Jawline recontouring (asymmetry in jawline) (Photo)

Question

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?

Barry L. Eppley, MD, DMD · Answer

It would not be rare to develop jaw angle asymmetry after a sagittal split osteotomy of the mandible. This can occur from asymmetry of the angles before surgery, how the bone segments were cut and put together, how much the jaw was advanced or as a result of the healing process. When treating jaw angle asymmetry the question becomes which is the preferred side (or possibly both sides) and is it too long, too short and/or irregular. Most of the time it is a function of not being smooth and somewhat vertically short with loss of angle definition. This can be treated with either a preformed or custon jaw angle/jawline implant to provide better angle definition and smoother jawline look and feel.

Majid Jamali, DMD · Answer

I believe at this time, the surgery might have to be done to correct All the issues that you mentioed. Please seek advise from your surgeon.

Jawline recontouring (asymmetry in jawline) (Photo)

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