Table of contents

• V Line Surgery: A Detailed Medical Overview
• Best Clinics in Korea for Square Lower Face
• The V Line Surgery Journey in South Korea
• Costs and Medical Tourism Considerations
• Patient Experiences and Outcomes
• Conclusion
• References

A "square lower face" is marked by strong, angular features, with straight lines running from the ear to the chin. People with this facial shape often have a high forehead, prominent cheekbones, and a sharply defined jawline. The face’s length and width are usually similar, and the hairline tends to be straight. This look is especially common among individuals of Asian descent and is more frequently seen in men. The phrase "straight edges from ear to chin" highlights a sharp jawline, often described as a "Grade A" or "Grade B" gonial angle, where the jaw forms a near-perfect square, giving the lower face a bold, prominent appearance. A wide jawline can also make the chin look shorter, which can throw off facial balance and prompt people to seek cosmetic changes.

While "square lower face" is a descriptive term, in medical and cosmetic circles, you’ll often hear more technical names like "square jaw reduction," "mandibuloplasty," or "jaw reduction surgery." These refer to specific surgical procedures aimed at reshaping this area.

Cultural ideals play a big role in how we view facial shapes. In many East Asian cultures, a V-shaped face is considered the gold standard for beauty, elegance, and femininity. This drives many people to seek a softer jawline and a more delicate look. Interestingly, traditional beliefs sometimes see a square face as a sign of wealth, intelligence, and decisiveness, especially in men. But today’s beauty trends, especially those influencing V Line Surgery, often focus on reducing masculine features for a softer, more feminine appearance. This shift shows that concerns about a "square lower face" are shaped by modern beauty standards, not just anatomy. The popularity of the V-line look, especially in East Asia, has made South Korea a global hub for V Line Surgery. For many, the motivation for surgery is about fitting into a specific cultural ideal rather than correcting a physical issue.

V Line Surgery: A Detailed Medical Overview

V Line Surgery—also known as V Line Jaw Surgery, V Line Facial Contouring Surgery, mandibuloplasty, or jaw reduction surgery—is a specialized cosmetic procedure. Its main goal is to reshape the lower jaw and chin, creating a slimmer, more contoured, and V-shaped facial profile. This surgery addresses concerns like broad or square jawlines, facial asymmetry, and chin size, aiming for balanced facial proportions. Sometimes, it’s called "triple jaw and facial surgery" when it involves the cheeks, jawline, and chin.

Surgical Techniques Explained

V Line Surgery uses a mix of precise techniques to sculpt the face:

• Mandibular Contouring (Jaw Reduction): The core of the procedure, this involves reducing and reshaping the lower jawbone for a narrower jawline. Surgeons remove excess bone, often by shaving it down, to create a V-shaped look.
  • Mandibular Corticectomy: This method removes the outer layer of the jawbone. It doesn’t require metal hardware, has a lower risk of skin sagging, and usually reduces bone by 3-4mm. It’s best for those needing only a small amount of bone removed, though perfect symmetry can be tricky.
  • Long Curved Osteotomy: Here, a smooth, continuous cut is made from below the ear to the chin, reducing the square jaw and creating a seamless jawline without abrupt angles.
• Genioplasty (Chin Surgery): This adjusts the chin’s shape, size, and position. It can involve reshaping the bone or using implants for a more pointed chin.
  • T-Osteotomy: The chin bone is cut in a T-shape, allowing for major reshaping. It’s great for narrowing a wide chin or correcting length, asymmetry, or protrusion. The bone is cut, a segment removed, and the sides fixed with microplates and screws.
  • V-Osteotomy, Fusiform Osteotomy, and S-Osteotomy: These are tailored chin contouring techniques, each suited to different chin types, though detailed descriptions are less widely available.
  • Chin Extension Surgery & Chin Osteotomy + Resection: Other chin modification options.
• Bone Fixation: After reshaping, bone segments are usually secured with plates and screws. However, South Korea has pioneered "Metal-Free V-Line Surgery" or "New V-Line surgery," which avoids permanent metal hardware by precisely removing bone so reattachment isn’t needed. This reduces risks like nerve damage and infection, and can lead to a more natural healing process. These advances put Korean clinics at the forefront of V Line Surgery, offering safer, less invasive procedures with quicker recovery.
• Adjunctive Procedures:
  • Jaw Muscle Reduction (Masseter Muscle Reduction): If large masseter muscles contribute to a square jaw, they can be reduced with high-frequency nerve block, RF laser, or Botox injections for a slimmer look.
  • Buccal Fat Removal: Removing excess cheek fat via liposuction or direct excision can further slim the face and enhance the V-line.

