Custom jaw implants and jaw angle implants
Personalised custom jaw implant surgery and jaw angle implants planned with advanced 3D technology by Dr Francisco Riba in Madrid, Spain.
What are jaw implants?
Jaw implants are facial implants designed to improve the structure, width, projection or definition of the mandible. Depending on the patient’s anatomy, they may involve the mandibular angle, jawline, chin-jaw transition or a combined custom design.
Jaw angle implants are a specific type of jaw implant designed to add width, height or definition to the mandibular angle – the point where the body of the jaw meets the ramus. They are planned according to the patient’s own bone anatomy, rather than fitted from a fixed, off-the-shelf shape.
This treatment may be considered when the jaw angle is underprojected, poorly defined, narrow, asymmetric or structurally soft in relation to the cheekbones, chin and overall lower-face contour.
The goal is not simply to widen the jaw. The aim is to build a coherent mandibular contour, with a controlled, anatomical and medically planned result that respects the patient’s existing facial architecture.
Every case requires an individual assessment. The implant design, surgical approach and expected outcome depend on the patient’s mandibular structure, occlusion, soft-tissue thickness, masseter muscle volume and realistic aesthetic objectives.
Types of custom jaw implants
The term jaw implants can refer to different surgical designs. The correct option depends on the patient’s mandibular anatomy, facial proportions, bite, soft tissues and whether the concern affects the jaw angle, the jawline or the chin-jaw transition.
Designed to improve the gonial angle, lower-face width, vertical angle height or asymmetry at the back of the mandible.
Planned to improve mandibular border definition and continuity between the jaw angle, body of the mandible and chin.
Custom designs that extend along part of the mandibular border to create a more continuous lower-face structure in selected cases.
Used when the chin, jawline and mandibular angle need to be assessed together to improve lower-face balance.
Considered when a previous implant, filler treatment or fat grafting has created asymmetry, poor definition or an unsatisfactory contour.
Standard implants may be suitable in selected cases, while custom 3D implants are designed for more precise anatomical adaptation.
What can custom jaw angle implants help improve?
Jaw angle implants may be considered when the main concern is structural and affects the definition of the lower third and mandibular border. The following points are not separate diagnoses, but common reasons why a patient may request assessment.
The gonial angle lacks definition and width, so the lower face appears rounded or poorly structured from the front and the side.
The width, height or projection of the jaw angle differs between both sides, creating an unbalanced mandibular contour.
The lower third appears narrow in proportion to the cheekbones and forehead, reducing overall facial structure.
The jaw angle has reduced vertical height, which shortens the transition between the ear, jaw and chin.
A previously treated or naturally projected chin is not matched by the mandibular angle, breaking the continuity of the jawline.
A previous jaw implant, filler treatment or fat grafting has produced an unsatisfactory shape, size or symmetry.
How Dr Riba assesses your mandibular structure
A custom jaw angle implant is not indicated simply because the jawline could look more defined. The decision should be based on mandibular anatomy, masseter muscle volume, occlusion, skin thickness and the patient’s objectives.
In some cases, a jaw angle implant may be the most suitable option. In others, a different treatment pathway may be safer or more accurate, such as orthognathic surgery, chin implants, masseter reduction or a combined full-jaw approach.
3D planning for custom jaw implant surgery
In selected cases, advanced 3D planning allows the jaw implant to be designed according to the patient’s mandibular skeleton, ramus shape, asymmetry and projection needs.
This approach is particularly useful when the case requires bilateral symmetry, a wrap-around jaw implant design around the mandibular border, or a more refined adaptation than a standard implant can provide.
Jaw implants before and after cases
A selection of visual cases related to custom jaw implants, jaw angle implants and mandibular structure treatment. Each image already includes its own case presentation.
Patients searching for jaw implants before and after images should understand that results vary depending on bone structure, soft-tissue thickness, implant design, healing and whether the treatment involves the jaw angle alone or a broader jawline plan.
Before and after cases are informative and should not be interpreted as a guaranteed result.
