How is facial slimming and jawbone reduction surgery performed?

Sep 20, 2022 Source: Cainiu Health
Dr. Li Fengyong
Introduction
A large facial contour can be improved through osteotomy to reshape the facial profile. The procedure for瘦脸削骨 surgery (facial slimming osteotomy) includes general anesthesia, making incisions and separating the muscles from the periosteum, removing a portion of the mandible, applying bone wax, hemostasis, and suturing. It is important to thoroughly rinse away any dislodged bone fragments with saline during the procedure to prevent adhesion between the bone and surrounding tissues after suturing.

For individuals born with prominent mandibular angles or a broad facial contour, bone-reduction surgery can be used to reshape the face. The specific procedure for this surgery is as follows:

1. General anesthesia: Clinically, bone-reduction surgery is typically performed under general anesthesia with endotracheal intubation;

2. Incision and dissection: An incision is made inside the mouth near the mandibular angle. The muscles and periosteum are then separated from the bone to expose the underlying bone structure;

3. Bone reduction: Based on the pre-designed surgical plan, a portion of the mandibular angle is removed. The edges are smoothed after bone reduction, and if necessary, part of the inner layer of the masseter muscle or fat may be removed depending on individual circumstances;

4. Suturing: Bone wax is applied to the bony wound surface, followed by compression with medical gauze to stop bleeding. Finally, the incision is sutured closed, completing the surgery.