The Surgical Process: From Incision to Closure

V Line Surgery is performed under general anesthesia for complete comfort. Incisions are almost always made inside the mouth to avoid visible scars, though small incisions under the chin may be used in some cases.

The surgeon carefully removes and reshapes the jawbone and chin, using specialized tools to achieve the desired contour. Advanced techniques often use a single, smooth cut to avoid secondary angles and ensure a natural transition. If needed, bone segments are fixed in place with plates and screws, though newer methods may avoid this. Incisions are closed with dissolvable sutures, and some clinics use premium melting sutures that don’t require removal. Surgery usually takes 1 to 4 hours, depending on complexity.

Other Complementary Procedures (Non-Surgical)

For those wanting less invasive or temporary options, several non-surgical treatments can help:

• Dermal Fillers: Injected into the jawline and chin to add volume and subtly reshape the face. Results are immediate but last 6 to 18 months.
• Botox Injections: Relax the masseter muscle, gradually slimming the jawline. Effects appear in a few weeks and last 3 to 6 months.
• Thread Lifts: Threads are inserted under the skin and pulled tight to lift and contour the face, also stimulating collagen for improved skin texture.

Advanced 3D-CT analysis and simulation technology are key in planning these procedures. Detailed imaging maps facial structures, nerve locations, and bone thickness, allowing for precise, customized surgical plans and minimizing risks like nerve damage or asymmetry. This technology is a major reason for the high safety and reputation of V Line Surgery in leading centers.

Key Surgical Techniques in V Line Surgery

Technique Category	Specific Method	Description/Purpose	Key Characteristics/Benefits
Mandibular Contouring (Jaw Reduction)	Mandibular Corticectomy	Removes outer jawbone layer to reduce thickness	No metal hardware; modest reduction (3-4mm); lower skin sag risk
	Long Curved Osteotomy	Smooth cut from ear to chin to reshape jawline	Natural, seamless jawline; prevents "secondary angles"
Genioplasty (Chin Surgery)	T-Osteotomy	T-shaped chin bone cuts for repositioning and reshaping	Narrows wide chin, corrects length/asymmetry; can be metal-free
	V-Osteotomy, Fusiform Osteotomy, S-Osteotomy	Customized chin contouring methods	Tailored reshaping for various chin concerns
Adjunctive Procedures	Masseter Muscle Reduction	Reduces chewing muscles if they cause a square jaw	Via nerve block, RF laser, or Botox injections
	Buccal Fat Removal	Removes excess cheek fat	Enhances slimming effect; refines V-line
Non-Surgical Alternatives	Dermal Fillers	Injections to add volume and reshape jawline/chin	Immediate, temporary (6-18 months), non-invasive
	Botox Injections	Injections to reduce masseter muscle size	Noticeable in weeks; temporary (3-6 months), non-invasive
	Thread Lifts	Threads under skin to lift and contour	Minimally invasive; immediate results; stimulates collagen

Best Clinics in Korea for Square Lower Face

Listed below are the best clinics in Korea for square lower face:

Clinic Name	Key Features	Special Techniques
THEPLUS Plastic Surgery	World-class board-certified surgeons, state-of-the-art clinic, holistic & individualized approach, cutting-edge facilities, internationally respected leadership, commitment to safety, academic excellence, integrated dermatology/aesthetics, highly recommended for square jaw/correcting lower face contour, seamless patient experience, multidisciplinary team	Comprehensive facial contouring (square jaw, V-line, facial implants), facial bone surgery, 3D implant research, advanced and safe facial reshaping methodologies, custom tailored natural results, collaboration across specialties, surgical innovation and global symposium expertise
Made Young Plastic Surgery	Gangnam location, facial contouring & anti-aging focus, board-certified anesthesiologists, one-on-one monitoring, full-time staff, CCTV-monitored operations, systematic emergency preparedness, dedicated aftercare center, highly experienced doctors, award-winning clinic, transparent system, proven results	MadeYoung Metal-Free V-Line Surgery (no metal plates/screws), comprehensive length & width reduction, square lower face asymmetry correction, direct consultation/precise diagnosis, specialized post-procedure care, safety-driven methodology
DM Plastic Surgery	Experienced aesthetic surgeons (10-20+ years), Yonsei University graduates, leadership roles at Gangnam Severance Hospital, board-certified specialists, scientific analysis, 1:1 tailored consultations, upholding top safety/ethics, broad portfolio (face, breast, eye, body), focus on individualized results	Advanced facial contouring (including square lower face), jaw surgery, scientific and individualized approach, correction of square jaw for delicate facial contour, comprehensive surgical offerings by highly specialized surgeons

