Will I Get Sagging Skin After Jaw Reduction (V Line) Surgery?
Q: Dr. Eppley, I’m interested in a jaw reshaping / reduction procedure. I’ve considered a trip to South Korea but don’t love their V-line approach.
My biggest concern would be sagging skin as a result but looking at your results, I believe there are techniques to address that. Possibly fat grafting under eyes and temples and a brow lift.
I’d like to discuss details and learn what else you would recommend based on my facial proportions analysis. I’m attaching a few pictures in different angles /lighting.
A: Thank you for your inquiry and sending your pictures. I would agree that traditional v-line surgery in your case would not only leave you with loose skin but would have disfigured your lower face. That is too radical a jaw reduction procedure for what you really need. Desquaring the chin through lateral tubercle reductions and perhaps some jaw angle width reduction is what is appropriate for your anatomy, all of which can be performed through an intraoral approach. These procedures maintain the vertical length of the reduced bones and thus the support to the attached soft tissues.
Dr. Barry Eppley