesthetic results may take several months to fully manifest. Scar Improvement: External scars, if present, will fade gradually over time. General Guidelines Smoking: To be avoided as it hinders the healing process. Adherence to Guidelines: Strictly follow Dr Sandeep’s post-operative instructions. Nutrition and Hydration: Important for aiding the healing process. Sun Protection: Essential to prevent skin discoloration and aid scar healing. Open Communication: Keeping a line of communication with Dr Sandeep and his team is crucial for addressing any concerns or symptoms. ADVANTAGES OF MANDIBLE ANGLE REDUCTION Below are some of the advantages of mandible angle reduction that Dr Sandeep usually discusses with his clients: ENHANCED FACIAL HARMONY The procedure can balance the proportions of the face, creating a harmonious and aesthetically pleasing appearance. AESTHETIC REFINEMENT The procedure refines the jawline, providing a softer, more feminine or balanced look, depending on the client’s aesthetic goals. IMPROVED SIDE PROFILE Mandible angle reduction often results in a more streamlined and less angular side profile, which many clients find attractive. CUSTOMISED RESULTS Dr Sandeep and his team offer a tailored approach, taking into account the client’s unique facial structure and aesthetic goals. The procedure can be tailored to meet the specific needs and preferences of each client, allowing for a highly personalized result. VERSATILITY IN STYLING A less prominent jawline can make it easier for clients to adopt different hairstyles or fashion choices that they may have felt uncomfortable with before the procedure. IMPROVED CONFIDENCE For those who have felt self-conscious about the appearance of their jaw, mandible angle reduction can offer substantial psychological