Jawline Contouring Through an Intraoral Approach in the Context of Bilateral Sagittal Split Osteotomy: A Proof-of-Concept Report.

Purpose: This report describes a technique to suspend the submandibular space (SS) through an intraoral approach in the context of a bilateral sagittal split osteotomy (BSSO), thus improving the jawline contour and achieving a neck-rejuvenating effect.

Patients And Methods: A sample of 6 consecutive patients referred for orthognathic surgery who also sought neck rejuvenation and contouring surgery was selected to implement the technique. The following measurements were used to evaluate the procedure: patient satisfaction with a visual analog scale, photographic assessment, additional operative time, and complications related to the procedure.

Results: The average patient age was 47 years (range, 38 to 57 yr). Three patients were women and 3 were men. All patients were highly satisfied with the results achieved at the jawline. No surgical complications occurred in any case. There was an average increase of only 5 minutes in total operative time for each side.

Conclusion: Suspension of the SS through an intraoral approach is an effective, well-tolerated, and technically straightforward method for neck contouring in patients in whom a BSSO procedure is foreseen.