The Esthetic Clinics- The Best Plastic, Cosmetic Surgery and Skin Treatment Clinics in Mumbai, India

Reconstructive

Face Shortening Surgery

Best Face Shortening Surgery in India

Cosmetic surgery has been gaining so much popularity in recent times as different persons across the world look to effect some form of (aesthetic) transformation on specific parts of the body. The availability of highly skilled cosmetic surgeons has further advanced this course. Talking about a cosmetic surgery protocol that has performed with notable success rate is face shortening.

Who Needs a Face Shortening Surgery?

Generally, you may envisage going for face shortening surgery if your face is overly long or when the boundary between your face and your neck is not distinct. Furthermore, and even more significantly, someone with long syndrome – also known as vertical maxillary excess – may also seek out facial reconstruction through shortening. As a matter of emphasis, long syndrome is characterized by the lop-sided growth of the jaw that results in the face having an excessively long appearance. Long face syndrome has also been reported to cause a dental deformity known as gummy smile – albeit this is somewhat rare.

Surgical Approaches Used in Face Shortening Surgery in India

There are two ways through which the human face can be shortened or reduced. It can be done either by reducing the length of the midface or the lower face. Concerning the former, surgical procedures such as philtrum reduction or Le Fort I osteotomy can be adopted while shortening of the lower face can be actualized through a chin reduction surgery called Mentoplasty. The particular protocol that would be chosen will be incumbent on the surgeon’s evaluation and/or recommendation –and your preferences as well. Let us now brief you on steps involved in the Le Fort I osteotomy and inverted V- shape osteotomy procedures as you anticipate getting the best pair of hands to perform a face shortening surgery performed on you.    

  • Mentoplasty: This is a facial contouring procedure that is directed at shortening the vertical length of the lower jaw. It is usually recommended when the chin protrudes beyond the nasal tip, and it is not always performed on individuals below the age of 20 years. On your first appointment to see the cosmetic surgeon, you will be briefed on how to prepare for the surgery. Nonetheless, you should stop using aspirin and any anti-inflammatory drugs one week before the set date – the surgeon may ask to know medical history at this point. Again, it is expected that you desist from taking alcohol and smoking cigarette at least two weeks before you go into the operating room for your chin reduction.

Mentoplasty is performed under general anaesthesia. However, before getting ahead with the procedure, the surgeon will have you go for an X-ray examination. This will enable the surgeon to assess the condition of your teeth roots, and also plan on the degree of contouring that has to do achieved to give the desired facial shape. Your plastic surgeon will do an intraoral incision, right on the lower gum to allow him/her to gain access to the bone structure around the chin. Having gained access, the next step will be to remove and then reshape the tip of the chin with the aid of some surgical tools. Thereafter, the surgeon appropriately contours the bone and puts the tip back in position. Dissolvable stitches will then be used in closing up the incision, and a facial band will be placed over the area to help hold the chin securely in position – this would be taken off later. The procedure should not take more than an hour to complete, and recovery time can be between 7 – 9 weeks.

