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Plastic Surgery Clinic of Chicago

Jaw distraction
What Is Jaw Distraction?

 

Jaw distraction Chicago

Jaw distraction, also known as mandibular distraction, is a procedure that is usually carried out within the first several weeks of a newborn’s life. Some infants are born with a lower jaw that is undersized or recessed (called micrognathia), which results in babies having trouble eating, breathing, and even sleeping.

Jaw distraction can correct issues in the airways, alleviate difficulties with feeding, and improve psychosocial aspects by creating a more symmetrical face and jaw. The Plastic Surgery Clinic of Chicago is one of a select few clinics that offer this unique procedure, and we do so with the health, safety, and wellbeing of your child in mind.

Jaw distraction

IS MY CHILD A CANDIDATE FOR JAW DISTRACTION?

Defects or issues with the jaw are evident immediately after birth. Your child’s doctor will let you know if mandibular distraction is a viable treatment option for your newborn. Traditionally, children with micrognathia or other jaw defects (craniofacial macrosomia) were treated with a tracheostomy that would remain in place for several years, but thanks to the advancements in plastic surgery, jaw distraction is a permanent solution that corrects the problem early in life.

    WHAT TO EXPECT FROM A CONSULTATION

    If jaw distraction is suggested as a possible treatment option by your pediatrician, you should seek a consultation with a board-certified plastic surgeon. During a consultation with the Plastic Surgery Clinic of Chicago, we will take the time to explain all aspects of the procedure, including potential risks and recovery, and provide you with an extensive overview of both functional and aesthetic details of jaw distraction.

    HOW A JAW DISTRACTION IS PERFORMED

    First, a general anesthetic is administered and vital signs are monitored closely. The surgeon will make two incisions inside the mouth or on the external skin, one on each side of the jaw, and carefully separate the soft tissue from the mandible bone. A distraction device is attached to the jaw with screws; the distraction device will later be turned daily for about two weeks in order to slowly pull the ends of the jaw bones apart. By this method, the jaw is lengthened, and bone will form in the new gap between the two ends of the jaw bone during the healing process.

    The distraction device remains in place for approximately twelve weeks to allow the new bone to fully form. The device is then surgically removed with another procedure at the end of treatment.

    RECOVERY AFTER A JAW DISTRACTION

    Most infants remain in the NICU (neonatal intensive care unit) or PICU (pediatric intensive care unit) during the entire distraction process because eating orally can be difficult while the device is in place. In some cases, patients will be allowed to go home, though parents must undergo special education to learn post-surgical care, feeding techniques, and how to adjust the distraction device.

    After the distraction device is removed and the incision sites have healed, your baby should be able to eat, breathe, and sleep normally. Most infants that undergo this procedure can go on to have ordinary jaw growth and speech development.

    POTENTIAL RISKS OF JAW DISTRACTION

    There are always potential complications in any surgical procedure or anytime anesthesia is administered. Specific risks associated with jaw distraction may include:

    • Bleeding
    • Infection
    • Delay in speech development
    • Abnormal speech development
    • Abnormal speech development

    At the Plastic Surgery Clinic of Chicago, we take every effort to minimize potential complications by using the safest and most innovative techniques. You can further reduce risk by strictly adhering to all instructions provided by your plastic surgeon, both before and after the procedure.

    WHAT DOES JAW DISTRACTION COST?

    It is difficult to provide an approximate cost for jaw distraction because the procedure varies greatly between patients. Be sure to discuss all costs with your plastic surgeon during your consultation. Your medical insurance may cover some or all of the cost associated with jaw distraction. Contact your health insurance provider before your child undergoes the procedure.

    SCHEDULE A CONSULTATION

    The doctors and staff of the Plastic Surgery Clinic of Chicago are experts in both plastic surgery procedures and pediatric care. We understand that as a new parent, the wellbeing of your child is your highest priority, which is why we make it our highest priority as well. If you have any questions or concerns about mandibular distraction, please don’t hesitate to give us a call to schedule a consultation.

    All surgical procedures by the Plastic Surgery Clinic of Chicago are performed at top hospitals in Chicago and CMS or AAAASF-certified surgical centers for safety.

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A 1 year follow-up on a patient who wanted a rhinoplasty to remove the dorsal hump and improve the aesthetics of her tip. In this case the dorsal hump was removed, the nose made straighter, the tip refined, and the tip rotated and projected more. Her new nose fits her face without overtly changing the ethnic features of her face. Posted with permission.



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Happy for this patient who underwent full facial rejuvenation surgery, which included a brow lift, upper/lower blepharoplasty, facelift, neck lift, and facial fat transfer. How much younger does he look now? Posted with permission.

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One year follow-up on a #BBL or Brazilian butt lift. As you can see from the post-operative photos, the fat that is transferred stays and is permanent. Posted with permission.

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Male patient in his late 60’s who was able to turn back the clock after undergoing a #facelift, #neck lift, #blepharoplasty, and #fattransfer. Pay close attention to the “bags” underneath the eyes, the jawline, and neck. The scars have healed nicely and are inconspicuous even with short hair. In the post-operative photos, the patient has maintained his natural facial features and anatomy, but just looks like a more youthful version of himself. Posted with permission.

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#Primaryrhinoplasty to fix the dorsal hump, droopy tip, and crooked nose. In the post-operative photos, the patient has a nice dorsal profile on side view, the tip has been lifted, and the nose is straight. To evaluate how straight the nose is, look at the dorsal aesthetic lines on bird’s eye view and follow the two light reflexes along the dorsum. Posted with permission.

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Challenging #tertiaryrhinoplasty on this patient who had nasal deviation, a dorsal hump, and an under-rotated/under-projected tip. In the post-operative photos, you can see a straighter nose with more symmetric dorsal aesthetic lines and tip defining points. Posted with permission.

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Honored to be inducted into the Rhinoplasty Society. The Rhinoplasty Society was founded in 1996 by plastic surgeons who have pioneered modern rhinoplasty. The society is dedicated to the education and advancement of nasal surgery.

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Relatively small surgeries can yield big changes. This patient wanted to improve the contour of her chin and the overall profile of her face. The patient’s lower 1/3 of the face and chin were short and set back. Additionally, the patient had asymmetries of the chin and jawline that she wanted improved. The patient underwent a #slidinggenioplasty to achieve these goals where the chin was cut and mobilized forward and downward. In the post-operative photos, you can see a more aesthetic and balanced facial profile. The advantages of a #genioplasty over a #chinimplant are that the chin can be moved in numerous planes, the advancement can be more significant, and asymmetries can be addressed. Posted with permission.

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This patient had a bilateral constricted ear deformity where the top portion of the ear folds over the rest of the ear. In this deformity, the ear appears shorter in height and there are abnormalities of the outer and inner folds of the ear. In the postoperative photos you can visualize the ear is longer in height, the helical rim or outer portion of the ear is lifted up and the antihelical fold or inner portion of the ear is more defined. Posted with permission.


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Challenging #breastaugmentation case where the patient had asymmetries of the breasts in terms of size, shape, and position on the chest. The patient underwent a breast augmentation with #gelimplants with a larger size in the left breast to balance the size difference. The left breast fold was also lowered to match the fold level of the right. Posted with permission.

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Plastic surgery can sometimes be subtle or dramatic. In this case, this patient’s outcome was life altering after a lipoabdominoplasty or tummy tuck. The patient can now do all of the things in life that she was limited in doing due to her body habitus. Posted with permission.


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