madambutterfly89 Posted May 25, 2018 Posted May 25, 2018 Does cortical jaw reduction/shaving cause sagging?
sarahdomm Posted May 25, 2018 Posted May 25, 2018 Depends on: Age Genetics Surgeons experience (cut/rearranging of skin,tissue,muscle) Environmental factors (sun exposure, smoking) Unfortunately there is no simple "yes/no" answer
madambutterfly89 Posted May 25, 2018 Author Posted May 25, 2018 Thanks Sarah. Did you have your bone shaved or cut? Isn't it inevitable to detach the muscles from the bone?
sarahdomm Posted May 25, 2018 Posted May 25, 2018 Cut. Though I dont know for sure if it is unavoidable or not (this is something that needs to be discussed with a skill surgeon) Views technique for muscle is using a small medical needle to transmit high frequency waves through the oral cavity to burn and reduce part of the muscles. For fat, you have the option of doing buccal fat removal or not (cheek area). I chose not to due to wanting a full 3-D face and worried that it would give a "sunken" look to my cheeks. However, to each there own. I am actually considering going back to View next summer to get buccal removal.
chocolatierr Posted May 26, 2018 Posted May 26, 2018 I think in the laaaaaaarge majority of cases, sagging to some extent and of some sort occurs when you have your jawbone reduced. But like Sarahdomm says, it does depend on a variety of factors. If you are not changing the height of your jawline and are only reducing the width/cortical bone, I think the sagging is veryyyy minimal. There is no major bone or tissue support that has been lost. The projection of the angle is still there and holds the facial tissues in place. If you are changing the height of your jawline and cut off part of the gonial angle, I think sagging to some extent happens in everyone who chooses to do so. I would be very weary of someone who said they reduced their bone angle and claimed that they have no sagging at all whatsoever. (Unless they had a deficient chin and the surgery also brought the chin forward, which would stretch out the neck tissues.) From my research of v-line surgery over the past year, I think sagging from v-line surgery specifically comes down to two big variables: how much is shaved off and your age. If you make minimal bone angle changes and cut a little off --> lesser/minimal sagging. If you shave a moderate to large amount --> more sagging. I don't think it is necessarily the dissection of soft tissues from the bone that instigates sagging in this area. But logically, the other stuff makes sense. Because when you remove this bone support, where is the excess soft tissue, skin, fat, muscle supposed to go? When you surgically cut into any part of your body, you leave scar tissue and as a response to the surgery dissection, your skin/muscle/fat contracts and tries to shrink wrap. But there's only so much that the body can do. Younger individuals tend to do a lot better with soft tissue contraction because of skin elasticity, it can bounce back a lot easier. Individuals with poorer skin elasticity, they show more sagging because the skin and muscle wasn't able to bounce back as much.
madambutterfly89 Posted May 26, 2018 Author Posted May 26, 2018 Thank you for taking the time to write that. I agree the body can do so much to shrink wrap itself. I think it's best for someone to try Botox first before jumping into anything invasive.
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