Jaw and Chin Contouring
V-line surgery is a facial contouring procedure that reshapes the jawline and chin to create a slimmer, more defined lower face. This transformative procedure has become one of the most sought-after options for individuals wishing to achieve a more balanced, elegant facial appearance with permanent results.
According to data from the National Quality Registries on orthognathic surgery in Sweden, approximately 95% of patients who underwent jaw contouring procedures rated their results as satisfactory at 6 to 24 months after surgery. A study published in Plastic and Reconstructive Surgery Global Open examining 321 patients who underwent narrowing and vertical reduction genioplasty found that all patients were satisfied with their results, with no severe complications observed.
What is the V-Line Surgery Procedure?
V-line surgery, also known as mandibuloplasty or jaw reduction surgery, is a comprehensive facial contouring procedure that addresses both the jawline and chin. The goal is to transform a square or wide lower face into a more streamlined, V-shaped contour that enhances overall facial harmony.
The procedure targets three key areas: the mandibular angles at the back of the jaw, the body of the mandible along the jawline, and the chin. By reshaping these areas, Mr Gwanmesia creates a smooth, tapered appearance from the ears to the tip of the chin.
There are several surgical techniques used in V-line surgery. The T-shaped osteotomy involves cutting the chin bone in a T-shape and bringing the pieces together to narrow the chin. The inverted V-shape osteotomy with central strip resection simultaneously reduces the width and height of the chin. Mandibular angle ostectomy removes or reshapes the prominent angles at the back of the jaw. Outer cortex ostectomy involves shaving the outer layer of the jaw bone to reduce width.
Most incisions are made inside the mouth, meaning V-line surgery leaves no visible external scarring. The procedure typically takes two to three hours and is performed under general anaesthesia. Patients usually stay overnight in hospital for monitoring before returning home to complete their recovery.
When would you recommend V-Line Surgery?
V-line surgery is designed for individuals who are unhappy with the shape or proportions of their lower face. Common indications include a square or boxy jawline that creates a harsh appearance, wide mandibular angles that make the lower face appear heavy, and a broad chin that lacks definition.
Facial asymmetry, where one side of the jaw differs noticeably from the other, can also be corrected through V-line surgery. The procedure is also commonly performed as part of facial feminisation surgery for those who desire a softer, more feminine jawline.
Who is a Suitable Candidate for V-Line Surgery?
Good candidates for V-line surgery are healthy adults who have realistic expectations about what the procedure can achieve. The ideal candidate has completed facial growth, which typically occurs by age 18 to 21.
You may be a suitable candidate if you have a square jaw, wide mandibular angles, a broad chin, or facial asymmetry that affects your confidence. Candidates should be in good general health without any conditions that could impair healing, such as diabetes, heart disease or autoimmune disorders.
Non-smokers are preferred candidates, as smoking significantly impairs healing and increases the risk of complications. If you smoke, you will be asked to stop for several weeks before and after surgery. Patients should not be pregnant or breastfeeding at the time of surgery.
It is important to understand that if your facial width is due more to fat or muscle than bone structure, non-surgical options such as masseter Botox or buccal fat removal may be more appropriate. A thorough consultation with Mr Gwanmesia will determine whether bone reshaping, soft tissue work, or a combination approach will best achieve your goals.
What Happens During the V-Line Surgery Consultation?
The consultation is a crucial step in your V-line surgery journey. Mr Gwanmesia will evaluate your facial anatomy, understand your goals, and determine whether the procedure is right for you.
Mr Gwanmesia will take a detailed medical history and perform a thorough physical examination of your face, assessing bone structure, skin quality, facial proportions and any asymmetry. Mr Gwanmesia uses 3D imaging to refine his analysis.
Mr Gwanmesia will explain the different surgical techniques available and recommend the approach best suited to your anatomy and goals. They will discuss the benefits, limitations and potential risks. This is your opportunity to ask questions and view before-and-after photographs of previous patients.
Preparation for V-Line Surgery
Proper preparation helps ensure optimal results and a smooth recovery. Stop smoking at least two to four weeks before surgery, as smoking can delay healing and increase complications. Avoid blood-thinning medications such as aspirin and ibuprofen for at least two weeks before your procedure.
