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Jaw (Orthognathic) surgery and jawline/facial contouring is performed to enhance facial balance and achieve cosmetic and aesthetic goals. There can also be functional benefits including optimization of breathing, improving speech, normalizing lip posture, and enabling proper occlusion or bite (eating and chewing).

Orthognathic (Jaw) surgery will correct jawbone/facial irregularities and imbalances. With properly aligned and repositioned jaws and teeth – function (eating, speaking, smiling, breathing) and facial aesthetics are optimized. Self-confidence, and positively perceived personality traits result from the overall improvement in facial balance and appearance. The typical jaw procedures include: Le Fort osteotomy (to address the maxilla, upper jaw), bilateral sagittal split osteotomies (BSSO) (to address the mandible, lower jaw), genioplasty (to address the chin).

Genioplasty is a procedure that corrects the chin position. Frequently providing augmentation or greater projection (for people with weak chins). But can correct asymmetry, and make a chin that is too prominent less so. Genioplasty can entail cutting and repositioning ones own bone (osseous genioplasty), shaving down the bone, or utilizing an implant (silicone, polyethylene, PEEK, or titanium).

Jaw augmentation is considered for patients with an ill-defined jawline or lack of jaw angles. Typically this is achieved using a jawbone implant that can be off the shelf, or custom. These implants can be of various materials including silicone, polyethylene, PEEK, or titanium. Additionally bone graft materials can sometimes be used for jaw augmentation. Also less invasive “filler” like fat grafting, restylane, juvederm, and radiesse can be used for nonsurgical jaw augmentation. Malar or midface augmentation can also be performed to create more defined cheeks or upper jaw regions. The same materials or implants can be used to achieve this cosmetic balance. Fat grafting and non-invasive injectables can also enhance the upper jaw, cheeks, and midface.

Jaw reduction in cases where areas of the jawbone are too large, prominent, or asymmetric. To soften or change contours of the jaws regions can be shaved down, contoured, or removed. This can be performed at the setting of orthognathic jaw surgery as well.

V-Line surgery. This refers to a series of procedures, typically sought after in patients with wide zygomatic regions (cheek, malar), and wide and square mandibular angles, and a short, wide chin. The goal is to narrow the face progressively from the malar regions to the chin, creating the appearance of the V-line. These series of procedures if frequently sought after in Asian patients.

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