Table of contents

• An Expert's Guide to "Square Jaw Surgery"
• Best Clinics in Korea for Broad Lower Third
• The Medical Tourist's Journey to South Korea
• Financial & Economic Analysis of Medical Tourism
• Patient Experiences: Outcomes, Expectations, and Realities
• Conclusions
• References

The lower third of the face—from the base of the nose to the bottom of the chin—is not only the most expressive area but also plays a key role in talking, eating, and showing emotion. Its shape often defines facial attractiveness, with a sharp jawline and well-contoured chin being highly sought after by both men and women. Interestingly, while men tend to desire a strong, angular jaw and defined chin to enhance masculinity, women generally prefer a softer, V-shaped jaw for a more delicate look. This growing demand has led to increased medical and surgical solutions for what patients often describe as a "broad lower third" or "square jaw," especially among those pursuing the "V-line" appearance favored in Asian aesthetics. Clinically, professionals might refer to this as "square facies" or "square facial shape," which describes a facial structure with both the upper and lower face appearing wide.

Sometimes, underlying conditions like prognathism (where the lower jaw bulges out, resulting in a misaligned bite or malocclusion) can intensify the breadth of the lower third. These cases usually require orthodontic and surgical intervention. Importantly, not all broad lower faces share the same cause; this feature may stem from the bone structure, muscular hypertrophy (often the masseter muscles), or excess soft tissue.

A proper diagnosis is essential. When bone structure is the issue—such as a thick jawbone or protruding angle—surgery is typically necessary. If muscular enlargement (from habits like jaw clenching or gum chewing) is to blame, non-surgical treatments such as botulinum toxin (Botox) injections or radiofrequency can often help. For those where soft tissue is responsible, procedures targeting the buccal fat or correcting skin laxity may produce the best results.

Many patients consider their broad jaw a minor cosmetic problem. However, studies show that treatments like "jaw surgery" can address not only appearance but also symptoms such as TMJ pain and popping, headaches, and breathing issues that stem from jaw misalignment. Physical changes such as reduction in a "gummy smile" or difficulty closing the lips can also be resolved. As a result, patients benefit not just aesthetically but functionally as well, reporting better sleep, fewer sinus infections, increased energy, and higher quality of life.

An Expert's Guide to "Square Jaw Surgery"

The main purpose of "Square Jaw Surgery"—technically referred to as mandibular angle reduction or V-line surgery—is to slim the lower face, giving it a more delicate contour. By reshaping the jawbone and sometimes reducing the bulge of the masseter muscles, surgeons craft a more refined jawline. When the facial structure is particularly short or squared from birth, orthognathic surgery can adjust proportions, achieving an attractive and balanced look.

Surgical Techniques

Modern jaw contouring usually combines several techniques to create a harmonious effect:

• Mandible angle reduction: Removes the prominent angle of the jawbone, softening the square look.
• Cortical bone resection: Thins the outer layer of the jawbone to further enhance the slimming effect.
• T-osteotomy (genioplasty): Involves a T-shaped cut in the chin bone, which is reshaped and repositioned for a pointed, V-shaped effect.
• Masseter muscle reduction: Reduces the width from enlarged chewing muscles, either surgically or with less invasive botulinum toxin injections or radiofrequency.
• Buccal fat removal: Excises deep cheek fat to further contour and slim the lower face.

The Procedure and Recovery Process

Preparation begins with a thorough evaluation and facial analysis via 3D CT scans, ensuring precise planning and minimized risk. The actual surgery uses only internal incisions—inside the mouth between gum and cheek—leaving no visible scars. The typical procedure takes one to three hours and is performed under general anesthesia.

Post-surgery, patients stay in the hospital for one to four days. Swelling peaks several days after surgery and may persist for weeks or months, with final results revealing themselves as late as six months later. A liquid or soft diet is necessary at first, and meticulous oral hygiene is vital. Temporary numbness of the chin and lower lip can occur but usually fades over time.

Modern techniques aim at a holistic approach, balancing bone reduction with muscle and soft tissue adjustments and, where possible, utilizing a "Soft Tissue Preservation Protocol." This reduces tissue damage, aids healing, and helps prevent complications like sagging or a hollowed facial appearance—a risk if bone is overly reduced without considering the tissues above it.

Risks and Potential Complications

Jaw reduction surgery is transformative but does carry risks. The inferior alveolar nerve, responsible for sensation in the lower lip and chin, is especially susceptible during surgery; damage can cause permanent numbness. Complications may also include infection, bleeding (hematoma), asymmetry, insufficient or excessive bone reduction, and temporary difficulties in chewing or mouth opening due to swelling and soreness.

