下顎プロテーゼ

mandibular prosthesis

Mandibular Implant

Smooth out a protruding jaw or receding chin for a beautifully defined profile and sharp facial contours.

  • Correct protruding lips and receding jaws to create an elegant and beautiful facial contour.
  • Custom prosthesis tailored to the shape of the jaw for a natural finish
  • A surgical procedure that inserts and removes prostheses through the oral cavity, leaving no external scars.
Unique Initiatives at BIANCA CLINIC

Numerous successful cases! Custom-made prostheses emphasizing aesthetic balance“

Lower jaw prostheses, which dramatically alter facial contours, are a popular procedure for those concerned about or self-conscious about their jawline. However, while their safety is recognized, many people still feel uneasy about having an artificial silicone prosthesis inserted.

Bianca Clinic employs board-certified plastic surgeons by the Japan Society of Plastic and Reconstructive Surgery, specializing in facial contouring with extensive case experience. For mandibular prosthesis procedures, we prioritize safe surgery based on anatomical knowledge and extensive experience, along with achieving natural and beautiful contouring.
Custom prostheses created through 3D simulation (VECTRA®) and facial balance diagnosis are meticulously tailored to each patient's unique bone structure, skin, and preferences, adjusting shape, thickness, and placement. We possess deep expertise in various post-operative risks associated with mandibular prostheses, enabling us to respond calmly and accurately should any complications arise. If you seek highly specialized treatment and wish to be operated on by a trusted doctor, please entrust your care to Bianca Clinic.

WEB Reservation
RESERVATION
24-hour reception
Click here for web reservation

Schedule of Charges

PRICE LIST
Lower Jaw Prosthesis Price List
Treatment Details Standard rate
mandibular prosthesis ¥421,080
Lower Jaw Prosthesis Removal ¥179,080

Downtime

DOWNTIME
Surgery time
Approximately 20 minutes
Tooth extraction
None
Anesthesia
Local anesthesia/Sedation anesthesia/Intravenous anesthesia
Shower
Available from the day of
bruising
Disappears in about 10 days (individual results may vary)
Swelling
Several days (varies by individual)
Makeup
If the fixation comes loose, it becomes possible.
Fixed
Taping fixation: 24 hours

Recommended for people like this

RECOMMENDED FOR:
The lower jaw is recessed, making the boundary between the neck and jawline difficult to discern (adenoid facies).
My jaw is too small, so my face lacks definition.
I'm concerned about my protruding mouth (protruding lips)
I want a sharp, beautiful face line.
I want to beautifully shape the E-line of my profile.
I want to receive treatments with long-lasting effects.
WEB Reservation
RESERVATION
24-hour reception
Click here for web reservation

Features

CHARACTERISTICS

Mandibular prosthesis

Mandibular prosthesis surgery involves making an incision inside the mouth to insert a silicone prosthesis into the lower jaw, thereby reshaping the chin tip and facial contour. This procedure is suitable for individuals concerned about a protruding mouth, maxillary protrusion (protruding mouth), or mandibular retraction (receding jaw), as well as those seeking to achieve a more aesthetically pleasing facial contour.
A prosthesis refers to a medical-grade artificial cartilage made of silicone, possessing properties similar to human cartilage. Crafted from highly durable materials resistant to deformation and degradation, it is widely used in aesthetic medicine. While concerns like "it might look unnatural" or "it might feel like a foreign object" are often associated with prosthesis insertion—not just for the jaw—the actual result offers a natural feel and appearance, delivering a seamless finish.

The incision area is small, and the scar is inconspicuous.

The mandibular prosthesis is inserted through an incision inside the mouth, not on the visible outer part. Therefore, there is no concern about visible scarring. Those who wish to keep the prosthesis discreet can undergo the procedure with peace of mind.
Furthermore, the incision area is small, only about 2 to 3 cm, making it possible to minimize post-operative swelling and bruising as much as possible. Even when opening the mouth wide, the scar is barely noticeable. The oral cavity also has the property of healing swelling and wounds more quickly compared to other parts of the body.

 

【Important Considerations for Post-Lower Jaw Prosthesis Insertion】
・Shower: On the day of surgery, only the area from the neck down may be washed. Full-body showers are permitted starting the next day. Keep the fixation tape dry for 3 days. Hair washing is also permitted starting the next day. Bathing is possible starting on the 3rd day after surgery.
・Cleansing: On the day of the procedure, only wipe-off cleansing is permitted. Regular cleansing may resume the following day.
・Makeup: Can be applied starting the next day. The tape must remain in place for 3 days.
・Brushing teeth: Possible if avoiding the wound (Take care to avoid using the "i" or "u" mouth positions as much as possible)
※ Continue gargling with iodine solution for one week to keep the wound clean.
・Please refrain from opening your mouth wide or pulling your lower lip, as this puts strain on the wound.
・Avoid using straws, as pursing your lips can also be taxing.
・Please refrain from facial massage, dental treatment, and sleeping on your stomach for one month.
・Avoid activities that increase blood flow, such as drinking alcohol, long baths, or strenuous exercise, for one week, as they may cause significant swelling or bruising.
・Please refrain from smoking for one month.