THEPLUS Plastic Surgery

THE PLUS Plastic Surgery clinic, located in the vibrant Garosu-gil district of Gangnam, Seoul, stands out as a leader in advanced cosmetic and reconstructive procedures. The clinic is renowned for its world-class team of board certified surgeons, state-of-the-art facilities, and a holistic approach that blends artistry with medical expertise. Headed by internationally respected figures such as Dr. Kim Taek Kyun, a recognized authority on facial contouring and 3D implant research, and Dr. Jeong Jae Yong, the President of the Korean Society of Plastic Surgeons, THE PLUS is at the forefront of surgical education and innovation. Their deep commitment to academic excellence, patient safety, and harmonious, natural results ensures every patient experiences individualized care from consultation to recovery. With a multidisciplinary team offering everything from facial contouring and jaw surgery to specialized dermatological care, THE PLUS Plastic Surgery is a leading destination for those seeking excellence in facial transformation—especially for patients with a square lower face seeking refinement and balance.

Why THE PLUS Plastic Surgery is the Best Clinic for Square Lower Face:

• World-Class Expertise: Dr. Kim is widely recognized for his pioneering work in facial bone surgery and 3D implant research, regularly educating other surgeons and influencing global standards in face contouring.
• Comprehensive Facial Contouring: The clinic offers a full spectrum of facial reshaping procedures, including square jaw reduction, V-line surgery, and facial implants, customized to suit each individual's facial harmony.
• Innovative & Safe Techniques: Continuous involvement in medical research and global symposiums ensures the surgical team utilizes the safest, most advanced methodologies for optimal outcomes and minimal risk.
• International Leadership: Spearheaded by doctors who lead plastic surgery societies and frequently present on the world stage, guaranteeing a standard of care that is both rigorous and visionary.
• Cutting-Edge Facilities: Purpose-built, multi-floor clinic designed for seamless patient experience, privacy, and comprehensive care from consultation to post-operative recovery.
• Dedication to Education: Staffed by surgeons who not only practice but also shape the next generation of plastic surgeons through lectures, published research, and live demonstrations.
• Patient-Centered Philosophy: Every procedure is finely tailored to the individual, focusing on achieving natural, balanced beauty and enhancing existing features for authentic results.
• Reputation for Excellence: With a track record of outstanding patient satisfaction and recognition by peers, THE PLUS is highly recommended for those pursuing lower face reshaping, including square jaw issues.
• Integrated Approach: Collaboration across facial, dermatological, and aesthetic services ensures all aspects of facial harmony and health are considered throughout treatment.

For anyone looking to address a square lower face and achieve a balanced, aesthetically pleasing contour, THE PLUS Plastic Surgery in Gangnam represents the gold standard of care and artistry.

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

Made Young Plastic Surgery

Made Young Plastic Surgery Clinic, located in the heart of Seoul’s Gangnam district, stands as a leading destination for facial contouring and anti-aging treatments in Korea. The clinic is renowned for its innovative MadeYoung Metal-Free V-Line Surgery, a specialized procedure for reshaping a square lower face without the use of metal plates or screws. This unique approach enables comprehensive length reduction, width reduction, and asymmetry correction, all performed with the greatest attention to safety and natural-looking outcomes. Backed by a verified team of highly skilled doctors, each with over 15 years of experience, patients at Made Young receive direct consultation and precise diagnosis from seasoned experts.

Safety and patient-centered care remain at the forefront of Made Young’s philosophy. The clinic boasts a full-time staff of board-certified anesthesiologists offering one-on-one monitoring during procedures, as well as a systematic cross-check system for emergency preparedness. With dedicated aftercare services, including a specialized post-procedure care center and transparent, CCTV-monitored operations, Made Young ensures a seamless recovery process. Its reputation is further solidified by numerous awards and official recognitions, including the 2022 Korea No.1 Award and accolades for customer satisfaction and professional excellence. For those seeking proven results and peace of mind in their journey towards a balanced, refined lower face, Made Young Plastic Surgery Clinic remains an unparalleled choice.

