A prominent mandibular angle can give a coarse and masculine appearance. The so called “melon seed face” or “heart shaped face” gives one a more delicate and feminine appearance; and so many people who have a square face are interested in cosmetic surgery to feminize the face. This procedure can be done on women as well as men who desire this change.
Your Office Visit
There are several options for contouring the mandible, and careful analysis by Dr. Rodman is necessary to determine which technique will achieve the best outcome. A square face is most apparent when one looks at the patient directly from the front. From this view, we see the wide distance between the two angles of the mandible, called the gonion to gonion distance.
Some patients have not only a wide gonion to gonion distance, but also have an angle of the mandible that is low and in the same plane as the chin, called a low gonial angle. This is best seen when looking at the patient from the side. Dr Rodman will examine your face from all angles the shape of your jaw as well as the chin.
Your initial office visit is your chance to meet Dr. Rodman and learn more about the procedure, as well as her chance to learn about you. She will ask about any medical problems you have, past surgeries, and what medications you take.
After Dr. Rodman has met with you and performed a thorough exam, you will need to get a CT scan. The CT scan is a series of X rays that gives information about the shape and size of the bones as well as how the teeth come together. The CT scan is done in the office, the same day of your visit, at Dr Rodman’s Spring Branch location.
Dr. Rodman’s preferred way to alter the angle of the jaw is called mandibular angle ostectomy, and mandibular outer cortex split. This combination is known as mandibular V line surgery. In the V line surgery all cuts are made inside the mouth so there are no scars on the face. The angle of the mandible and the back edge of the jaw (ramus) are carved away with a drill. These two procedures can be used separately or together and can be used in combination with genioplasty, masseter resection and buccal fat pad resection, for further contouring.
After the surgery you will stay one night at the Restorative Suites which is a medical hotel at the Spring Branch location. These suites combine the luxury of a high class hotel with a state of the art medical facility and quality nursing care.
You can expect swelling and bruising for the first two weeks after surgery and will need to wear an elastic garment around your face and neck to help the area to heal. Because the incisions for the surgery are made inside the mouth, expect to stay on a soft diet for the first two weeks.
Out of Town Patients
For patients who live out of town, Dr. Rodman is able to consult by Skype or FaceTime. The initial visit will be the similar to a first visit in the office, where you will discuss your goals and come up with a plan for surgery. Surgery can be booked after the initial internet consult, and you will have a pre-operative visit, including a CT scan, the day before your planned surgery.