Mandible angle reduction 下颌角整形
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- Mandible angle reduction 下颌角整形
别名
下颌骨手术
项目介绍
下颌角整形,是经口腔内两侧的黏膜切口进入,将突出的下颌骨角切除,改善侧脸突兀及下脸颊过宽的问题,同时可以切除或磨削,下颌骨外板和下颌缘,切除部分咬肌,达到上宽下窄的V脸效果。
项目特色
使脸型看起来更瘦窄,能有效矫正方脸、男性化的脸型。
功效
脸型美化,混血,改脸型,网红脸,瘦脸,上镜脸/小V脸
适合人群特征
小颌畸形,下颌角肥大,下颌角突出,下颌角不对称
适合人群
下颌角明显肥大、外翻者; 明显的“方形脸”或“梯形脸”者; 单侧或双侧下颌角突出,两侧不对称者; 面部上下宽度比例不协调者
关注度
⭐⭐⭐⭐⭐
安全度
⭐⭐⭐✩✩
复杂度
⭐⭐⭐⭐⭐
项目优点
整个手术只有口内切口,面部表面基本无明显人工痕迹; 效果明显,一次手术能够全面改善大方脸
项目缺点
手术较复杂,对医生审美和技术要求相对较高; 创伤较大,术后反应较重,副作用多,恢复时间较长; 手术费用高
禁忌人群
心脏病、肝炎、肾炎、肺炎患者; 高血压急性期、血液性疾病、糖尿病、甲亢等疾病患者; 麻醉药有过敏史者; 手术区有感染灶,如龋齿、牙周炎、口腔溃疡等患者; 面部有神经性病变者; 瘢痕体质者; 精神病患者、心理障碍者; 妊娠期和月经期者。
留疤
无
治疗时长
1.5-2小时
麻醉方式
全麻/睡眠
治疗周期
单次
操作方式
手术
效果持续
持久
恢复时间
6个月
操作人员资质
医疗美容科或整形科执业医师
疼痛感
轻度疼痛
术前必读
- 确定身体健康,无传染性疾病或其他身体炎症;
- 患有高血压和糖尿病的人群,应该在面诊时,详实向医生告知病情,以便医生确认手术方案;
- 术前两周内,请勿服用含有阿司匹林的药物,因为阿司匹林会使血小板凝固的功能降低;
- 术前不要化妆;
- 女性要避开月经期、孕期以及妊娠期;
- 男性要提前戒烟一周。
0-第3天
恢复提示:
此期肿胀严重,皮肤淤青,有疼痛感;需要加压包扎,术后伤口有少量渗血。
护理方法:
- 术后6小时,开始用漱口液,漱口至拆线;
- 留院观察3-5天;
- 术后面罩加压,包扎5-7天,如口内伤口,放置引流条,可以在手术48小时后拨除;
- 吃流食至第五天;
- 期间不可洗头
4-第6天
肿胀逐渐吸收,皮肤淤青吸收消失,轻度疼痛,看不出效果,佩戴颈颌套。
护理方法:
- 忌辛辣刺激性食物,多吃水果,蔬菜,注意补充蛋白质;
- 减少活动,严禁用手碰触手术部位;
- 保证手术部位清洁,防止感染
7天~7天拆线日
恢复提示:
7天到院拆线(因为术式不同,需按医嘱到院拆线)。
护理方法:
- 保持伤口清洁,防止感染;
- 拆线后24小时内伤口不能沾水;
- 不可用力揉搓伤口,可涂抹祛疤软膏淡化疤痕;
- 注意饮食清淡,禁食辛辣刺激性食物。
8-第15天
恢复提示:
肿胀逐渐吸收,皮肤淤青吸收消失,轻度疼痛,看不出效果,佩戴颈颌套。
护理方法:
- 禁用任何可能影响伤口,愈合的补品、药品;
- 禁烟酒、辛辣、海鲜等刺激性食物,尽量半流食
16-第30天
恢复提示:
消肿比较迅速,皮肤淤青完全吸收,练习张口。
护理方法:
- 持续佩戴颈颌套一个月;
- 不要老是躺在床上或是坐着,可做一些简单的活动,保持良好的心情;
- 忌辛辣刺激性食物,多吃水果、蔬菜,注意补充蛋白质
31-第180天
恢复提示:
肿胀逐渐吸收,组织恢复,效果慢慢明显,较佳效果在6个月后。
护理方法:
- 手术3个月内,尽量避免用力咬,较硬的东西;
- 手术3个月内,不得做面部美容按摩,不得搓揉手术区域
温馨提醒
以上术后护理仅供参考。因个体差异、采用术式不同,恢复周期、拆线时间及护理方法均会有所不同。具体护理方案,建议遵医嘱执行。
Alias Name
Reduction Mandibuloplasty
Procedure Detail
Jaw reduction or Mandible angle reduction is a type of surgery to narrow the lower one-third of the face, the full thickness of the jaw angle bone should be removed—particularly the contribution from the mandible and its muscular attachments. To reduce the bony prominence of the angle of the mandibular bone in order to restore a softer, oval contour of the lower face.
