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What is V-line jaw surgery?

V-line jaw surgery, also known as mandibuloplasty, is used to make the jaw line look narrower. The surgery removes parts of your jaw and chin, reshaping them so that your jaw will heal in a more pointed shape like the letter “V”.”

Some cultures associate a V-shaped jaw and chin shape with femininity and female beauty. More often than not, people interested in this procedure are usually those who identify as a woman or as nonbinary and wish to have a more “feminine” jaw and chin shape.

The ideal candidate for V-line jaw surgery is a nonsmoker with an active lifestyle without any health history of bleeding or autoimmune conditions.
As with any type of surgery, V-line jaw surgery has risks.

Procedure for V-line jaw surgery

Before surgery, you will have an extensive consultation with your surgeon about your results and expectations. Your face may be marked with a marker just before surgery in order to confirm the surgery sites.

During surgery, you will feel no pain because you will be under general anesthesia. The surgeon will make incisions along your jawline and on your chin to begin the procedure. During this procedure, they will place your jaw at a sharper angle and shave down your mandible (jaw bone) and may also shave and sharpen your chin.

Some people choose to include a chin implant (genioplasty) as part of this procedure, although it’s not always necessary. Your surgeon will stitch the incisions together and dress your wounds. They may insert temporary drains to assist in your healing.

One to two hours should be required to complete this surgery. After the procedure, you will be taken to a recovery room while you wake up from anesthesia.

Targeted areas

V-line surgery targets a very specific area. The surgery affects both your chin and jawbone. It may also target the upper part of your neck, as incisions may occur in that area to help shape your jawbone.

Risks and side effects

There are risks and side effects to V-line jaw surgery, just like any other surgery. Common side effects involve:

  • headache following general anesthesia
  • pain and bruising
  • bleeding and drainage
  • swelling and inflammation
  • nerve damage causing numbness of the lip or asymmetric smiling
  • uneven healing or asymmetry of the jaw

In rare cases, V-line surgery can result in an infection. If you have any of the following symptoms of infection, contact your healthcare provider and seek emergency medical care:

  • fever
  • green, yellow, or black drainage from your wound
  • dizziness
  • nausea

What to expect after V-line surgery

Recovery after V-line surgery often takes several weeks. Your face will feel swollen at first. Feeling some pain and discomfort is common. To manage your recovery, your provider may prescribe anti-inflammatory pain relievers.

You will need a compression garment to wear around your chin, jaw, and neck to ensure your incisions heal correctly.

After about 1 week, the swelling will begin to go down, and you may be able to catch a peek of the surgery results. You won’t be able to see fully how your new jawline and chin look until your recovery is completed. This can take as long as 3 weeks.

The results of this procedure are permanent. At a follow-up appointment, your provider will discuss your results and clear you to return to regular activities.

Before and after pictures

Here’s an example of someone before and after getting V-line surgery at Radiance Surgery & Aesthetic Medicine

v-line jaw surgery - before and after pictures

This surgery is done by cutting and shaving parts of the jaw and chinbone to give them a narrower shape. 

Preparing for V-line surgery

Before V-line surgery, you may need to avoid taking blood-thinning medication for 2 weeks prior to your appointment. You will be advised to stop smoking if you smoke.

since it can slow healing and increase the risk of complications.

You will be instructed to abstain from alcohol 48 hours before surgery. Before your appointment, your provider may give you additional instructions. Be sure to follow them carefully.

How much does V-line surgery cost?

V-line jaw surgery is considered to be an elective surgery. That means health insurance doesn’t cover any of the associated costs.

Even if you have a V-line jaw surgery as part of your healthcare for a gender transition, insurance will generally consider it an optional procedure. It seems that some insurers are working to change that regulation, as more and more facial confirmation surgical procedures are being covered.

In the United States, the average cost of V-line surgery is around $10,000. Your actual out-of-pocket expenses may vary based on factors such as:

  • your provider’s level of experience
  • prescription drugs to help recovery
  • anesthesia
  • the cost of living in your area

The costs associated with this surgery can also be increased by recovery time. The initial recovery period lasts 7 to 10 days, after which you can return to work and resume most of your normal activities You will need to wear a compression garment over your face and cover your incisions from your surgery for up to a month after surgery.

At Radiance Surgery & Aesthetic Medicine, we believe that V-line facial contouring should be an affordable option for residents in and around Atlanta. Our excellent services have enhanced the lives of individuals throughout the area, including V-line facial contouring patients in Sandy Springs, Buckhead, Dunwoody, Alpharetta, Roswell, Johns Creek, Marietta, and Brookhaven, GA.

v-line jaw surgery - before and after pictures

V-line surgery vs. contouring or other noninvasive procedures

Noninvasive contouring options are available if you’re not comfortable with surgery but are interested in giving your chin, jaw, and neck a narrower look.

Nonsurgical Facial Contouring options include:

  • Dermal fillers to temporarily soften a broad jawline
  • Botox injections to make the jaw and chin look more pronounced
  • Botox injections at the corners of the jaw to weaken the masseter muscle and slim the face
  • a nonsurgical thread lift to pull back the skin in the jaw and chin area
  • CoolSculpting to fade fat from the chin and jaw area and create a more narrow look

These procedures are less invasive than V-line surgery, but they are not covered by insurance and may be expensive.

Noninvasive contouring is not as noticeable as V-line surgery, and the results are temporary.