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

DM Plastic Surgery

DM Plastic Surgery is a leading clinic in Korea renowned for its expertise and excellence in aesthetic and reconstructive procedures, including the correction of a square lower face. The medical staff at DM Plastic Surgery are specialists with abundant experience and a refined aesthetic sense, delivering personalized treatment plans based on scientific analysis and tailored 1:1 consultations. The clinic is uniquely operated by two board-certified plastic surgeons, each with over 10 to 20 years of specialized experience, ensuring that patients receive care from seasoned professionals at every stage—from consultation through surgery.

The medical team at DM Plastic Surgery boasts impressive credentials, including graduation from Yonsei University Hospital and leadership roles at the Department of Plastic Surgery at Gangnam Severance Hospital of Yonsei University. Actively participating as members of the Association of Plastic Surgery Medical Doctors, they uphold the highest standards of safety, ethics, and innovation. DM Plastic Surgery offers a comprehensive portfolio of procedures, ranging from advanced facial contouring and jaw surgeries to breast, eye, and body surgeries, ensuring highly individualized results for every patient seeking to improve their appearance—whether it be for a more delicate facial contour or the correction of a square lower face.

Find more about this clinic here: DM Plastic Surgery Website

The V Line Surgery Journey in South Korea

Why South Korea? Unique Advantages for Medical Tourists

South Korea is a world leader in V Line Surgery, thanks to its advanced cosmetic surgery industry. Here’s why so many people choose Korea:

• Specialized Expertise and High Volume: Korean clinics have developed and refined cutting-edge techniques. Surgeons receive specialized training, and the high number of procedures performed means unmatched experience and ongoing innovation.
• Advanced Techniques and Technology: Clinics use the latest methods and equipment, resulting in minimal scarring, faster recovery, and greater precision. Innovations include micro-incision tools, nerve navigation systems, and proprietary fixation materials.
• Comprehensive Soft Tissue Management: Korean surgeons take a holistic approach, predicting how soft tissues will adapt, repositioning muscles, and encouraging natural collagen formation for results that look truly natural.
• Cost-Effectiveness: Despite top-tier results, V Line Surgery in Korea is often 30-40% cheaper than in Western countries, thanks to efficiency and high procedure volume—not lower quality.

Step-by-Step Process

Here’s what to expect if you’re considering V Line Surgery in South Korea:

• Initial Consultation and Planning: The journey starts with a detailed consultation. Surgeons assess your facial structure, discuss your goals, and use advanced imaging (like 3D-CT) to plan the surgery and predict results. This step is crucial for safety and customization.
• Pre-Surgery Preparations: Patients should be in good health, ideally non-smokers, and may need to stop blood thinners and alcohol before surgery. Sometimes, dental work like tooth extractions or braces is needed first.
• The Surgical Procedure: Under general anesthesia, incisions are made inside the mouth (or rarely, under the chin). The jawbone and chin are reshaped using modern techniques, often with a single, smooth cut. The choice of fixation method depends on the technique and surgeon. Surgery lasts 1 to 4 hours.
• Post-Operative Recovery and Aftercare: Patients usually stay in the hospital for 1-2 days. Swelling, bruising, and discomfort are common but manageable. A compression bandage is worn, and a soft or liquid diet is recommended for several weeks. Strenuous activity should be avoided for at least four weeks. Follow-up visits are essential, and full results may take 3-6 months (sometimes up to a year) to appear. Scarring is minimal since incisions are inside the mouth. Many clinics offer advanced aftercare, including therapies and home care kits.

Recommended Stay Duration for International Patients

International patients are generally advised to stay in South Korea for about 13 days for recovery and follow-up. Some may leave after 5-7 days, arranging for suture removal at home. Most people can return to normal activities within 7-10 days.

Costs and Medical Tourism Considerations

Average Costs of V Line Surgery in South Korea

V Line Surgery costs in South Korea vary based on the surgeon, clinic, and any additional procedures. On average, expect to pay $5,000 to $15,000 USD, or roughly ₩9,900,000 to ₩15,500,000 KRW (about $6,800 to $10,700 USD, depending on exchange rates).

