Hello, I had orthognathic surgery a year and a half ago (mandibular advancement and maxillary 3 piece lefort I). I was discussing with my OMFS removing my mandibular plates due to some tenderness and the antegonial notching or depression from the osteotomy sight. I don't like the irregularity in my jaw line and i notice it all the time. Also, I have noticed some asymmetry between my right and left side in terms of the angles and fullness. Can anything be done to help correct this?
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May 7, 2014
Answer: Irregular Jaw Angle/Jawline after Mandibular Advancement
There is no question that the ideal treatment would be 'extensive jaw' surgery consisting of an upper jaw shortening and lower jaw advancement. This would require orthodontics before and after this type of operation. An alternative lesser operation (one hour with no orthodontics) is a sliding...
A pointy chin can be reduced and the jawline evened out by reducing the bony prominence and removing any excess soft tissue. That is best done through a submental incision. The lower edge of the chin bone can then be made even with the rest of the jawline behind it.
Minor corrections can be corrected by contouring with a bur. Vertical reduction over 3-4mm often required making a cut in the mid portion of the chin to retain the natural shape of the chin. Simply shaving if off from the bottom may leave an undesired and unnatural appearance of the...