Best Clinics in Korea for Broad Lower Third

Listed below are the best clinics in Korea for broad lower third:

Clinic Name	Key Features	Special Techniques
THEPLUS Plastic Surgery	Located in Gangnam’s Garosu-gil district; team of board-certified surgeons led by Dr. Kim (rhinoplasty and facial contouring), Dr. Jeong (President, Korean Society of Plastic Surgeons), and Dr. Lee (breast surgery specialist); commitment to natural results, patient satisfaction, ongoing research, and continuous education; modern facility and patient-focused care	Cutting-edge surgical techniques in facial contouring, rhinoplasty, breast augmentation; custom-tailored treatments for broad lower third of face; emphasis on natural, harmonious outcomes
Made Young Plastic Surgery	Leading clinic in facial contouring and anti-aging; led by Dr. Suh Bum-sin; doctors averaging 15+ years experience; individual consultations, robust safety protocols with board-certified anesthesiologists, procedure transparency; awarded 2022 Korea No.1 Award; accredited by top medical societies; excellent aftercare	Pioneering periosteum repositioning technique for jaw reduction (prevents tissue sagging); specialized method for smooth, natural transition from ear to chin tip and slimmer jawline
DM Plastic Surgery	Board-certified surgeons with 10–20 years specialty experience; alumni of Yonsei University Hospital and former Gangnam Severance Hospital department heads; 1:1 personalized consultations; focus on patient safety, tailored results, and aesthetic harmony; active members of the Association of Plastic Surgery Medical Doctors	Advanced techniques in broad lower third/facial contouring: jaw reduction, chin reshaping, facial balance restoration; all procedures by experienced specialists; academically rigorous, patient-specific approach

THEPLUS Plastic Surgery

Located in the stylish Garosu-gil district of Gangnam, Seoul, THE PLUS Plastic Surgery clinic is renowned for its world-class expertise and comprehensive approach to cosmetic enhancement. The clinic is helmed by a distinguished team of board-certified surgeons, including Dr. Kim, Dr. Jeong, and Dr. Lee, who are all leading figures in their respective fields. Dr. Kim, an authority in rhinoplasty and facial contouring, and Dr. Jeong, President of the Korean Society of Plastic Surgeons, are recognized internationally for their clinical skill, research contributions, and commitment to medical education. Dr. Lee adds depth to the team with her specialization in breast surgery and an extensive background at top national hospitals. Their philosophy centers on striking a harmonious balance among facial features, with an emphasis on natural results and patient satisfaction.

THE PLUS Plastic Surgery offers a full spectrum of cosmetic procedures, from facial contouring and rhinoplasty to breast augmentation and advanced skin care. The clinic stands out not only for its cutting-edge surgical techniques and custom-tailored treatments but also for its dedication to continuous education and industry leadership. With a patient-focused approach, ongoing research, and active participation in global medical societies, THE PLUS provides a safe, modern environment for those seeking transformative yet natural enhancements. For patients interested in addressing concerns such as a broad lower third of the face, the clinic’s surgical expertise and individualized care make it a premier destination in Korea’s competitive plastic surgery landscape.

You can check out their website here: THEPLUS Plastic Surgery Website

Made Young Plastic Surgery

Made Young Plastic Surgery stands at the forefront of facial contouring and anti-aging procedures in Korea, most notably for its expertise in treating the broad lower third of the face. Under the meticulous guidance of Dr. Suh Bum-sin, the clinic utilizes a specialized surgical technique crafted to achieve a smooth, natural transition from the ear to the chin tip, effectively refining both the jaw angle and overall width. A pioneering aspect of their approach is periosteum repositioning, which involves lifting and securing the bone membrane after bone reduction. This step is critical in preventing the common issue of post-surgical tissue sagging, ultimately delivering a sharper, slimmer jawline that looks natural and remains firm over time.

At the heart of Made Young is a distinguished team of highly experienced doctors, each averaging over 15 years in the field, with a dedication to patient safety and true excellence. The clinic provides one-on-one consultations, comprehensive safety protocols led by board-certified anesthesiologists, and full transparency through procedure monitoring. Recognized with notable awards such as the 2022 Korea No.1 Award and accredited by leading medical societies, Made Young pairs uncompromising safety with exceptional aftercare, making it a trusted destination for those seeking long-lasting transformation of the lower facial contour.

You can check out their website here: Made Young Plastic Surgery Website

DM Plastic Surgery

DM Plastic Surgery Clinic stands out as one of Korea’s premier destinations for Broad Lower Third correction, thanks to its team of board-certified plastic surgeons who are leaders in their fields. With a medical staff boasting over 10 to 20 years of specialized experience, the clinic is renowned for combining deep clinical expertise with a refined aesthetic sense and the use of cutting-edge scientific analysis. The surgeons at DM Plastic Surgery, all alumni of the prestigious Yonsei University Hospital and former heads of the Department of Plastic Surgery at Gangnam Severance Hospital, provide truly personalized 1:1 consultations and deliver highly customized treatment plans unique to each patient’s facial anatomy and goals. As active members of the Association of Plastic Surgery Medical Doctors, the team consistently upholds the highest medical standards and is committed to achieving safe, natural, and balanced results for every patient.

