Typically when someone assigned male at birth experiences dysphoria related to the shape of their jaw, it is because their jaw bone (mandible) is wide and square-shaped. This is typical of lower jaws that develop during a testosterone-influenced puberty. Mandible contouring, along with hairline reshaping, helps create more of a rounded shape to the face, which can help reduce feelings of dysphoria or discomfort.
To accomplish this, Dr. Facque will make incisions in the mouth, which are used to access the jaw bone, shave down some of the mandible, and reshape the chin to create a softer and narrower look to the bottom third of the face.
Following surgery, Dr. Facque asks patients to eat a soft diet for 2 weeks to allow the incisions in the mouth to heal. Introducing hard to scratchy foods before this time can lead to incisions opening, which can expose patients to infections. The incisions inside the mouth will heal over the course of those first 2 weeks.
The swelling on the outside of the mouth and jaw sticks around for significantly longer. Patients can expect to be very swollen the first months following surgery, and for some swelling to remain for up to 6-9 months after surgery. At 3-6 months post-op, the patient’s face returns to baseline (what it may have looked like before surgery) and finally, following this period, around 6-9 months, the effects of surgery start to be visible.