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V-line Surgery

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V-line surgery is an approach to reshape the mandible, and may include narrowing down the chin, achieving a more desirable facial look.


Similar to Malar Reduction, the individual must undergo a computerized facial x-ray process to determine the overall feasibility. The surgery will include performing cuts within the mouth. For individuals with prominent cheekbone, it is often recommended to undergo Malar Reduction at the same time as the V-line surgery.


Results will vary from one person to another. The removed bone must not affect the lower lip and chin nervous system, otherwise the patient will experience numbness in the area.

Recommended for:

Individuals who want a narrower jawline

 

Operation details:

After applying anesthesia, the surgeon will apply a cut on the upper and central gum area to expose the chin and jaw bone. A tool will be inserted through this cut to reshape the bone. In some cases the surgeon may consider filing the bone further. The surgeon will secure the refitted cheek bone with titanium, stop the bleeding, apply drain tube, and close the wound.

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Post-operational treatments:​

  1. Apply cold pack to the area during the first 3 days.

  2. Rinse mouth 4 times per day (morning, noon, evening, night). The suture will resolve itself within 1-2 months. 

  3. Apply the drain tube for 1 day.

  4. Avoid direct sunlight, spicy or preserved food, or food that requires heavy chewing during the first 1-2 months.

  5. Apply elastic face band regularly for 2 months

  6. The swelling will be less noticeable after 6 months. Upper lip numbness will be less noticeable after 3-6 months.

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Possible side-effects:

  • Lower lip numbness, which will be less noticeable after 3-6 months.

  • If left uncared for, the surgical cut in the mouth may risk infection.

  • Sagging facial skin. This is because some bone has been removed. Facelift surgery may be considered as a remedy.

  • In the case that the facial appearance does not match the desired outcome, one possibility is that the facial muscle involved in chewing has swelled. This may happen in individuals with abundant jawline tissue. This can be corrected with botox and fat removal and/or facelift.

 

How long will the change last?

The result will typically last a lifetime.
 

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