Why DM Plastic Surgery is the top choice for Broad Lower Third correction:

• Highly experienced, board-certified plastic surgeons specializing in facial contouring and jawline refinement
• Personalized 1:1 consultations and treatment planning to ensure optimal, patient-specific results
• Proven expertise in advanced techniques including jaw reduction, chin reshaping, and facial balance restoration
• All procedures performed exclusively by veteran specialists with over a decade of focused practice
• Direct heritage from Yonsei University Hospital and leadership roles at Gangnam Severance Hospital, ensuring academically rigorous and clinically advanced medical care
• Unwavering commitment to patient safety, natural outcomes, and aesthetic harmony
• Continuous pursuit of innovation and excellence as members of leading medical associations in plastic surgery

With these credentials and a comprehensive range of facial contouring, breast, body, and reconstructive procedures, DM Plastic Surgery is uniquely equipped to deliver the best results in Broad Lower Third reshaping, tailored to each patient’s needs and appearance goals.

Find more about this clinic here: DM Plastic Surgery Website

The Medical Tourist's Journey to South Korea

South Korea is recognized globally for excellence in cosmetic surgery, attracting patients interested in jaw reduction procedures. Surgeons utilize cutting-edge technology such as 3D modeling and virtual planning, and the country’s holistic approach is much influenced by popular culture.

Navigating the Process

The process for overseas patients typically starts with online consultations—via photos or video—to discuss needs and goals. Patients who also have functional concerns like a misaligned bite may need orthodontic work before surgery, sometimes for over a year.

For simpler jaw reductions, a C3 (M) medical visa is required, demanding a treatment confirmation, financial proof, and a medical certificate. Upon arrival, patients undergo more tests. Most will stay in Korea for at least 14 days after surgery to ensure proper healing and have sutures removed.

Many clinics provide "medical tourism" packages, bundling services like airport transfers, hotel stays, and interpreters into the total cost. While these can ease logistical burdens, they increase the price, and it's important for patients to weigh the value of such packages. Critically, no package can guarantee that complications won't require further care at home.

Financial & Economic Analysis of Medical Tourism

Medical tourism offers both opportunities and complexities. The perceived cost savings can be significant, but the true financial landscape is often more nuanced.

Surgical Costs and Global Comparison

In South Korea, jaw reduction or V-line surgery can vary from $3,784 to $15,000 USD depending on complexity and surgeon reputation, with jaw shaving and V-line surgery averaging $5,000 and $7,500 respectively. Thanks to over 500 clinics in Seoul alone, intense competition keeps prices variable, and international patients may get VAT refunds.

By contrast, the same procedure in the U.S. might cost $20,000 to $40,000. Yet, some analyses caution that Korean clinics may sometimes charge foreign patients more, and countries like Turkey and Thailand are even more affordable, offering jaw contouring starting around $3,000–$4,000 USD.

The Unwritten Price of Cosmetic Tourism

While upfront savings can be enticing, many patients overlook the unwritten costs. Managing complications at home can be particularly expensive. In the UK, for example, treating such complications may cost the NHS thousands per patient—and nearly 40% of medical tourists face some form of infective complication, with over half needing a second surgery.

Here's a summary of direct and hidden costs:

Cost Type	Financial Impact/Risk
Surgical Fee	Widely variable; "bargain" prices can be higher for foreign patients.
Travel & Accommodation	Additional, often substantial, costs during required stay.
Missed Work/Income Loss	Recovery can mean months away from work and related income loss.
Treatment of Complications at Home	Post-op issues often become the financial responsibility of the home country’s healthcare system.
Revision Surgery	Poor cosmetic or functional outcomes may require expensive, sometimes multiple, corrections.

Patient Experiences: Outcomes, Expectations, and Realities

Understanding real patient experiences and setting honest expectations is essential for anyone considering jaw surgery.

The Spectrum of Patient Outcomes

Research shows that roughly 89% of orthognathic surgery patients are satisfied, and most experience a boost in self-confidence. Many appreciate their new look—even subtle changes can have a profound effect. Importantly, unexpected benefits often include easier breathing and relief from pain or alignment issues like malocclusion and TMJ pain and popping.

However, satisfaction is not guaranteed. Surgeons may view a technically perfect result as a success, while some patients remain dissatisfied with lingering pain or subtle appearance concerns. Nearly half of those surveyed reported unresolved joint pain, and some experience "buyer’s remorse" due to persistent asymmetry, sensation of hardware, or a face that seems too narrow or hollow.

The Lived Reality of Recovery

Recovery is both physically and emotionally intense. Patients face weeks or months of swelling and dietary restrictions, with temporary numbness in the lower face. Emotionally, the period can be isolating, with some obsessing over their healing process. A realistic understanding of the recovery and the possibility of negative outcomes is crucial for appropriate psychological preparation.

Conclusions

Addressing a "broad lower third" is a complex pursuit that often intertwines cosmetic and health concerns. Patients benefit from recognizing when an aesthetic issue is rooted in structural or functional problems. Optimal results require a comprehensive approach and high surgical expertise, not just low costs. Honest expectations and a clear understanding of risks, especially for medical tourists, are key for satisfying, long-term outcomes.

References

1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43