jawsurgeryforums.com
General Category => Aesthetics => Topic started by: Lestat on November 19, 2016, 09:24:53 AM
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What about jaw angle augmentation with HA paste?
HA paste is just like bone and more natural than medpor or silicon. I think it is permanent and does not erode the underlying bone.
Some of the best surgeons use it!
One doctor has figured out how slow its hardening so he can literally mold it with his hands up to 6 weeks post op. Imagine an artist molding your jaw angles or cheekbones with HA!
I think the reason most surgeons dont work with HA is because it requires a precise surgical pocket and precise placement (i.e. artistry).
Its much simpler to order an implant and stick it in.
So what are your thoughts?
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ha sucks, it's much worse than implants, this according to dr. z.
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ha sucks, it's much worse than implants, this according to dr. z.
I have spoken with world class surgeons. They told me that ha is safe, well tested, proven, permanent and does not erode the underlying bone. Arteries and new bone grow through the material.
Dr. Z? Ask a world class surgeon about him. I can tell you for sure! Nobody knows Dr. Z. He is never at congresses or somewhere. He has "zero" pubblications. And please bear in mind: At the end of the day each surgeon is also a business man!
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I think if GUnson and Arnett use it it must be safe. But I would only have it done by them or like Sinn, not some regular surgeon.
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Ya in my consult with Gunson he seemed hesitant he could do much for my gonial angle with HA paste. I think it's a subtle augmenter. Maybe 3mm tops?
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Ya in my consult with Gunson he seemed hesitant he could do much for my gonial angle with HA paste. I think it's a subtle augmenter. Maybe 3mm tops?
okay so it doesn't do anything. but sinn does some sort of chin wing thing that's not an advancement but i think gonial angle thing as well
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There are different ha formulations. But at the end of the day it can augment very little and it is an irritant (prolonged swelling).
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There are different ha formulations. But at the end of the day it can augment very little and it is an irritant (prolonged swelling).
Why can it only augment very little? Can you explain it to me please Plosko since you are very knowledgeable.
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Please see the link below. There is a ct scan in the ppt presentation which shows that new bone formation occurred with ha granules! What do you think about it?
http://documents.mx/documents/facial-contour-corrections-with-calcium-hydroxyapatite-granules-and-fibrin-sealant-maurice-mommaerts-president-european-association-for-cranio-maxillo-facial.html
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Scroll down to the woman with the red hair. It is an absolutely fantastic result. Malar projection osteotomies and moldable mandibular angle augmentation create proper definition in the lateral face.
http://www.mauricemommaerts.eu/en/pathology.aspx
Maybe i will have surgery with him.
Btw do you know that Mommaerts invented the zygomatic sandwich osteotomy?
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-"In conclusion I like hydroxyapatite granules for onlay facial augmentation for its safety, effectiveness and method of application. But its aesthetic effects are often problematic and severely limits its use. For small craniofacial augmentation sites it has a role but patient selection is critical. It works best when it is not asked to do too much."
Dr. Barry Eppley
http://exploreplasticsurgery.com/hydroxyapatite-granules-facial-augmentation/
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I literally don't have a gonial angle, it's more like a wide slope.. so people like me probably can't even consider HA for augmentation in that area.. can implants or bone cuts be done at any point after HA is applied?
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This guy had his jaw angles augmented with Hydroxyapatite. He also had other procedures.
http://www.archwired.com/phpbb2/viewtopic.php?t=40842
Please let me know what do you think about the result. Maybe he is still a little bit swollen.
I did a lot of research and HA is my favorite option for jaw angle augmentation.
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This guy had his jaw angles augmented with Hydroxyapatite. He also had other procedures.
http://www.archwired.com/phpbb2/viewtopic.php?t=40842
Please let me know what do you think about the result. Maybe he is still a little bit swollen.
I did a lot of research and HA is my favorite option for jaw angle augmentation.
Super subtle, but I guess less is more. Does jaw surgery also tend to accentuate the jawline like HA did for him? My jaws are so narrow I'm afraid they'll still be hidden. Maybe the HA was applied down and out from the mandibular plane to create that added definition. Just guessing though.
EDIT - Holy hell he also had bimax?? I don't see it. My first 7mm chin implant had a bigger affect than that. Also fat removal from the lower cheeks to accentuage jaw angles huh. That adds a lot of noise to this result if you're purely judging HA augmentation to the jaw angle. How much of it was HA vs fat removal.
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Holy hell he also had bimax?? I don't see it. My first 7mm chin implant had a bigger affect than that.
Jaw surgery on its own doesn't change much.
You’re like to get a much more dramatic result from a genioplasty to your appearance.
This guy needs one.
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I'm thinking of using HA paste for my brow. It's tough when you hear different opinions. My advice is to ask direct probing questions and ask for some type of proof to back it up.
When I was consulting for LF3 I was told tons of horror facts about this procedure and even thrown out of some doctors offices. Heck one doc who does lf3 very often (possibly the most in the world) actually sent me back my letter and pics with NO!!!!!!!!! written all over the letter.
What me conformable with Dr. Sinn was everything he said he either backed up with a detailed why or I was able to verify what he said.
Example one doc told me lf3 has a huge risk of blindness. I asked dr. sinn ,dr. sinn said it doesn't and explained exactly why it doesn't with great detail. I went back to the other doc and asked why does it cause blindness and got a generic "anytime you cut around the eye its a big risk".
So my advice is asking y. If a doctor tells you it is an irritant, ask where can you see that it is either online, or ask for his explanation.
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I don't feel a paste including HA is a good idea for jaw angles. Dr. guyuron did it on a few missj patients and they said it came out lumps
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Three things to bear in mind:
1. There's different types of HA
2. Most types used for facial augmentation set very quickly
3. It takes a lot of skill to apply it aesthetically
Sinn has quoted me on brow augmentation via HA. If you want to share thoughts email me.
Brow is diff then jaw. Ha has been used for braw in ffs for a long time.
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I like her jaw angle:
(http://www.newyorker.com/wp-content/uploads/2015/04/Brody-Kristen-Stewart-and-the-Movie-Actors-Dilemma-1200.jpg)
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Brow is diff then jaw. Ha has been used for braw in ffs for a long time.
How well does it work for brows?
I'm not interested in that myself, but I'm sure others would be interested in the effectiveness of it. Is it attached directly to the bone and fuses? What are the complications?