We also handle removal of mandibular prostheses.

At Bianca, we also perform removal of silicone implants after insertion (we can also handle implant removal procedures for patients who had their implants inserted at other clinics). For example, if you had implants inserted but the results differ from your ideal outcome, or if you experience deformation, displacement, or movement of the implants after insertion, implant removal may be appropriate. Especially if you experience pain or swelling after surgery and suspect an infection, we will perform removal promptly, so please notify us immediately.
However, as a fundamental premise, silicone prostheses will not deform or deteriorate unless subjected to strong impact from accidents or similar events. At Bianca, we also take thorough precautions against risks such as infection when inserting prostheses into the lower jaw.
Additionally, if the size of the mandibular prosthesis does not fit, it can be removed and replaced. As with insertion, removal is performed by making an incision inside the mouth, so the scar is virtually invisible externally.

Benefits

MERIT

Achieve a beautiful facial contour and E-line

Custom-made silicone blends naturally to beautifully contour your jawline and profile.

Insertion through the oral cavity minimizes visible scarring

Because the prosthesis is inserted through a small incision made inside the mouth rather than from the outside, the scar is barely noticeable.

Long-term effects can be expected from a single surgery.

Silicone-based mandibular prostheses, which are resistant to deformation and deterioration, are not absorbed by the body after insertion, ensuring long-term effectiveness.

Recommended Features

RECOMMENDED POINTS

What are common jaw concerns among Japanese people?

Compared to Westerners, many Japanese people tend to have smaller mandibular bones or a tendency toward a receding jaw. These jaw characteristics can significantly impact facial appearance, making the face look elongated or the mouth area appear loose. While a smaller jaw can offer desirable effects like a more delicate, refined facial structure or a smaller-looking face, being too small can sometimes create the appearance of protruding teeth or a double chin. Lower jaw prosthesis insertion addresses these common jaw concerns among Japanese individuals and is a procedure offering long-term results.

Differences from Hyaluronic Acid Injections into the Jaw

これら2つには、次のような違いがあります。

 

<下顎プロテーゼ>
・体内に吸収されないため、効果が長期的に続く
・手術時間は約30分
・切開を伴うため、痛みや腫れなどのダウンタイムがある

 

<ヒアルロン酸注射>
・半年から2年程度かけて少しずつ体内に吸収されるため、定期的な再注入が必要
・施術時間は約10分
・痛みやダウンタイムが比較的少ない

 

どちらの施術もメリット・デメリットがあるため、ご自身のライフスタイルや仕上がりのご希望にあわせてお選びください。価格帯も異なるため、悩まれた際にはお気軽にご相談ください。

鼻や口周りの他施術とのコンビネーションも可能

ビアンカでは、下顎プロテーゼ挿入と鼻や口周りの施術を組み合わせることも可能です。例えば、患者さまのご要望にあわせて、次のような施術とのコンビネーションをご提案しております。

 

・顎ボトックス
・鼻プロテーゼ挿入(隆鼻術)
・小鼻縮小術
・唇へのヒアルロン酸注射

 

下顎プロテーゼのカウンセリングでは、正面からのフェイスライン、横からのEラインも見ながら、他のパーツも含めた理想的なバランスをご提案させていただきます。コンビネーション治療をご希望の方はカウンセリングにてご相談ください。

WEB Reservation
RESERVATION
24-hour reception
Click here for web reservation

Treatment area

TREATMENT AREA

下顎

Treatment Process

CONTENT OF TREATMENT

Physician's examination and counseling

カウンセリングにてお悩みや仕上がりのご希望を伺い、医師が診察を行います。施術への不安や疑問点などあればお気軽にお尋ねください。また、他施術との併用をご希望の方もお知らせください。

Design

カウンセリングにて伺ったご希望と顔全体のバランスを踏まえつつ、オーダーメイドの下顎プロテーゼを作成します。まずは、3Dシミュレーション(VECTRA®)にて骨格に合うラインを可視化し、医師による触診やCT、レントゲンをもとに最適な形状・厚みを決定。デザインにもとづいて、いくつかの種類の既成品から選択して調整、またはセミオーダーにてプロテーゼを作成します。3Dシミュレーション(VECTRA®)などを活用して細かくデザインを調整することで、理想の仕上がりを目指せます。

treatment

下顎プロテーゼの施術では、局所麻酔または笑気麻酔をします。ご希望があればリラックス麻酔、静脈麻酔も使用いただけます(プロテーゼ抜去の際も同様に麻酔を施します)。施術時間は、おおよそ30分。プロテーゼ抜去の場合は、20分程度です。