How custom 3D facial prostheses are designed
In this video, Dr Francisco Riba explains how custom 3D facial prostheses are designed from the patient’s own anatomy, using medical imaging, digital planning and patient-specific surgical design.
This type of planning helps assess the mandibular structure, ramus shape, symmetry, angle width and fixation points before surgery. The objective is to design an implant that adapts precisely to the patient’s jaw and clinical needs.
Every case requires an individual medical assessment. Dr Riba offers in-person consultations and video consultations for patients in Spain and international patients considering custom facial implants.
Potential benefits of jaw implant surgery
The potential benefits depend on the indication and must be assessed individually. In appropriate cases, jaw implant surgery can improve mandibular definition and lower-face proportion.
How the custom jaw implant process is planned
The process may vary depending on the clinical indication, mandibular anatomy, previous treatments and whether advanced 3D planning is required.
When a jaw implant may not be the right option
Some patients may benefit from a custom implant, while others may require a different approach, such as orthognathic surgery, masseter reduction, chin implants, facial fat grafting or a combined treatment plan.
For this reason, the jaw angle should not be analysed in isolation. It must be assessed in relation to the bite, ramus, chin, cheekbones, neck and overall skeletal structure.
A safe and realistic indication is essential. The aim is to recommend the most appropriate treatment pathway, not simply the most visible procedure.
Titanium, PEEK or silicone jaw implants
A jaw implant may be planned using a standard implant or a custom design, depending on the patient’s anatomy, projection needs, asymmetry and surgical objectives.
Standard silicone implants have a predefined shape and may be suitable in selected cases. When the case requires a wrap-around design, a more precise adaptation to the ramus, or bilateral symmetry correction, a custom titanium or PEEK jaw implant may offer more accurate planning and a more stable long-term fixation.
Titanium implants are typically screwed directly to the mandible, offering high stability at the angle, where muscle pull from the masseter is significant. PEEK implants combine rigidity with a bone-like density on imaging. The choice of material – medical-grade silicone, titanium, PEEK or other options – should not be considered in isolation; it depends on the indication, implant design and surgical planning.
Dr Riba will explain which type of implant, material and surgical approach may be most appropriate after assessing the mandibular structure, masseter volume, soft tissues and overall facial proportions.
Recovery after jaw implant surgery
Recovery varies depending on the surgical plan, implant design, patient anatomy and whether other procedures are performed at the same time.
Swelling around the jaw and lower cheeks, tightness, bruising or moderate discomfort can appear during the first phase. Medication and postoperative instructions should be followed carefully.
The mandibular contour usually becomes clearer gradually as swelling resolves. The final width and definition should not be judged too early.
Follow-up appointments are important to assess healing, sensitivity, implant stability and the evolution of the mandibular contour.
Patients travelling from outside Madrid or Spain should receive personalised guidance about travel timing, postoperative care and follow-up. An in-person consultation or video consultation with Dr Riba can be requested before organising the trip.
Risks and limitations of jaw implant surgery
Custom jaw implant surgery can be useful in selected cases, but it is still a surgical procedure close to important nerves, blood vessels, muscles and soft tissues. It must be approached with realistic expectations.
Possible risks include infection, bleeding, haematoma, asymmetry, implant displacement, temporary or persistent changes in lip movement, changes in sensitivity, contour irregularities, scarring, dissatisfaction with the result, anaesthesia-related risks and the possible need for revision surgery.
A detailed assessment is required to determine whether a custom jaw angle implant, masseter treatment, orthognathic surgery or another treatment pathway is more appropriate.
This page provides general information and does not replace a medical consultation. The indication, expected result, surgical risks and recovery plan must be assessed individually by Dr Riba.
Patient experience and verified reviews
Verified patient reviews related to Dr Francisco Riba, custom facial implants and facial structure surgery planning. These reviews have been translated from Spanish while preserving their original meaning.
“If you are looking for the best in personalised facial surgery, Dr Riba is the answer. I had 3D planning for cheekbones and chin, and the result has a level of precision that you do not achieve with conventional implants. He is a true pioneer in this field and having him here is a privilege. The digital planning he performs is on another level. I felt very safe in his hands and in his operating theatre. He also has a great supporting medical team.”
