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visible swelling and a soft diet may persist longer."},"complication_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Any complication within 3 months, mostly temporary numbness, swelling, or asymmetry; serious ones under 2%."},"contraindications":["Active infection in the mouth, jaw or face","Uncontrolled systemic disease or unfitness for general anesthesia","Bleeding disorders or unsafe anticoagulation management","Pregnancy","Untreated body dysmorphic disorder","Active smoking or nicotine use (relative; impairs healing)","Skeletal growth not yet complete (relative)","Bite or skeletal discrepancy needing orthognathic surgery (relative)"],"days_in_clinic":{"min":1,"max":2,"unit":"nights","qualifier":"Overnight observation for airway, swelling and bleeding; discharge after first dressing check."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":8,"unit":"weeks","qualifier":"Light walking earlier; strenuous exercise and contact activities after surgeon clearance."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Residual swelling resolves gradually; final contour is judged after several months."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"Intraoral approach leaves no external stitches; travel after the 5–7 day check and surgeon clearance."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":7,"unit":"days","qualifier":"Intraoral wound and swelling check; counted from surgery."}},{"purpose":"assessment","requirement":"routine","after":{"min":28,"max":42,"unit":"days","qualifier":"Healing and symmetry assessment; counted from surgery."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"Review of final contour; counted from surgery."}}],"indications":["Prominent or wide mandibular angles giving a square lower face","Mild mandibular angle asymmetry or disproportion"],"main_risks":["Swelling and bruising lasting weeks","Infection","Bleeding or hematoma","Temporary, rarely permanent, lower lip or chin numbness","Facial asymmetry or irregular contour","Mandibular fracture","Facial nerve weakness (rare)","Skin sagging after bone reduction","Need for revision surgery","Anesthesia-related risks"],"pain":"Moderate pain and facial tightness for the first several days, controlled with oral analgesics; swelling and discomfort ease over 1-2 weeks.","preparation":["Surgical consultation with facial assessment and expectations discussion","3D CT or panoramic X-ray planning","Preoperative blood tests and anesthesia fitness assessment","Dental check and oral hygiene optimization","Fasting before general anesthesia as instructed","Stop smoking and nicotine in advance","Arrange help at home for the first days","Review all medicines, including anticoagulants, with surgeon and prescriber"],"recovery_timeline":[{"phase":"Days 0-3","description":"Hospital observation, peak swelling, cold compresses and liquid diet; possible compression garment.","restrictions":["Liquid or very soft diet","Head elevated","No strenuous activity"]},{"phase":"Weeks 1-2","description":"Swelling and bruising gradually decrease; intraoral wound care with mouth rinses.","restrictions":["Soft diet","Avoid chewing hard foods","Avoid sports"]},{"phase":"Weeks 3-6","description":"Return to normal diet progressively; most visible swelling resolves.","restrictions":["Avoid contact activities","Avoid facial trauma","No strenuous exercise"]},{"phase":"Months 3-6","description":"Residual swelling resolves and final jawline contour becomes apparent.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Time to ordinary activities on a soft diet. Swelling and numbness may last weeks; no strenuous exercise for 4–8 weeks."},"result_longevity":"Bone reduction is generally permanent, though soft-tissue aging and weight changes continue to affect the jawline appearance over time.","revision_rate_pct":{"min":2,"max":8,"unit":"percent","qualifier":"Secondary surgery for asymmetry, residual bone prominence, or contour irregularity within 1–2 years."},"scars":"Usually performed through incisions inside the mouth, leaving no visible external scars; small external incisions are uncommon.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single surgical session; follow-up checks are not counted."},"stages":[{"code":"surgery","label":"Mandibular contouring surgery","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of the procedure."}}],"qualifier":"Typical standalone mandibular angle contouring in one operation."},"success":{"metric":"Patient satisfaction with improved lower-face contour","value":90,"unit":"percent","horizon":"6 months after surgery","population":"Skeletally mature adults with prominent mandibular angles after angle ostectomy","evidence_status":"limited"},"techniques":[{"name":"Mandibular angle ostectomy (angle reduction)","suits_whom":"Patients with prominent, square mandibular angles.","recovery":"Swelling for several weeks; soft diet for 2-4 weeks."},{"name":"Outer cortex (cortical) shaving or osteoplasty","suits_whom":"Patients with mild-to-moderate lateral bone width needing smoothing.","recovery":"Similar to angle reduction, often with slightly less swelling."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":1.5,"max":3,"unit":"hours","qualifier":"Operative time for standalone bilateral mandibular angle contouring; excludes anesthesia preparation and recovery."},"initial_assessment_documents":["Front, side and three-quarter facial photos","Panoramic dental X-ray (OPG)","Facial or jaw CT scan (if available)","Lateral cephalometric X-ray (if available)","List of blood thinners and current medications"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-14 days until the first check at 5-7 days. Later reviews can be done remotely."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=kolumbiya/city=medelin/procedure=konturnaa-plastika-celusti/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false}