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[ARTICLE] Square Jaw Surgery: Facial Bone Structure and Lower-Face Balance Matter More Than the Amount of Bone Reduction

A square jaw may be a concern when the lower part of the face appears wide from the front or when the angle of the jawbone below the ear is prominent from the side. This facial shape can be influenced by various factors, including not only the size and shape of the mandible, but also the development of the masseter muscles used for chewing and the amount of fat beneath the chin. Square jaw surgery is a type of facial contouring surgery that aims to improve the contour of the lower face by adjusting the shape and width of the mandible. However, the surgical outcome is not determined simply by removing a large amount of bone. It is important to determine the appropriate extent and location of bone reduction based on each individual’s skeletal structure and overall facial proportions. In particular, excessive reduction of the mandibular angle located below the ear may result in an unnatural side profile. On the other hand, reducing only the prominent area visible from the side may not ...
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*Surgery Diary - 2 - "Detailed Design = Basics of Facial Contouring Surgery"

 [Doctor's Surgery Diary] - 2 -

*Detailed Design = Basics of Facial Contouring Surgery*


One of the biggest concerns for those planning cheekbones surgery is "cheek skin sagging".



As shown in Figure 1, there are ligaments around the cheekbones that protect against sagging.

Looking at Figure 2, you can see that the osteotomy line in green is located in the area where these ligaments are located.


Therefore, the extent of detachment, location of the osteotomy, and bone fixation should be determined in consideration of the current patient's bone structure and skin condition.

It is not always for the patient by just simply fixate on it high.

Surgery should be differentiated to suit individual needs, as can be seen in the CT of patients who performed surgery in ARC.

Of course, accurate bone fixation is fundamental.


(These four pictures are postoperative photos corresponding to the above.)






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Location: 대한민국 서울특별시 강남구

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