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Facial Surgery @ Kamol Hospital - Thailand Cosmetic & Plastic Surgery


Jaw Reduction Surgery, Jaw shaving



Jaw Reduction Surgery / Jaw Shaving

in Bangkok, Thailand

          The jaw is one of the immediate indicators that people subconsciously or consciously use to gender to one an other. Males tend to have larger, wider jaws and females have narrower more refined jaws. Jaw reduction surgery is usually a fundamental part of FFS as it reshapes the jaw into a slimmer and more feminine appearance. The surgeon uses their extensive experience in order to reshape the jaw, chin, and mandibles to make a beautiful, instantly recognisable as female lower face. The jaw is an essential part of a beautiful V-line face. It should not be too slim or too broad and only a small curve is needed to create a beautiful and attractive look. 

 

How to choose the surgeon for jaw reduction?

  1. Jaw reduction is complicated. The surgeon should be a specialist in facial surgery particularly in the case of facial feminisation surgery as it is different from many other typical procedures and requires an immense amount of skill and experience. They must be a Board Certified Plastic Surgeon or Maxillofacial Surgeon
     
  2. Check the surgeons experience and expertise. Facial bone surgery is very complicated. Without experience and thousands of previous successful surgeries patients risk jawbone fractures, nerve tears and loss of jaw function. The surgeon should be qualified and verified as an expert in this field.

 

Preparing for Surgery

  • Consult with the surgeon about goals and get to know risks and potential complications.
  • Physical examination or lab tests, chest X-ray, blood test, and EKG if you are over 40 years old.
  • Stop smoking for at least two weeks before surgery.  
  • Stop taking any anti-inflammatory drugs such as aspirin, Motrin, Ibuprofen. Vitamins or herbs that interfere with blood clotting at least two weeks before surgery.
  • Plan for your recovery. Chewing will be difficult for up to a week after surgery. You should have some soup, liquid food, and nutrition supplement prepared.

 

Kamol Cosmetic Hospital offers seven techniques for jaw reduction

          Everyone has a unique facial structure therefore there is not a one size fits all rule for jaw reduction surgery. Kamol Cosmetic Hospital offers seven techniques as follows:

  • Jaw reduction type 1: This procedure removes the angled jaw only.  Suitable for people with large angle jaw, the size and shape of the lower mandible and chin 

Shows Jaws reduction type 1: the shaft and prominent of the angle of the jaw.

Picture1. Shows Jaws reduction type 1: the shaft and prominent of the angle of the jaw.

 

  • Jaw reduction type 2:  This procedure removes the prominent posterior angle of the mandible. This technique is available for those with long angled jaws.

Shows jaws reduction type 2: for the permanent of posterior half and angle of the mandible.

Picture 2 Shows jaw reduction type 2: For the removal of the prominent posterior angle of the mandible.

 

  • Jaw reduction type 3:  This procedure removes the prominent anterior to the posterior of the mandible. This technique is available for those with square faces, broad chin and jawline.

Shows jaws reduction types 3: for the prominent anterior to posterior of the mandible.

Picture  3  Shows jaws reduction types 3: For the prominent anterior to posterior of the mandible.

 

  • Jaw reduction type 4:   This procedure removes the angle of the chin. This technique is for those with a square chin.

 Shows jaws reduction types 4: for the square shape of the chin.

Picture  4  Shows jaws reduction types 4: To reduce square chins

 

  • Jaw reduction type 5: This procedure removes the long side chin. The technique is available for those with a square and broad chin.

Shows jaw reduction type 5: long side chin reduction.

Picture 5  Shows jaw reduction type 5: Long side chin reduction.

 

  • Jaw reduction type 6: This procedure removes the side and vertical chin. This technique is available for those with broad and long chins. 

Shows Jaw reduction type 6: side chin and vertical reduction.

Picture  6  Shows Jaw reduction type 6: side chin and vertical reduction. 

 

  • Jaw reduction type 7: This procedure removes the posterior mandible from one side to the other. This technique is available for those with broad, long chins and a prominent mandible angle.  

Shows jaw reduction type 7: Long horseshoe reduction.

Picture 7 Shows jaw reduction type 7: Long horseshoe reduction.

 

A Good Candidate for Jaws reduction

You may be the right candidate if you:

  • Want to improve the lower face,  jaws, chin, and lower mandible. 
  • Have a wide jaw and round face.
  • Have a long lower jaw.
  • Have lower flat jaws.
  • Your facial growth is complete.
  • Physically healthy.
  • Have realistic expectations.
  • Doesn't smoke.
  • Knows and understands the risks and potential complications.

 

 

Preparing for Jaw reduction

  • Consultation with the surgeon about which procedures are suitable and what they can achieve.
  • Physical examination, blood test, chest X-ray, electrolytes, HIV
  • CT scan
  • Stop smoking and drinking alcohol for at least one week before surgery.
  • Stop some medicines, vitamins, or herbs that interfere with blood clotting such as aspirin.

 

The procedure of Jaw reduction

The operation takes 1-2 hours, depending on the thickness of the jawbone. The steps of jaw reduction are as follows:

  1. The procedure is performed under general anesthesia. 
  2. The incision is intraoral (inside the mouth) to hide the scar.
  3. Removal of excess bone/muscle/fat.

 

Postoperative care

 It is essential to take good care postoperatively:

  • To prevent infection use mouthwash frequently.
  • Keep the head elevated as much as possible to reduce swelling.
  • Wear provided compression bandage at all times for three days and when sleeping for one month.
  • Avoid strenuous activities for a month after surgery.
  • Avoid alcohol for at least two weeks after surgery.
  • Keep any follow-up appointments with your surgeon to check the healing process and to ask any questions you may have.

 

You can return to work 7-10 days after surgery but there may still be some swelling. You can resume exercising four weeks after surgery.

 

Risks and Complications

          Jawbone reduction, like other facial reduction procedures is low risk but does involve common risks such as infection, bleeding, blood clot, bruising, swelling, injury to the surrounding tissue and nerves or blood vessels and allergic reactions to anesthesia. Risks that are unique to this procedure include:

  • Numbness
  • Decreased skin sensation over the surgical area
  • Tightness when opening the mouth
  • Zygomatic arch fracture
  • Unstable zygomatic bone
  • Zygomatic bone and arch malposition after surgery
  • Revision surgery may be required

 

 Jaw Reduction Surgery Results

          The results of the jaw reduction procedure are permanent. Swelling after surgery is common. It will take several days before you are able to remove the compression bandage and enjoy the results. When the swelling has gone the new contours of your jawline will be apparent. Swelling will last several months and will steadily improve all the time.


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