In the 48 hours before surgery, abstain from alcohol. Arrange for someone to drive you home from hospital and assist you during the first few days of recovery. Prepare your home by stocking up on soft foods and have ice packs, comfortable clothing, and prescribed medications ready. Plan to take at least two to three weeks off work.
V-Line Surgery Recovery
Recovery from V-line surgery requires patience, as the final results take several months to become fully visible. Understanding what to expect at each stage helps you prepare for the healing process.
Immediately after surgery, you will experience significant swelling and bruising around your jaw and chin. This is normal and expected. Mr Gwanmesia will prescribe pain medication and anti-inflammatory drugs to help manage discomfort. A compression garment worn around your face helps reduce swelling and supports the healing tissues.
During the first week, swelling reaches its peak. You will be on a liquid or soft diet to avoid putting strain on your jaw. Many patients have difficulty opening their mouths fully during this time. Follow Mr Gwanmesia’s instructions regarding oral hygiene and wound care carefully.
By the second week, swelling begins to subside noticeably, and you may catch an early glimpse of your results. Most patients can return to work and light activities within two to three weeks, though some residual swelling may persist.
The majority of swelling resolves by three months, with enhanced contours becoming visible. However, complete healing and the final results of V-line surgery typically take six to twelve months to fully emerge as subtle swelling continues to resolve.
Risks of V-Line Surgery
V-line surgery is generally considered safe when performed by an experienced, qualified surgeon like Mr Ivo Gwanmesia. However, like any major surgical procedure, it carries certain risks that you should understand before making your decision.
Temporary numbness or altered sensation in the lower face is common after V-line surgery. This occurs because the inferior alveolar nerve, which runs along the lower jaw, may be affected during bone contouring. In a study of 321 patients, transient sensory changes were observed in 87 patients, but all recovered within three months. Permanent nerve damage is rare when surgery is performed by an experienced specialist.
Swelling and bruising are expected side effects that resolve over time. Minor complications can include wound dehiscence (separation) in approximately 2 cases per 321 patients, wound infection in about 2 cases, and minor bony step-off at the chin-mandible junction in approximately 8 cases.
Other potential risks include bleeding, haematoma formation, infection, asymmetry, and dissatisfaction with results. Some patients may experience temporary difficulty chewing or opening their mouth fully. In rare cases, bone regrowth or changes in facial contours may occur over time, potentially requiring revision surgery.
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V-Line Surgery FAQ
The price for V-line surgery is composed of the price of the following procedures
- Genioplasty – £7750
- Jawline contouring surgery – £8500
The procedure is performed under general anaesthesia, so you feel no pain during surgery. Afterwards, you will experience discomfort and swelling, which is managed with prescribed pain medication.
The procedure typically takes two to three hours, depending on the techniques used and the extent of reshaping required.
No. Most incisions are made inside the mouth, so there are no visible external scars. Incisions inside the mouth heal very well.
Most patients return to work within two to three weeks. However, residual swelling may persist for up to a month, so plan accordingly if your work requires you to be in public.
Yes. Because V-line surgery modifies the bone structure, the results are permanent and lifelong. Once healed, the V-shaped contour remains stable.
You will need to follow a liquid diet for the first week, progressing to soft foods for the following two weeks. This prevents strain on your jaw during the healing process.
V-line surgery focuses on reshaping the outer contours of the jaw without altering the dental arch or bite. Careful surgical planning ensures that jaw function and bite alignment are preserved.
Yes. V-line surgery is often combined with rhinoplasty, cheekbone reduction, or other facial contouring procedures to achieve comprehensive facial harmony.
V-line surgery permanently reshapes the natural bone structure, whilst chin implants add volume using synthetic materials. V-line surgery offers more comprehensive results and avoids the risks associated with foreign body implants.
V-line surgery offers a powerful, permanent solution for individuals seeking a slimmer, more refined lower face. With high satisfaction rates and lasting results, this procedure can dramatically enhance facial harmony and boost confidence. If you are considering V-line surgery, consult with an experienced craniofacial or plastic surgeon like Mr Gwanmesia to discuss your options and determine whether this transformative procedure is right for you.
