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...
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...
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.