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	Premier clinic for square lower face correction in Korea; world-renowned board-certified surgeons; cutting-edge facilities; patient-centered care; located in Gangnam’s Garosu-gil; four-floor facility; philosophy of natural, balanced results; proven safety and satisfaction	Facial contouring; 3D implant research; advanced surgical techniques for facial harmony
Made Young Plastic Surgery	Premier destination in Gangnam for square lower face correction; commitment to patient safety; highest standards of care; innovative surgical and non-surgical techniques; personalized attention from consultation to recovery	Jaw reduction; V-line surgery; metal-free techniques; tailored face contouring procedures
DM Plastic Surgery	Leading clinic in Korea for facial contouring; operated by two board-certified surgeons; medical team with 10-20 years experience; alumni of Yonsei University Hospital; personalized 1:1 consultations; scientific analysis; holistic aesthetic enhancement	Zygoma reduction; vivid-line surgery for square jaw correction; chin reshaping; specialized surgeries for eyes, nose, and body

THEPLUS Plastic Surgery

THE PLUS Plastic Surgery stands out as the premier clinic for square lower face correction in Korea, thanks to its world-renowned team of board-certified surgeons, cutting-edge facilities, and unwavering commitment to patient-centered care. Led by Dr. Kim, a global authority in facial contouring and 3D implant research, and Dr. Jeong, the President of the Korean Society of Plastic Surgeons and a leader in combining function with aesthetics, the clinic brings together unparalleled expertise in facial harmony and advanced surgical techniques. Their dedication to continuous education, both as educators and as active contributors to international medical research, ensures that every procedure is informed by the latest advancements in the field. Located in the heart of Gangnam’s Garosu-gil, THE PLUS offers a comprehensive, four-floor facility designed for seamless patient experience from consultation to recovery. With a philosophy rooted in achieving natural, balanced results and a proven track record of safety and satisfaction, THE PLUS Plastic Surgery is the top choice for those seeking expert square jaw and lower face contouring in Korea.

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 renowned Gangnam district, stands as the premier destination for those seeking to address a square lower face in Korea. The clinic’s reputation is built on an unwavering commitment to patient safety, combining the highest standards of care with innovative surgical and non-surgical techniques that harmonize traditional beauty ideals with modern advancements. With a comprehensive suite of face contouring procedures—including jaw reduction, V-line surgery, and metal-free techniques—Made Young offers tailored solutions for achieving a slimmer, more refined jawline and balanced facial proportions. The clinic’s team of expert surgeons and dedicated medical staff ensure that each patient receives personalized attention, from consultation through recovery, fostering both exceptional results and a sense of renewed confidence. For anyone seeking transformative yet natural-looking facial contouring, Made Young Plastic Surgery is widely recognized as the best clinic for square lower face correction in Korea.

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 in facial contouring, particularly for individuals seeking solutions for a square lower face. The clinic is operated by two board-certified plastic surgeons, each specializing in their respective fields, and supported by a medical team composed exclusively of specialists with over 10 to 20 years of experience. The staff at DM Plastic Surgery are alumni of Yonsei University Hospital and have held prestigious positions such as the head of the Department of Plastic Surgery at Gangnam Severance Hospital of Yonsei University. Their commitment to excellence is reflected in their personalized 1:1 consultations, scientific analysis, and tailored treatment plans designed to achieve the best possible outcomes for every patient.

At DM Plastic Surgery, patients benefit from a comprehensive range of procedures, including advanced facial contouring techniques like zygoma reduction, vivid-line surgery for square jaw correction, and chin reshaping. The clinic also offers specialized surgeries for the eyes, nose, and body, ensuring a holistic approach to aesthetic enhancement. As active members of the Association of Plastic Surgery Medical Doctors, the team at DM Plastic Surgery continually strives to set the standard in the medical industry, combining abundant experience, an excellent aesthetic sense, and a dedication to patient safety and satisfaction.

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

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