EXPLORE
Plastic Surgery
Dr. Barry Eppley

Explore the worlds of cosmetic
and plastic surgery with Indianapolis
Double Board-Certified Plastic
Surgeon Dr. Barry Eppley

Surgical Techniques – Submental Jawline Shave for Inferior Border Irregularities after Chin Reduction

 

Shaping of the jawline is done for many different reasons. The most common reason worldwide is tapering a wide jawline through a combination of a chin reduction osteotomies and jaw angle shaves or ostectomies. In other patients with just a large or long chin, a chin reduction osteotomy is used.

chin reduction osteotomy x-ray with shave line dr barry eppley indianapolisWhen the chin is vertically reduced the osteotomy line usually extends to the inferior border of the jawline below the mental foramen or even more posterior.  Depending on the amount of vertical chin bone reduction and the angle of the bone cut, the line of the jawline from the jaw angle (back) to the chin.(front) can become non-linear. A bump along the lower edge of the jawline behind the chin can occur because of the location of the vertical reduction. (anterior) This makes the chin vertically shorter in the front but boxy in shape and a fullness (bump) behind the chin on the jawline.

Jawline Shave Technique Dr Barry Eppley IndianapolisJawline Shave Reciprocating Saw Dr Barry Eppley IndianapolisReduction of this bump or hump on the jawline is best done through a submental approach. This provides the most direct access which is important is re-establishing a straight line along he lower edge of the jawline. This also places the bone work sufficiently below the mental nerve foramen to avoid injury to it. Removing the irregular jawline section is best done with a reciprocating saw to provide a smooth cut.

The submental approach to straightening a ‘crooked’ jawline by an inferior border irregularity or reducing its vertical length is the one most effective approach. Its limitations is that it can not reach all the way back to the ramus or jaw angle area.

Dr. Barry Eppley

Indianapolis, Indiana

Tags: , , , ,


Dr. Barry EppleyDr. Barry Eppley

Dr. Barry Eppley is an extensively trained plastic and cosmetic surgeon with more than 20 years of surgical experience. He is both a licensed physician and dentist as well as double board-certified in both Plastic and Reconstructive Surgery and Oral and Maxillofacial Surgery. This training allows him to perform the most complex surgical procedures from cosmetic changes to the face and body to craniofacial surgery. Dr. Eppley has made extensive contributions to plastic surgery starting with the development of several advanced surgical techniques. He is a revered author, lecturer and educator in the field of plastic and cosmetic surgery.

Read More


Free Plastic Surgery Consultation

*required fields


Military Discount

We offer discounts on plastic surgery to our United States Armed Forces.

Find Out Your Benefits


Categories