A.G. Verified patient – Translated from Spanish – Top Doctors – 26 December 2025“My name is Roberto Arias, I am a Mexican citizen, and I visited Dr Riba for a cheekbone and chin implant procedure last December. My experience at the clinic with Dr Riba and his team was incredible. I received humane, kind, professional, technical and specialised care. Dr Riba and his entire team made me feel confident and safe. The results of my surgery are better than I had dreamed. I will return this year, this time for rhinoplasty.”
Roberto Arias Google review – Translated from Spanish“Six months ago I had a bichectomy, a chin implant with a titanium prosthesis and TMJ infiltration with Dr Riba, and I could not be happier with the results. I went to his consultation because of a slight asymmetry that bothered me, and because I had always had noticeable cheeks despite being slim. Now my face looks more harmonious and balanced. I saw several doctors before deciding on Dr Riba, and I certainly do not regret choosing him. From the first minute I felt very comfortable, and I would not hesitate to put myself in his hands again. Thank you, Doctor, and the whole Face Clinic team. I felt at home.”
Elisiane Braganca Google review – Translated from SpanishReviews are individual patient experiences. They should not be interpreted as a guarantee of surgical outcome. Each case requires individual diagnosis, planning and informed consent.
Questions about jaw implants
These answers provide general information only. The final indication depends on an individual assessment with Dr Riba.
Jaw implants can add structure, width, projection or definition to the lower jaw. In jaw angle surgery, the implant is focused on the mandibular angle and lower-face contour.
Jaw implants is the broader term. Jaw angle implants are a specific type of jaw implant designed for the gonial angle, where the lower jaw turns upward toward the ear.
Jaw implant surgery can be performed safely in appropriate cases when it is correctly indicated, planned and placed by a qualified specialist. As with any surgery, risks must be discussed individually.
Custom titanium implants are typically fixed to the mandible with small screws for stability. Silicone implants are usually secured within a precisely fitted surgical pocket, sometimes with sutures rather than screws.
Jaw implants made from medical-grade materials are designed as a long-term solution. Longevity also depends on correct placement, material choice, individual healing and follow-up.
Neither material is universally better. Titanium offers strong screw fixation at the angle; PEEK offers rigidity with a bone-like appearance on imaging. The material must be selected according to the case.
In selected cases, a custom, individually designed implant for each side can help correct differences in width, height or projection between both jaw angles.
The cost depends on diagnostic planning, custom design, material, surgical setting, anaesthesia, fixation system and whether other procedures are combined. A personalised quotation is provided after assessment.
Why choose Dr Francisco Riba for jaw implants?
Dr Francisco Riba is an oral and maxillofacial surgeon with experience in custom 3D facial implants, mandibular skeletal surgery and advanced digital planning. His approach is based on structural precision, natural-looking results and careful case selection.
The objective is not to create an exaggerated or trend-driven jawline. In custom jaw implant surgery, the aim is to build or restore mandibular definition, bilateral symmetry and lower-face balance while preserving the patient’s identity.
Bone-first mandibular analysis. Dr Riba assesses the jaw angle in relation to the ramus, chin, bite, masseter muscle and global facial harmony before deciding whether a custom implant is the most appropriate option.
Custom jaw implant planning starts with the mandibular skeleton. The angle is assessed in relation to the ramus, chin, cheekbones, neck and overall facial architecture.
The goal is not simply to add width. A custom implant is planned to improve definition, symmetry and continuity with a result that remains coherent with the patient’s own anatomy.
Patients in Spain and international patients can request an initial consultation pathway before deciding whether to travel to Madrid for assessment or treatment.
Request your personalised jaw implant assessment
Send your initial information and Dr Riba’s team will help guide you towards the most appropriate consultation pathway.
Patients can request an in-person consultation in Madrid or, when appropriate, a video consultation with Dr Riba before travelling to Spain.
