Small face syndrome
My question: "Small face syndrome" refers to the mandible area, and the anterior fontanelle of the brain does not close prematurely.
Will the growth of the face significantly change or change less noticeably by the age of 16-18? For this type of cosmetic surgery, will the scars be very noticeable, and what is the approximate cost of the surgery? Thank you!
mei, 40~49 year old female. Ask Date: 2004/03/02
Dr. Jiang Baicong reply Plastic Surgery
"Small face syndrome" refers to issues related to the mandible.
The optimal time for surgical correction is after the age of 16-18, as the growth of the mandible becomes less pronounced at this stage.
If there are no issues with dental occlusion, it is essential to identify the specific area of the mandible that is problematic.
If the issue is with the chin, a chin augmentation procedure may be appropriate.
If one side of the mandible is too short or small, it often coincides with dental occlusion problems, requiring both orthodontic treatment and surgery to lengthen the alveolar bone.
To minimize visible scarring, surgeries are often performed intraorally; however, due to the presence of bacteria in the oral cavity, maintaining good oral hygiene before the procedure is crucial.
Since each case varies, the complexity of the surgery can differ.
It is advisable to consult with a plastic surgeon in an outpatient clinic to discuss the specifics of your condition and the associated costs.
Reply Date: 2004/03/02
More Info
Small Face Syndrome, often characterized by a prominent jawline and a relatively smaller facial appearance, primarily involves the mandible (jawbone). Understanding the growth changes associated with this condition, particularly during the ages of 16 to 18, is crucial for determining the appropriate timing for surgical intervention.
During the ages of 16 to 18, significant changes in facial structure can occur, but the extent of these changes largely depends on individual growth patterns. By this age, most individuals have reached near-complete skeletal maturity, meaning that the growth plates in the jaw and other facial bones have largely closed. This results in minimal changes in the size and shape of the jaw after this period. Therefore, if the jaw structure is a concern, it is generally advisable to consider surgical options around this age, as the jaw will not undergo significant changes thereafter.
When it comes to surgical options for addressing Small Face Syndrome, various procedures can be considered. These may include chin augmentation, jaw reduction, or orthognathic surgery, depending on the specific anatomical issues present. For instance, if the chin is underdeveloped, a chin implant may be used to enhance its prominence. Conversely, if the jaw is overly prominent, surgical reduction may be necessary.
One of the primary concerns regarding any surgical procedure is the visibility of scars. In the case of jaw surgery, surgeons often prefer to make incisions inside the mouth to minimize visible scarring on the face. However, this approach does come with its own set of challenges, such as the risk of infection due to the oral environment. Proper oral hygiene and pre-operative care are essential to mitigate these risks.
As for the cost of such surgeries, it can vary widely based on several factors, including the complexity of the procedure, the surgeon's experience, and the geographical location of the practice. In the United States, the cost of jaw surgery can range from $5,000 to $20,000 or more, depending on the specifics of the case. It is crucial to have a detailed consultation with a board-certified plastic surgeon or oral and maxillofacial surgeon to discuss the potential costs and to develop a tailored treatment plan.
In summary, while the growth of the jaw and facial structure tends to stabilize by the late teenage years, surgical options are available for those seeking to address concerns related to Small Face Syndrome. The timing of surgery, the approach to minimize scarring, and the associated costs are all important considerations that should be discussed with a qualified medical professional. It is advisable to seek a consultation with a specialist who can provide personalized recommendations based on individual anatomy and desired outcomes.
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