Follow-up

施術後、3日間(抜去の場合は24時間)は顎をテープで固定します。その後、ご自身で外してください。プロテーゼ挿入と抜去、ともに術後2週間で口腔内の抜糸をします。
また、ビアンカでは術後の経過診察やトラブル対応も徹底。口腔内切開部の状態やプロテーゼの安定性をチェックし、長期的なフォローを行います。術後、腫れや痛みがひどくなるなど何か異常が現れたときは、すぐにお知らせください。

WEB Reservation
RESERVATION
24-hour reception
Click here for web reservation
CONCEPT
CONCEPT
Beyond the boundaries of aesthetic medicine,
Lifestyle Beautyis
proposed.

Our goal is to move you beyond satisfaction.
Responding to the desire for greater beauty and health,
What can we do for the well-being of our patients?
Providing total beauty to make your life shine,
That is our policy.

Go to BIANCA and you'll find a smile.
That's the kind of place we're aiming for.

【施術の内容】下顎プロテーゼ
【Estimated Treatment Period and Number of Sessions】Typically 1 session ※May vary depending on your condition.
【リスク・副作用等】痛み・腫れ・内出血・血腫・変形・感染症、創部離開、感覚の鈍さ、口の開けづらさ、プロテーゼによるアレルギー反応など
【Important Notes Regarding Unapproved Devices】
・This treatment may involve the use of unapproved medical devices not licensed for pharmaceutical use in Japan, or the use of approved devices for purposes other than their intended licensed use.
・Medical devices used in procedures are introduced based on the physician's judgment.
・There may be no other domestically approved pharmaceuticals or medical devices with identical ingredients or performance.
・Serious risks or side effects may not yet be known.
・In the unlikely event of serious side effects, you may not be eligible for the national pharmaceutical adverse reaction victim relief system.

下顎プロテーゼのよくある質問

Q&A

下顎プロテーゼの手術後、痛みはどのくらい続きますか?また、痛いときに和らげる方法はありますか?

個人差はありますが、痛みは1週間程度で落ち着いてきます。抗生剤や鎮痛剤の処方もありますので、ご安心ください。

下顎プロテーゼ挿入後、感染症や感覚の変化などのリスクはありますか?

プロテーゼは感染リスクの低い素材で作られていますが、感染症を引き起こす可能性もゼロではありません。その他、創部離開や口の開けづらさ、プロテーゼによるアレルギー反応などのトラブルも報告されています。
また、術中に細かな神経が一部損傷を受けると、一時的、または永続的に顎や唇の感覚が鈍くなったり、しびれが生じたりすることがあります。しかし、経験豊富な医師による手術であればリスクに配慮して施術を行うことが可能です。そしてしびれの症状も時間とともに消えていきます。

下顎プロテーゼ挿入後に骨吸収が起きることはありますか?

術後、骨に持続的な圧迫が加わることによって、多少なりとも骨吸収(骨が破壊・再構築する生理現象)が起きることがあります。適したサイズ・形のシリコンプロテーゼであれば、長い年月を経ても骨吸収による悪影響を及ぼすことはまずありません。しかし、サイズや形があっていない場合には、骨吸収によって挿入部位が凹むなどの変化が起こる可能性があります。

下顎プロテーゼ挿入後の通院は必要ですか?

経過観察のため、術後1〜2週間、1ヶ月、3ヶ月、6ヶ月の間隔でご来院をお願いします。

下顎プロテーゼ挿入によって、睡眠時無呼吸症候群が改善される可能性はありますか?

医学的に直接的な治療法ではありませんが、下顎の後退が関与する軽度の閉塞性睡眠時無呼吸症候群では、顎の前方移動によって気道スペースが確保され、症状の軽減がみられる場合があります。ただし、症状改善を保証するものではありません。

下顎プロテーゼは歯列矯正や歯の治療への影響はありますか?

矯正器具を下の歯の外側に装着している場合は縫合不全になりやすいので、矯正が終了してからの方が望ましいです。2~3指分の開口ができれば手術は可能です。診察時に手術の適応を判断させていただきますのでご相談ください。

顎プロテーゼ 3Dシミュレーション(VECTRA®)は可能ですか?実際に手術を受ける前に仕上がりをイメージしたいです。

手術前には3Dシミュレーション(VECTRA®)などを活用し、横顔や正面から見たときの想定イメージを事前に確認いただいたうえで施術を行います。

下顎プロテーゼ挿入後にレントゲン検査やCT検査、MRI検査をしても問題はないですか?

レントゲン検査やCT検査、MRI検査は問題なく受けていただけますが、検査結果画像にはプロテーゼが写りこみます。

WEB Reservation
RESERVATION
24-hour reception
Click here for web reservation
アイコン RESERVATION