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

Y
YoonjiMar 3, 2025

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)

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Dr. Jeffrey H. Spiegel, MD
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Dr. Jeffrey H. Spiegel, MD
Board Certified Facial Plastic Surgeon, Board Certified in Otolaryngology – Head and Neck Surgery
4.8 | 384 Reviews
Answered on Mar 17, 2025
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1 person found this helpful
Dr. Michael P. Morrissette, DDS, FACS
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Dr. Michael P. Morrissette, DDS, FACS
Board Certified Oral & Maxillofacial Surgeon
5.0 | 12 Reviews
Answered on Mar 19, 2025
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Michael P. Morrissette, DDS, FACS

For mandibular reduction, a portion of the mandibular angle is removed with custom guides, and the masseter muscle is not altered. In some cases, I diminish the inner surface of the masseter with cautery but this is kept to a minimum. It is important for the masseter to reattach to the bone for...

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Zoran Potparic, MD

It would be impossible to give you a meaningful advice based on these photos. A series of full face photos, profiles, 3/4 views is needed to better understand your problem. In person consultation with a board certified plastic surgeon with expertise in facial rejuvenation surgery would help....

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Michael P. Morrissette, DDS, FACS

Changing the shape of the jawline is called V-Line surgery. The angles of the mandible and the chin are changed in order to create a slimmer facial appearance. Sometimes the changes are performed by shaving and in some cases, the bone is cut away and plates and screws are placed.

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Jeffrey H. Spiegel, MD

I'm writing this response moments after doing a rhinoplasty with jaw reduction for a young woman. These two do effect each other with regards to balance and proportion. We can reduce your nose and jaw at the same time to get closer to the look you seek. Both together take about 2 hours.

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Zoran Potparic, MD

It appears that your chin is retruded and small; for that reason a chin augmentation with appropriate implant would be the most logical solution. In person or at least teleconference with a board certified plastic surgeon with extensive experience in chin surgery would help. In many practices...

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Jeffrey H. Spiegel, MD

This is a particular area of focus for my practice. However, we don't have the right photos. We need side views too. Biting and not biting as well (from the front). But, good news, there are ways to help this. We just need to know the right approach first.

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