What you need to know about:

Mandibular Angle Reduction

Fast Fact

80%

Worth It Rating

Average Cost:

$3,200

Recovery Period:

3-7 days

Permanence:

Permanent

177

Doctors

Time it takes:

1-2 hours

Hospitals & Clinics

Reviews

Anesthetize:

General anesthesia

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Overview of

Mandibular Angle Reduction

in Thailand

Mandibular angle reduction surgery is a surgery performed to decrease the width of the lower third of the face to convert a square-shaped face to an oval one through chipping of some bony structure of the angle of the mandible, shaving the masseter muscle or both.

A square face is when the lower third of the face is wider than the middle third. This is considered a masculine trait while a feminine jawline is more smooth. The square face may be due to a wide mandibular bone or a large masseter muscle. This is where mandibular angle reduction surgery appeared.

If the problem is in the masseter muscle alone, a more conservative treatment through injection may be used, but this is a temporary solution.

Mandibular angle reduction surgery (V-line surgery) is a permanent solution for a smoother jawline, but this area has complicated anatomy as it contains multiple nerve endings and blood vessels, so it must be conducted through experienced surgeons in a well-equipped hospital to avoid any complications.

Goals of

Mandibular Angle Reduction

Mandibular angle surgery is a permanent solution for square-jaw, round wide jaw, and when there is no proportion between the lower third and the rest of the face. It aims to create a slimmer more symmetrical V-shaped feminine look through the removal of some of the bony structure at the mandibular angle and shaving off the masseter muscle.

Price of

Mandibular Angle Reduction

in Thailand

Average Cost

$3,200

Price Range

$1,400 to $5,000

Pros and cons of

Mandibular Angle Reduction

Pros

Mandibular angle reduction surgery is considered a permanent and effective solution to achieve a v-shaped smoother look.

Cons

Requires hospitalization.
Complicated surgical site anatomy as it contains multiple nerve endings and blood vessels so it holds a risk for bleeding and nerve injury.
High cost.

How it works:

Mandibular Angle Reduction

Mandibular angle reduction surgery can be done using an intra-oral or extra-oral technique.

In the intra-oral approach the cut is made inside the mouth on the back of the cheek. Depth cuts are made on the bone surface to cut the needed amount of the bone without overcutting. After bone removal, the surface is smoothened. A portion of the masseter muscle is cut if needed. This technique maintains the curving of the bone while reducing the frontal view of the patient, but the filed view is limited which may reduce the accuracy.

If more extensive bone removal and remodeling is needed, the extra-oral approach is more recommended. The incision is made around the ear to give full access and exposure to the mandibular angle area. The recovery time for this technique is shorter and the swelling occur in the neck instead of inside the mouth.

Preparation before

Mandibular Angle Reduction

Pre - treatment

The initial consultation involving field examination, discussion of your treatment expectations and the treatment options to reach the best treatment option to reach your expectations while being safe and offering long term results.
The plastic surgeon will examine your face and soft tissue and will ask for pre-operative radiograph and tests. A pre-operative CT of the face will be asked to determine soft tissue relation, masseter muscle size, anatomical variations related to the surgical site and to determine the amount of bone to be removed safely. Pre-operative tests like blood investigations will be required to determine if the surgery is a safe option.
Report to your doctor any active medical conditions, any treatment you are taking, any previous surgeries and surgical complications if any happened. Some medications may be stopped or changed before your surgery.
Avoid taking aspirin, herbal supplements, vitamins, hormonal pills and some anti-inflammatory drugs 2 weeks before surgery as they may increase the risk for bleeding.
Stop smoking and alcohol 2-3 weeks before surgery.
Try to follow healthy life style specially regarding food choices; eat plenty of fruits and vegetables.
According to your doctor recommendation will be asked to stop eating and drinking 8-12 hours before your surgery.

Recovery after

Mandibular Angle Reduction

Post - treatment

Mandibular angle reduction surgery requires that you strictly follow the post-operative instructions recommended by your doctor to avoid any surgical complications.
You may experience some headache and nausea after surgery that is due to the anesthesia.
Bruising, swelling and inflammation after surgery are common side effects. It is advised to use cold compressive dressings for 3-7 days. Anti-inflammatory medications may also be prescribed. Swelling will subside to a great extent within 15 days.
You may experience pain when you open or close your mouth so pain killers may be prescribed.
Soft diet is advised for 2-3 weeks, and it is recommended to use mouth wash after every time you eat to avoid inflammation of the intra-oral wound.
Raise your head during sleep for 3-4 weeks.
You may return to you daily activities after 2-3 weeks, but avoid hard physical activities for 3-4 weeks.
If the stitches used are non-absorbable, you will need to return to the clinic for stitches removal after 1-2 weeks.

Before and after photos of

Mandibular Angle Reduction

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Patient reviews of

Mandibular Angle Reduction

We understand you may want to change your plans due to the coronavirus (COVID-19) and its health implications.

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BANGKOK-THAILAND - Verified Patients - 9 June 2021

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BANGKOK-THAILAND - Verified Patients - 9 June 2021

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BANGKOK-THAILAND - Verified Patients - 9 June 2021

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Risks & side effects

It is mandatory to put into your consideration that mandibular angle reduction is a surgery requiring hospitalization for 1-2 days and may involve some surgical complications and risks that can be reduced if you follow your pre and post-operative instructions carefully.
Surgical risks following this procedure may involve: bleeding, infection, bruising, swelling, numbness, and delayed healing. These symptoms disappear usually within 3-4 weeks. Some medications as antibiotics, anti-inflammatories, and analgesics are prescribed to avoid these risks.
Injury to the adjacent soft tissue structure such as nerves, blood vessels and muscles may occur. Injury to the inferior alveolar nerve may occur leading to numbness in the lower lip and chin. This is a temporary condition that resolves within few months and rarely become permanent.
There may some limitation and pain during jaw movement (opening and closing your mouth), so it is recommended to use soft food for 2-3 weeks. This condition resolves within few weeks.
Poor cosmetic outcome, asymmetry. Improper bone contour, and over/under resection of bone may happen and may require a revision surgery.

FAQs:

Mandibular Angle Reduction

Will there be any scars on my face?

In case of intra-oral approach there will be no scar as the incision is inside the mouth. While in case of extra-oral approach there may be minimal scar that will be hidden through incision around the ear.

Will I be in pain?

The procedure is performed under general anesthesia. Once the anesthesia is worn off, you may feel some pain, swelling and limitation of mouth movement. Pain killers are prescribed after the surgery; and you will be advised to follow soft diet regimen until the symptoms subside with few weeks.

How long do I have to be in the hospital?

2 days’ hospitalization is recommended then you will be discharged and return for a follow up visit within 1-2 weeks.

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