  • Le Fort I Osteotomy: Le Fort I osteotomy is much more intensive, and it involves the repositioning of the upper jaw – which is why it is called orthognathic surgery. A major aspect when considering Le Fort I osteotomy is the need for orthodontic preparation which should be before the surgery, and it is geared at attaining the proper teeth alignment – a comprehensive evaluation of the face will also be done during this preparative process. Moving on to Le Fort I osteotomy; the surgeon places markings, which serve as some sort of reference, at specific points on your face, and then applies local anaesthesia to numb the area where the surgery is to be performed. After this, he/she moves to make an incision on your gum and then draws back your upper lip in such a way that allows the cuff of the sliding gingival [on the upper jawbone] to make up for the tissues directly affected by the drawing back of the lip. After this, the plastic surgeon accesses the connective tissue layer – that is over the bone – and moves to dissect this (layer) in a manner that exposes the lateral and medial bony processes of the upper jaw. The surgeon then proceeds to make series of dissections as he/she aims to lay the upper jawbone bare. With your cosmetic need in mind, the surgeon makes markings on the upper jawbone to highlight the area of focus for the bone reductions – face shortening – to be made. The surgeon will thereafter cut and reshape the bony process on the lateral side – and contralateral side – of the bony process of the upper jaw. After this, he uses a special tool to separate the nasal septum from the upper jawbone and then fractures the posterior wall of the jawbone. Once it is been affirmed that the osteotomies are properly positioned, the surgeon will proceed to down-fracture the cut out-portion [of the upper jawbone] through the application of digital pressure. The surgeon is then able to dissect into the floor and mucous lining of the nasal cavity, and block off any hole sighted therein. The movement – the upper jawbone is pushed forward as per face shortening – of the jawbone should be done with reference to the markings made on the face before the incision was made. A surgical splint is then used to position the upper jawbone, with the bony eminence of the lower jawbone in the right position. The upper jawbone is now secured with biodegradable plates and screws, and the surgeon checks to see if normal teeth alignment is realized as the upper and lower jawbones meet. After this has been guaranteed, he/she proceeds to close up the incisions with layers of absorbable stitches. The entire operation should be completed within two hours.

Risks Associated with Face Shortening Surgery

It is important to inform you that certain risks come with face shortening surgeries. This is not to scare you away from having that facial reconstruction you so desire, but ensure that you strengthen the resolve to have the protocol carried out by an experienced cosmetic surgeon – and under sterile conditions. Having said that, here are some of the risks you need to be mindful of when going for a face shortening surgical procedure:

  • Swelling that may last for months if proper care is not taken
  • Oral infection/compromised dental health
  • Damaged nerves
  • Vascular complications
  • Breathing issues
  • Adverse reaction to anaesthesia

 

Postoperative Care

It is not uncommon to experience mild to moderate pain after undergoing a face shortening surgery. To this end, you should avoid engaging in physically demanding tasks while the wound heals. Additionally, for the first 4 - 6 weeks after the surgery, your meal should be majorly composed of soft foods, and regularly use your mouthwash to cleanse your mouth – maintaining good oral hygiene at this time is of utmost importance. You should also place a cold pack on your face, from time to time, to prevent swelling. Besides all these measures, your cosmetic surgeon should also follow you up for some weeks and provide you with further instructions that would be valuable in speeding up the healing process. It is, therefore, expedient that you endeavour to abide by these instructions and reach out to the surgeon or clinic whenever you have any inquiry as per your recovery and noticeable changes.               

Cost of Doing Face Shortening Procedure in India

Well, the cost of face shortening surgery varies since there are different techniques applicable. Moreover, there are instances where an individual may need a combination of face shortening protocols performed on him/her before achieving a satisfactory facial length. Notwithstanding, on average, the cost of face shortening surgery should not exceed US$10,000.

Face Shortening Surgery at The Esthetic Clinics – Without Complications

The delicateness of cosmetic surgery has often driven people to look out for a top clinic that is well-equipped to handle their cases. At The Esthetic Clinics, we have attended to the need of numerous clients who have experienced the professionalism exhibited by our celebrity surgeon, Dr. Debraj Shome. We also have, on board, other plastic surgeons who have been in the field for over five years, with notable awards and recognitions to show for their services. in light of all these, your face shortening in India will come as easy and smooth as you can get from any world-class face reconstruction centre/medical facility

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About Doctor
Dr Debraj Shome- Best Plastic, Cosmetic & Oculoplastic Surgeon in Mumbai, India

Dr. Debraj Shome

Best Plastic, Cosmetic & Oculoplastic Surgery in Mumbai, India

Dr. Debraj Shome is Director and Co founder of The Esthetic Clinics. He has been rated amongst the top surgeons in India by multiple agencies. The Esthetic Clinics patients include many international and national celebrities who prefer to opt for facial cosmetic surgery and facial plastic surgery in Mumbai because The Esthetic Clinics has its headquarters there.


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Dr Debraj Shome- Best Plastic, Cosmetic & Oculoplastic Surgeon in Mumbai, India
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Dr Rinky Kapoor - Best Dermatologist, Skin Specialist Doctor in Mumbai, India

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