What is JuvaBiteTM?
JuvaBiteTM is a new and innovative approach for managing the changes in aging appearance of the lips and soft tissues around the mouth. It was designed and developed by Thomas Romo III, MD, FACS, Director of Facial Plastic and Reconstructive Surgery at Lenox Hill Hospital and Manhattan Eye, Ear & Throat Hospital (MEETH)/Northwell Health Systems, both in New York City.
JuvaBiteTM addresses the loss of vertical bite dimension, which results from natural aging and teeth grinding, through the use of a customized oral appliance. This device, which is fabricated by a certified dentist, reestablishes needed architecture and soft tissue support. In conjunction with the oral appliance, age-related loss of fat and volume around the mouth and lips (lipoatrophy) is treated with FDA-approved hyaluronic acid-based fillers to build up soft tissue fullness.
JuvaBiteTM involves a combined approach by a certified dentist and facial plastic surgeon, which allows for natural restoration and rejuvenation of the perioral and lower face region. It also eliminates the problems that can occur when only one of these treatment modalities is used or overused.
Why did Dr. Thomas Romo III develop JuvaBiteTM?
As we age, we lose volume of the lips and area around the mouth. This causes thinning of the lips and wrinkles around the mouth. In addition, we also lose height of the teeth and jawbones because of lifelong teeth grinding and chewing.
Presently, the only treatment for both of these problems is for the patient to have fillers, such as Restylane and Juvederm, injected into the lips and the areas around the mouth. This standard approach addresses only the loss of soft tissue volume. However, the overclosed bite is not vertically opened and therefore not improved.
Treating the patient with fillers alone can lead to distortion of the lips and perioral region. This produces the commonly seen abnormalities, such as the lumpy lower face, “trout pout,” giant lips and a too-full or bulging lower face. Unfortunately, this result can also be very masculinizing for a woman’s face.
JuvaBiteTM is a treatment approach that simply, correctly and economically addresses both of these aging face problems simultaneously and produces the most natural-looking rejuvenation of the aging lower face and lips.
What does JuvaBiteTM involve?
The treatment involves coordinated efforts between a certified dentist and board-certified NYC facial plastic surgeon. Initially, the patient will be evaluated by Dr. Romo in his Upper East Side plastic surgery office. If the patient presents with age-related thin lips, wrinkles around the mouth, along with volume loss and loss of vertical height of the normal bite, then the patient will be sent to the office of Dr. Michael Gelb. Dr. Gelb will design and produce a customized oral appliance that is worn like a retainer. Once this removable device is fabricated and fitted, which usually takes one week, the patient is seen again in Dr. Romo’s office. While the patient is wearing the oral device, Dr. Romo appropriately fills the lips and soft tissues around the mouth with FDA-approved hyaluronic acid-based fillers.
Advantages of JuvaBiteTM include:
- Each patient is treated individually; no cookie cutter approach
- The dentist/plastic surgeon team approach produces the best and most natural rejuvenation of the lower face and lips
- The combined fee for the JuvaBiteTM system is intentionally set at a price point that is affordable, thereby allowing for more patients to receive the treatment
What procedure is JuvaBiteTM used for?
JuvaBiteTM is used to rejuvenate the soft tissues around the mouth and lips and is used in conjunction with dermal fillers such as Restylane and Juvederm. The combined treatment approach of an experienced dentist and board-certified facial plastic surgeon allows for the most natural results and best cosmetic appearance of this portion of the face.