World Library  
Flag as Inappropriate
Email this Article

Jaw reduction

Article Id: WHEBN0014414679
Reproduction Date:

Title: Jaw reduction  
Author: World Heritage Encyclopedia
Language: English
Subject: Arthrotomy, Rotationplasty, Broström procedure, Pittsburgh knee rules, Ostectomy
Collection: Jaw Surgery, Oral and Maxillofacial Surgery, Oral Surgery, Plastic Surgery
Publisher: World Heritage Encyclopedia

Jaw reduction

Jaw reduction
ICD-9-CM 76.61-76.64

Jaw reduction is a type of surgery in which the objective of treatment is to narrow the lower one-third of the face—particularly the contribution from the mandible and its muscular attachments. There are several techniques for treatment—including surgical and non surgical methods.


  • Facial aesthetics 1
  • Causes 2
  • Techniques 3
    • Botox injection 3.1
    • Surgical reduction 3.2
  • References 4

Facial aesthetics

A square lower jaw is generally considered a very masculine trait. Widening of the lower third of the face can cause either a square appearance to the face as a whole or can distort the natural appearance of the angle between the chin and the neck.

Whereas square lower jaws are often considered a positive trait in men, a wide mandible can cause significant facial discordance and/or masculinization of the female face. Even in certain men, the size of the lower jaw can cause facial disharmony—particularly when there is asymmetry.[1]

A wide lower face can primarily be caused by enlargement of the mandible or masseter muscle.


The primary cause of an enlarged mandible is developmental or congenital. There are some rare disorders that can further widen the jaw such as acromegaly.

Conversely, while a masseter muscle can be large due to congenital reasons, it can commonly be an acquired deformity. Like any muscle it increases in size with exercise. Behaviors such as repeated gum chewing, teeth clenching, or bruxism can contribute to enlargement of the muscle.


There are several jaw reduction techniques available—both surgical and non-surgical. Ideally prior to selection of a treatment, the patient is examined to determine whether the cause is due to the bone, the masseter or both. Additionally, if a treatable cause is present it should be identified.

Botox injection

Non-surgical techniques are essentially limited to cases in which the masseter is enlarged. A convenient method to treat an enlarged muscle is through the use of botox injections. Botox is injected into the enlarged muscle, weakening it so it slowly becomes smaller through atrophy over several months. There is no down-time and improvement is gradual—individuals who interact with the patient may never know that a plastic surgical procedure was performed

The use of Botox for jaw reduction has been studied scientifically. Improvement is generally not seen for at least 2 - 3 weeks. Peak improvement occurs at months 3 to 9 with good results still observable at one year in many patients.[2]

The procedure can result in temporary paralysis of the muscles that move the lips, a rare but acknowledged complication.

Surgical reduction

Surgical techniques are used to directly reduce the size of an enlarged mandible. Incision can be to the inside or outside of the mouth, though the internal incision is the most common because it leaves no visible scar. A burr is used to remove the outer layer of the enlarged mandible, narrowing the jaw.[3]

Potential complications include injury to the inferior alveolar nerve which provides sensation to the lower lips and teeth.


  1. ^ Morris DE, Moaveni Z, Lo LJ (2007). "Aesthetic facial skeletal contouring in the Asian patient". Clin Plast Surg 34 (3): 547–56.  
  2. ^ To EW, Ahuja AT, Ho WS, et al. (2001). "A prospective study of the effect of botulinum toxin A on masseteric muscle hypertrophy with ultrasonographic and electromyographic measurement". Br J Plast Surg 54 (3): 197–200.  
  3. ^ Jin H (2005). "Misconceptions about mandible reduction procedures". Aesthetic Plast Surg 29 (4): 317–24.  
This article was sourced from Creative Commons Attribution-ShareAlike License; additional terms may apply. World Heritage Encyclopedia content is assembled from numerous content providers, Open Access Publishing, and in compliance with The Fair Access to Science and Technology Research Act (FASTR), Wikimedia Foundation, Inc., Public Library of Science, The Encyclopedia of Life, Open Book Publishers (OBP), PubMed, U.S. National Library of Medicine, National Center for Biotechnology Information, U.S. National Library of Medicine, National Institutes of Health (NIH), U.S. Department of Health & Human Services, and, which sources content from all federal, state, local, tribal, and territorial government publication portals (.gov, .mil, .edu). Funding for and content contributors is made possible from the U.S. Congress, E-Government Act of 2002.
Crowd sourced content that is contributed to World Heritage Encyclopedia is peer reviewed and edited by our editorial staff to ensure quality scholarly research articles.
By using this site, you agree to the Terms of Use and Privacy Policy. World Heritage Encyclopedia™ is a registered trademark of the World Public Library Association, a non-profit organization.

Copyright © World Library Foundation. All rights reserved. eBooks from Project Gutenberg are sponsored by the World Library Foundation,
a 501c(4) Member's Support Non-Profit Organization, and is NOT affiliated with any governmental agency or department.