Can doing cortical osteotomy cause sagging? (As opposed to doing a full jaw reduction) (photo)

Question

Can doing just a cortical osteotomy (having the thickness of the mandible reduced from the sides) instead of a full jaw reduction cause sagging? (I also might do masseter reduction along with cortical osteotomy)

Jeffrey H. Spiegel, MD · Answer

There is no reason to do the full thickness bone removal as drawn. That will likely cause a problem. We do this procedure every week by combining partial bone and partial muscle reduction.

Michael P. Morrissette, DDS, FACS · Answer

If you are looking for a significant slimming of the mandibular angles, then complete removal of the angles of the mandible is best. Cortical osteotomies will provide much less cosmetic changes. Having performed multiple gender affirmation surgeries, I have not seen sagging or Masseter muscle attachment-related problems. Some Masseter muscle reduction can be performed simultaneously. If only a small reduction of the angles is necessary, then cortical reduction may be acceptable.

Can doing cortical osteotomy cause sagging? (As opposed to doing a full jaw reduction) (photo)

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Everything you need to know about Jaw Reduction

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Can doing cortical osteotomy cause sagging? (As opposed to doing a full jaw reduction) (photo)

Answers (2)

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Recommended reading

Everything you need to know about Jaw Reduction

Our mission is to create a world where every investment in modern beauty is Worth It.