I have seen quite a few messages about the "Korean" or "Asian" techniques of jaw surgery, like:
https://www.susans.org/forums/index.php/topic,195947.0.htmlI did not like the conclusion that suggested Asian surgeons were lying. It seemed a bit racist to me, so I researched the issue.
Basically, there are 2 different things:
- improving the lateral profile, by mandibular angle reduction : cutting a chuck to turn the sharp angle into a soft round angle
- improving the frontal view (when you see both you eyes in the mirror), by outer cortex grinning : cutting slices of the mandible to reduce its width
This is discussed at length on:
http://e-aaps.org/search.php?where=aview&id=10.14730/aaps.2014.20.2.80&code=2014AAPS&vmode=PUBREADER#!po=58.3333Extracts: "The conventional mandibular angle curved ostectomy often leads to a comparatively short ostectomy line and rough contour. Moreover, this procedure cannot resolve a broad chin
(...)
In 2011, Shao et al. [11] used full-thickness, long, curved ostectomy from the mandibular border of the mandible below the mental foramen to correct the lateral profile, and mandible corticectomy to improve the frontal appearance. This surgical technique is not limited to the angle but extends to the mandible body and ramus. Moreover, the lower face width (including the chin width) is reduced maximally with splitting corticectomy. However, this technique is more difficult than our technique and takes a longer time (average, 130 min compared with 60 min).
(...)
In 2014, Zhang et al. [13] reported that a single stage, en-bloc mandibular angle-body-chin curved ostectomy (MABCCO) technique via an intraoral approach coupled with outer cortex grinding (OCG) is the surgical treatment of choice for a prominent mandibular angle with a broad chin. This technique is similar to our technique, but there are several differences (...) We can thus protect the mental nerve from transection and stretching.
Look at the dates: 2011, 2014, that's very recent!! New surgical techniques are not adopted immediately!! So the Asian surgeons are not lying - they are just using new techniques, a bit like Thai surgeons use non-penile-inversion which is not done everywhere else.
Why did they find new techniques? Because the Asian faces are a bit different: "In 1949, Adams [2] introduced ostectomy for a prominent mandibular angle and simultaneous resection of the masseter muscle using an external approach. Converse [3] used the same surgical technique as Adams but used an intraoral approach. McCarthy et al. [4] also used an intraoral approach to resect both the mandibular angle and masseter muscle. However, these surgical techniques have limited applications for Asian patients, because these techniques usually bring the angular process toward the middle of the mandibular body, termed the second mandibular angle".
However, not everything is perfect in Korea. One big thing is forgotten: sometimes, it is also necessary to associate a facelift and/or a fat reduction to reduce jowl. This is seen in figure 3 of the article, as the jaw line is no longer marked. Jaw line issues are discussed on
http://www.plasticsurgerypractice.com/2012/01/jawline-aesthetics/ Assuming away these jaw line issues, good pictures can be found on
http://www.tlplasticsurgery.com/?p=3905 and more on
http://www.tlplasticsurgery.com/?cat=17Different techniques yield different results, and each girl has to select the best technique for her specific case. But yes, like for SRS, there are techniques done in Asia that seem to me to just be better.
I hope this message can be useful to those who are looking for aggressive jaw surgery options, as I am myself investigating.
