Custom Jawline Implants in West Palm Beach, FL

Custom Jawline Implants in West Palm Beach, FL is performed by Dr. Albert Carlotti at BellaNova Cosmetic Surgery's state-registered Level III surgical center at 1261 S Congress Ave in West Palm Beach.

A jawline is a bone. It can be widened, lengthened, given a defined angle and given a sharper border — but only by changing the skeleton beneath it. Filler placed along the mandible sits in soft tissue and blunts as much as it defines; off-the-shelf implants come in a limited range of shapes that must be adapted to your anatomy rather than the other way around.

A custom implant reverses that relationship. It is designed from a three-dimensional model of your own mandible, so it seats on the bone in exactly one position, follows your border precisely, and produces the specific dimensional change planned before the operation begins.

Dr. Carlotti plans custom jawline implants around your facial proportions and goals, with attention to symmetry, projection and the soft tissue over the implant. Learn about his surgical experience and training.

Am I a candidate for custom jawline implants?

Custom jawline implants are considered for:

• A weak, narrow or poorly defined mandibular border
• Absent or obtuse gonial angles — no visible corner where the jaw turns upward
• Asymmetry of the jaw, congenital or following trauma
• Loss of skeletal support with age, which flattens the jawline and destabilises the overlying soft tissue
• A desire for definitive, permanent structure rather than repeated filler
• Facial masculinisation or feminisation goals involving the lower third

Skeletal growth must be complete. Patients with a significant bite discrepancy may need orthognathic surgery rather than, or in addition to, an implant — an implant changes contour but does not change occlusion.

From CT scan to a finished jawline

1. Imaging and analysis

A fine-cut CT or cone-beam CT of the facial skeleton is obtained and converted into a three-dimensional model of your mandible. The existing dimensions are measured — ramus height, gonial angle, bigonial width, border projection, chin position — and compared against your soft tissue envelope and facial proportions.

2. Virtual design

The implant is designed digitally against that model. Thickness at every point is specified: how much width at the angle, how much vertical length at the ramus, how much projection along the body, how the implant transitions at the chin so there is no palpable step. The design is reviewed and revised against the plan before anything is manufactured.

3. Manufacture

The implant is manufactured to that specification in medical-grade material — commonly porous polyethylene or solid silicone depending on the case. Because it is designed to your bone, it has one seated position and cannot rotate or migrate the way a generic implant can.

4. Surgery

Placement is through intra-oral incisions, so there are no external scars. The implant is seated on bone in its designed position and fixed with titanium screws. Fixation is what prevents movement and what allows the soft tissue to settle over a stable platform. Surgery is performed under general anesthesia in the state-registered Level III surgical suite, typically as a day case.

5. Result

Because the implant is fixed to bone, the change is permanent and dimensionally exactly what was planned. It does not resorb, migrate or require replacement on a schedule.

Recovery timeline

Every recovery is individual. This is the pattern most patients follow, and you will receive a written plan specific to your procedure.

When	What to expect
Days 1–5	Swelling peaks around day three and is significant — patients should expect the lower face to look considerably larger than the planned result. Soft diet. Antibiotics and antiseptic rinses.
Days 7–10	Intra-oral sutures dissolve or are removed. Swelling clearly declining. Most patients return to desk work.
Weeks 3–4	Diet advanced. Exercise resumed on clearance. Numbness of the lower lip and chin is common and expected at this stage.
Weeks 6–12	Most swelling resolved. The jawline shape is now broadly visible. Sensation returning.
Months 4–6	Final contour. Any residual numbness typically continues to improve through this period.

Risks and considerations

Risks include infection (higher than average because access is intra-oral, which is why sterile technique, antibiotic protocol and oral hygiene matter), altered or lost sensation in the lower lip and chin from mental nerve involvement — usually temporary, occasionally permanent — asymmetry, implant exposure, need for removal or revision, and hematoma.

Patients should understand that a custom implant is a permanent skeletal change. It can be removed, but the decision should be made as a permanent one.

Cost and financing

Custom implants cost more than off-the-shelf implants because the fee includes CT imaging, virtual design, design revisions and single-patient manufacture in addition to the surgery itself. For most patients seeking definitive jawline structure, the arithmetic against repeated filler over five to ten years favors the implant. A written quote covering imaging, design, manufacture, surgeon, anesthesia and facility is provided at consultation. See cost and financing.

Before and after results

Dr. Carlotti maintains a photographic result archive organized by procedure — real patients, consistent lighting and angles, published with consent. View custom jawline implants before and after photographs.

Custom Jawline Implants: questions patients ask