Facial contouring

V-line surgery with a T-osteotomy and long-curved ostectomy

GLAM builds a V-line with a T-shaped chin osteotomy: the central bone segment is removed, the two side segments are drawn together and pinned, and the jaw is trimmed with a long-curved ostectomy — the goal being to reduce the space between the mouth corner and the jawline.

Who it suits

A wide chin with a squared-off tip
Patients who want a smaller face without a pointed chin

Technique highlights

Reduces lower-face space from the mouth corner to the jawline
Keeps a planned clearance from the nerve line on CT
Backed by Contouring of the Lower Face by a Novel Method of Narrowing and Lengthening Genioplasty
Cortical shaving, masseter reduction or deep-cheek fat removal are added as needed

Surgical steps

Plan the T-shaped cut avoiding the nerve line
Cut along the T and remove the central bone segment
Bring the two chin segments together and fix them with pins
Trim the lateral jaw with a long curve so no secondary angle forms

Recovery & aftercare

Sagging is managed with muscle plication, deep-cheek fat removal and fascial suspension

Risks & things to consider

A pointed tip and a fully removed jaw angle are not required for a smaller face
Whether fixation pins are removed is decided case by case

Frequently asked questions

How does a T-osteotomy differ from conventional jaw shaving?

Shaving only thins the bone surface; a T-osteotomy actually narrows the chin by removing a central segment and pinning the sides together, changing chin width far more.