What's Included in the Procedure Cost?

The price usually covers anesthesia, use of the facility, pre-op consultations, post-op care, follow-up visits, and sometimes an overnight hospital stay. Some packages include hotel stays, aftercare treatments, medications, and even travel and accommodation support for international patients.

Cost Comparison: South Korea vs. Other Countries

South Korea offers V Line Surgery at prices 30-40% lower than in Western countries, thanks to specialization and high procedure volume. This makes Korea a top choice for those seeking high-quality, advanced cosmetic surgery at a better price.

Country	Average V-line Surgery Cost (USD)
South Korea	$5,000 - $8,000
United States	$8,000 - $14,000
United Kingdom	$7,500 - $12,000
Australia	$9,000 - $15,000

Additional Expenses for Medical Tourists

Beyond surgery, medical tourists should budget for:

• Accommodation: Hostels/guesthouses ($20-$50/night), mid-range hotels ($50-$150/night), luxury hotels ($200+/night).
• Local Transportation: Subway rides ($1-$2), taxis (from $3), car rentals ($50+/day).
• Dining Costs: Street food ($5-$10/meal), mid-range restaurants ($15-$30/meal), fine dining ($50+/meal).

Careful budgeting is essential to avoid surprises and ensure a smooth experience.

Patient Experiences and Outcomes

Addressing the "Square Lower Face": Expected Aesthetic Changes

V Line Surgery’s main goal is to transform a "square lower face" into a slimmer, more contoured, V-shaped jawline. By reducing jaw width and reshaping the chin, patients achieve a more refined, elegant, and often more feminine look. The face appears smaller, younger, and more balanced. Chin issues like length, width, or asymmetry can be corrected. Initial improvements are visible in 2-3 weeks, but final results take 6 months to a year as tissues settle.

Patient Satisfaction and Confidence Boost

Many patients seek V Line Surgery to enhance their appearance and boost self-confidence. The aim is natural-looking results that blend with the rest of the face, not an "operated" look. Patient testimonials often mention improved facial harmony and satisfaction with the outcome. Leading clinics use 3D-CT analysis for personalized plans, ensuring results that fit each person’s unique features.

Potential Risks and Complications

V Line Surgery is a major procedure and, like any surgery, carries risks:

• Nerve Damage: The proximity of facial nerves means there’s a risk of numbness, tingling, or weakness, sometimes permanent. Choosing an experienced surgeon is vital.
• Skin Laxity/Sagging: More common in older patients or those with less elastic skin, as reduced bone support can lead to sagging.
• Asymmetry: Slight unevenness can occur due to healing or swelling.
• Bone Regrowth/Remodeling: Some bone may regrow or remodel, potentially affecting long-term results.
• Infection: Proper care minimizes this risk, but symptoms like fever or unusual drainage should be reported immediately.
• Excessive Bleeding/Drainage: While some oozing is normal, excessive bleeding needs attention.
• Swelling and Bruising: Common and can last weeks to months.
• Jaw Weakness/Reduced Functionality: Temporary difficulty opening the mouth or chewing may occur.
• Unintended Fat Loss: Significant bone reduction can sometimes make the face look hollow.

Strategies for Minimizing Risks and Optimizing Results

To get the best results and minimize risks:

• Choose an Experienced, Specialized Surgeon: This is the most important factor for safety and results.
• Follow Pre- and Post-Op Instructions: Stick to dietary guidelines, avoid strenuous activity, maintain oral hygiene, and take prescribed meds.
• Assess Skin Quality: Discuss skin elasticity with your surgeon. Combining V Line Surgery with skin-tightening treatments can help prevent sagging.
• Attend Follow-Up Appointments: Regular check-ins help monitor healing and catch any issues early.
• Use Advanced Pre-Surgical Analysis: Clinics using 3D-CT and simulation technology can plan more precise, safer surgeries.
• Be Patient and Realistic: Swelling and bruising take time to resolve, and final results emerge gradually.

Conclusion

V Line Surgery is a transformative option for those wanting to refine a "square lower face" and achieve a more harmonious, V-shaped jawline. The procedure can significantly boost self-confidence and well-being. For the best outcome, patients should research thoroughly, consult with experienced surgeons, set realistic expectations, and follow all care instructions. South Korea stands out for its advanced techniques, expertise, and value, but careful planning and budgeting are essential for a smooth experience.

References

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