Prior to selection of a treatment, the patient is examined to determine whether the wide jaw is due to the bone size, the masseter muscle or both.
Three-dimensional analysis of the clinical photos, X-rays and 3D CT scans from the front, lateral, oblique, basal and overhead views are required for a detailed evaluation.
[5] A guarded oscillating saw is first used to mark the proposed osteotomy line to avoid excessive resection of the mandibular bone.
[6] Potential complications include injury to the inferior alveolar nerve which provides permanent numbness and damage to the lower lip and even death.
Failure to reattach the mentalis muscles will lead to the chin and lower lip to sag, causing permanent damage.
[1] Common symptoms include haematoma, infection, asymmetry, over- or under-correction of the mandibular bone, sensory deficit.
There is no down-time and improvement is gradual—individuals who interact with the patient may never know that a plastic surgical procedure was performed The use of Botox for jaw reduction has been studied scientifically.