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Kamol Hospital - Thailand Cosmetic & Plastic Surgery

Facial Surgery @ Kamol Hospital - Thailand Cosmetic & Plastic Surgery


Jaw Reduction Surgery, Jaw shaving

          Jaw plays an important part in a beautiful and balanced face. If your jaw is squared shape and wide, you may consider jaw reduction surgery which is a cosmetic procedure to reshape jaw into a slimmer and more feminine appearance. Jaw reduction is an art form of facial surgery. Jaw and chin sometimes need an operation together. Jaw is an important part contributing to a V-line face: it should not be too slim or too broad and only a small curve is needed for balance and harmony in an attractive face.

 

A good candidate for Jaw reduction

Patients who may find jaw reduction surgery suitable are those who meet the following characteristics:

  • Large, intensive-looking jaw
  • Wide jaw and round face
  • Long lower jaw
  • Lower flat jaws
  • Healthy
  • Having realistic expectations
  • Able to sign consent form without dictation

 

Preparing for Surgery

  • 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

Type 1 : short angle – jaw reduction, for prominent of mandibular angle
Type 1 : Short angle jaw reduction, for prominent mandibular angles
Type 2 : long angle resection, for the prominent of posterior half and angle of mandible
Type 2 : Long angle resection, for prominent posterior half of mandibular angles
 
Type 3 : Chin-to-jaw resection, for the entire prominent of mandible
Type 3 : Chin-to-jaw resection, for entirely prominent mandible
Type 4 : Side chin shaving, for the square shape of chin
Type 4 : Side chin shaving, for square-shaped chin
 
Type 5: Chin and side resection, for the square and broad chin
Type 5: Chin and side resection, for square and broad chin
Type 6: Chin-Side and  vertical reduction, for broad and long chin
Type 6: Chin side and vertical reduction, for broad and long chin
 
Type 7: Chin-to-jaw and  vertical resection, for large jaw and long chin
Type 7: Chin-to-jaw and vertical resection, for large jaw and long chin
 

 

Process of jaw reduction

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

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

              A micro-saw is used to cut the marked areas of prominent bone and reshape. The saw is curved to achieve a well-rounded contour. In some cases, a cortical fracture may be performed to surgically remove the outer layer of the jawbone.
              In other cases, masseter muscle will be removed. Some subcutaneous fat may also be removed to further slim down the jawline.

  4. Shaving to reduce sharp bone and increase smoothness
  5. Incisions are close with absorbable suture

 

Shaving to reduce sharp bone and increase smoothness 5. Incisions are close with absorbable suture

 

Risks and Complications

          Jawbone reduction, like other facial reduction procedures, 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
  • Asymmetry cheekbones
  • Tightness when opening the mouth
  • Zygomatic arch fracture
  • Unstable zygomatic bone
  • Zygomatic bone and arch malposition after surgery
  • Revision surgery may be required

 

Postoperative care

          It is important to take good care to prevent infection by using mouth wash often, keep the face elevated as much as possible to reduce swelling, gentle movement for support blood circulation, wearing a compression bandage at all times for three days, and when sleeping for one month.

  • Avoid aggressive activities for a month after surgery
  • Stop smoking or drinking alcohol for at least two weeks after surgery
  • Keep any follow-up appointments with your surgeon to check healing process and ask any questions that may concern you
  • Stitches are taken off seven days after surgery, whereas absorbable stitches are used in the mouth

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.

 

Jaw reduction surgery results

          The results of 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.



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**INDIVIDUAL RESULTS WILL VARY. IMAGES DO NOT CONSTITUTE A PROMISE **

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