Features
Transform a square shaped face to a more delicate and feminine facial appearance
Benefits
More sculpted, attractive appearance; instantly slim the face; face look more contoured; v line face.
Recommended
Enlargement of angle of the mandibular bone; prominent jaw angle.
Suitable Candidate
The desire to improve appearance; square face and wish to have an oval or “V” shaped face; those who have prominent jaw angle.
Popularity
⭐⭐⭐⭐⭐
Safety
⭐⭐⭐✩✩
Complexity
⭐⭐⭐⭐⭐
Pros
The entire operation only has an intraoral incision, and there are basically no obvious artificial marks on the facial surface; the effect is obvious, and one operation can comprehensively improve the whole face.
Cons
The operation is more complicated, and requires relatively high aesthetic and technical requirements for the doctor; the trauma is large, the postoperative reaction is heavier, the side effects are more, and the recovery time is longer; the operation cost is high.
Unsuitable Candidate
Patients with heart disease, hepatitis, nephritis, and pneumonia; patients with acute hypertension, blood diseases, diabetes, hyperthyroidism and other diseases; patients with a history of allergy to anesthetics; patients with infections in the operating area, such as dental caries, periodontitis, oral ulcers, etc. ; Those with facial neuropathy; those with scar hyperplasia; those with mental illness and mental disorders; those with pregnancy and menstruation.
Scar
No
Treatment Time
1.5-2 hr
Anesthesia Method
General anesthesia
Treatment Course
Single time
Procedures Technique
Surgery
Sustainability
Permanent
Recovery Period
6 months
Qualification
Practitioner in medical aesthetics or plastic surgeon
Pain Scale
Mild
Before the Procedure
- Two weeks before surgery, do not take drugs containing aspirin, which may reduce platelet coagulation function.
- Patients with hypertension and diabetes should inform the doctor of the condition during the consultation.
- A comprehensive physical examination should be performed before the operation to confirm that the body is healthy and free from infectious diseases or other body inflammations.
- Make sure the face is clean before surgery, and makeup is strictly prohibited.
- Women should avoid menstruation, pregnancy, and lactation.
- Quit smoking and drinking one week before surgery.
0-3rd days
Severe swelling period from 0 days to 3 days Recovery Tips:
In this period, the swelling is severe, the skin is bruised, and there is pain; pressure dressing is required, and there is a small bleeding on the wound after surgery.
Aftercare methods:
- 6 hours after the operation, start using mouthwash, gargle until the stitches are removed.
- Stay in the hospital for observation for 3-5 days.
- After the operation, the strap is pressurized and bandaged for 5-7 days, such as intraoral wounds. Place the drainage strip, which can be removed 48 hours after the operation.
- Eat liquid food until the fifth day.
- Do not wash your hair during this period.
4-6th days
Severe swelling period from 4 days to 6 days Recovery Tips: Swelling gradually absorbed, skin bruise absorption disappeared, mild pain, wear a chin stap.
Aftercare methods:
- Avoid spicy and irritating food, eat more fruits and vegetables, and supplement protein.
- Reduce activities and strictly prohibit touching the surgical site with your hands.
- Keep the surgical site clean to prevent infection.
7th days
7 days recovery period. Recovery Tips:
7 days later remove stitches at the hospital (because of different surgical methods, you need to remove the stitches according to the doctor’s advice).
Aftercare methods:
- Keep the wound clean to prevent infection.
- The wound should not be wet within 24 hours after the thread is removed.
