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.
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.
$1,400 to $5,000
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.
We understand you may want to change your plans due to the coronavirus (COVID-19) and its health implications.
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.