- The wound should not be rubbed.
- Light diet and no spicy and irritating food.
8-15th days
Recovery tips:
Swelling gradually absorbed, skin bruise absorption disappeared, mild pain, no effect, wear a chin strap.
Aftercare methods:
- Stop taking any supplements and medicines that may affect wounds and healing.
- Avoid smoking, alcohol, spicy, seafood and other irritating foods, try to eat semi-liquid.
16-30th days
16 to 30 days tissue recovery period. Recovery tips:
Swelling is reduced quickly, skin bruises are completely absorbed, mouth opening exercise.
Aftercare methods:
- Wear the chin strap for one month.
- Do some simple activities and keep a good mood.
- Avoid spicy food, eat more fruits, Vegetables, to supplement protein.
31-180th days
Stable period from 31 days to 180 days Recovery tips:
The swelling is gradually absorbed, the tissue is restored, and the effect is gradually obvious. The best effect is after 6 months.
Aftercare methods:
- Within 3 months of the operation, try to avoid biting hard things.
- Within 3 months of the operation, no facial massage or rubbing the operation area is allowed.
Reminder
The above postoperative care is for reference only. Due to individual differences and different surgical procedures, the recovery cycle, suture removal time and aftercare methods will be different. The specific plan is to follow the doctor’s advice.
FAQ 常见问答题
Infection is the primary risk with any intraoral procedure; and the surgeon will be aware of the position of the nerve supplying feeling to the lower lip/chin area such that any long term issue should be easily avoided. Asymmetric results; undesirable (from your view) endpoint is another concern for you
任何手术都有危险,经验丰富的医生在手术中,会避开血管和神经,避免手术风险的发生。
You are under general anaesthetic during the procedure, so no pain is felt. After the surgery, you will be given painkillers to help make the recovery stage as easy as possible. If you follow the correct recovery steps, you will recover in as little discomfort as possible
不会因为手术的原因,导致皮肤松弛;如果本身皮肤就比较松弛的,可以在手术的同时进行面部提升,在手术缝合切口的时候,将皮肤重新固定在骨膜上面,相当于做了一个局部的骨膜提升。
Initial jaw healing typically takes about six weeks after surgery, but complete healing can take up to 12 weeks. After initial jaw healing — at about six weeks
恢复正常生活,参加正常的社交活动,属于基本消肿,主要是指术后局部淤血和炎症性水肿的消退,一般1-2周左右即可;要完全消肿、完全恢复,术区深层和浅表疤痕软化成熟,切口颜色由淡红色,转为接近正常皮肤颜色的肉色或者浅肉色,形态恢复自然,达到手术预期效果,一般需要3-6个月左右的时间。
It is not uncommon to experience some pain or pressure in or around your jaw joint areas after jaw surgery. This may feel somewhat like an earache. It is due to pressure in the jaw joint area due to the new position of your jaw. This will usually disappear within 2 to 3 weeks.
磨骨,是小范围的改变骨组织形态;截骨,适合去除较大的骨组织(比如下颌角、下颏);截骨则对医生的手术操作要求比较高,需要医生有相当丰富的手术经验。
Again, cut these items into small pieces until you’re comfortable taking larger bites. Hard or crunchy foods or extremely chewy foods, such as pizza, apples, popcorn, peanuts and nuts, and tough meats, should still be avoided for the first three months after surgery
下颌角整形,若操作不当,可能出现:1.张口困难:这是发生在进行下颌角缩小的同时,切除了部分咬肌的最严重并发症,多在术后一周左右消失;2.血肿;3.感染;4.导致下颚不对称;5.粗暴操作或是手术解剖不当,引起的神经损伤。
Sleep with your head elevated.
Ask your surgeon before you return to sleeping on your side, or normally with one pillow. Sleeping with your head elevated helps to reduce swelling.
切口为口内切口,在下颌磨牙5-7颊侧;如果是超长曲线,则采用口内环形切口。
Use warm water and a small amount of toothpaste. Put the bristle tips against the gum line and brush in a gentle circular motion over all of the teeth. Be careful not to brush on top of stitches. After you brush, use the mouth rinse in the way the surgeon tells you to.
医生会尽量避开血管,手术的出血量在50毫升左右;负压引流管,一般1-2天拔除。