I have been focusing on this type of surgery, and have done a lot of basic and clinical research work, the current precise osteotomy surgical method has been finalized, basically you can reach the pre-surgery design how much to cut, complications have been reduced to a minimum, but personal interest has gradually shifted, recently refused more and more patients, there are some insights can be shared for all of you, including fellow, there are different views we come together to discuss. 1, jaw angle surgery safety: jaw angle surgery is very small, but very difficult surgical operation. Why say very small, as I have been telling patients, this surgery is the table corner saw off a small piece, will not affect the function, almost no risk; difficult: is to say that the freehand surgery is difficult to ensure symmetry, it is difficult to ensure the removal of just the right size. 2, jaw angle surgery how to choose a doctor: trained in craniomaxillofacial surgery plastic surgeon is the only choice. The first priority is first plastic surgeon, I know that the operation of this type of surgery is very simple for a part of oral surgeons, I also respect their attainment in the field of maxillofacial oral, but also know that there is no strict legal regulation in the country, I implore oral surgeons first learn to rhinoplasty, double eyelids, to know that the head and face is a whole, sometimes a simple rhinoplasty, you can cut a lot less bone, to avoid a lot of complications. Must be converted into plastic surgery thinking best to have plastic surgery training and license before engaging in cosmetic surgery, otherwise super doctor scope of practice surgery into the law after the dispute is hard, Shanghai has a precedent. Second plastic surgeons, especially cosmetic surgeons, must do more craniomaxillofacial surgery after the cure, especially after treating a certain number of skeletal trauma plastic surgery cases, and then engaged in cosmetic jaw angle surgery, and then more breast augmentation cases on the skeletal surgery is not helpful, want to simply through cosmetic surgery to cultivate the cost is too great, this aspect of the patient and the doctor cost more. 3, jaw angle surgery before the preparation: CT is the first thing to do, must do pre-surgery three-dimensional design, the conditions can do rapid prototype model. CT must be engraved into a CD-ROM for pre-surgery design, if there are still doctors who operate on the basis of mere X-rays is not very reliable, if the surgery to remove too much, but also through the original Ct to restore to the previous bone form. Enough time for communication and waiting: about the amount of bone to be removed, it is important to have confirmed with the doctor, and it is better to see the 3D skeletal diagram on the computer, as well as the skeletal diagram after removal. This is all done through careful design by the surgeon before surgery. I usually politely refuse to operate today or tomorrow or within a few days, because there is really no time for design and good communication, and the era of unplanned surgery on stage based on experience is gone. Blind trust before surgery is actually misleading to doctors. Through the WeChat microblogging about, fly over to immediately operate on their own and the doctor are harmed, to know that many private hospital doctors are now employment-based, no right to refuse surgery, the phone is just sales, some medical knowledge is not as much as you know. Basic physical examination, the vast majority of them are healthy, but 2 or 3 of them a year will be anemic. If you want to choose dieting to adjust your body shape, do not choose it before the surgery, otherwise it will affect your surgery plan. After surgery to have 1-2 weeks of fluid to drink soup time, many will be hungry to remove the good line binge eating. 4, how much funding is needed: the fees of various institutions is to be compared horizontally, but bear in mind the old adage that cheap is not good, I am quite opposed to price competition among medical institutions, especially jaw angle surgery, omitting a lot of pre-surgery design and preparation, CT review before and after surgery, no blood preparation before surgery, surgery without hemostatic drugs, seeking quantity not quality, will only expel good money, resulting in a lot of what should have been avoided This will cause many complications that should be avoided, but instead affect the reputation of plastic surgery. To the price of excessively low medical institutions, and the same unit price excessively low doctors to be cautious, and also to the Baidu ranking, online evaluation of many, remember that everything has to have a price, remember that your medical funds are to be spent on treatment, not spent on network ranking payments and network water army. 5, when you need to give up the surgery: there are more than 2 doctors who do jaw surgery to refuse you jaw surgery, if not for the needs of the profession, you should carefully consider the surgery. Many doctors do not do the surgery, they induce patients to play slimming needles, saying that the surgery is risky, in fact, for people with large bones, slimming needles are meaningless, only more prominent bones; there are many beauty sales will be induced to pad the chin, in fact, in general, people with wide faces, after the chin pad will appear with the face protruding, look much more fierce. 6, male suitability for surgery: no pathological protrusion of the face, just for cosmetic purposes, men should not easily do jaw angle surgery. 7, after the surgery: review CT, if the doctor did not propose, you have to propose as soon as possible, generally the surgery is very successful, the doctor will not refuse your request to review CT, three-dimensional Ct is easy to show whether the surgery on the right side. Conditions to adhere to 2-3 times the thinning of the face, the repair of bone after surgery is the objective rule, especially the removal of the outer plate, many units with grinding bone, some can be completely restored to the situation before surgery, in fact, the repair of bone only exists in the six months after surgery, adhere to 2-3 times can be avoided. 8, the surgical effect is not very satisfactory: before surgery to have a precise planning, often see the patient to take an outside x-ray to request an appointment for surgery, in my case must have a CT film, to do a clear three-dimensional planning of. If there is over resection or under resection than you expected, please don’t be anxious, you can have a corrective surgery after six months of recovery. Once over resection, if there is CT data before surgery, you can recover to the original appearance through surgery or recover part of it, there are many pads a small corner can be. General use of artificial materials to fill the bones, must be personalized and customized before the surgery, you can see more times before the surgery to design the size of the filler, can ensure accuracy, the last surgery has not used digital design, do not let the doctor surgery and then manually repair the size, any bone repair materials are very hard, not silicone for rhinoplasty, it is generally very difficult to repair, so are done before the surgery to customize. A foreign brand of material, only plastic components, only to China can not be customized before surgery, while charging a lot more expensive than abroad, too bullying Chinese people, must not choose. The general material exists for life, basically no side effects, depending on the size of the material will be fixed with a very small titanium nail, generally a piece of material to 2, sometimes to ensure the fit of the material, may be a large side of the material into 2 small pieces of material is more appropriate. Many patients want autologous bone repair, I will definitely refuse, there will be resorption soon, and the surgery will be in vain. If it is a small asymmetry, it can be filled with your own fat and it is usually corrected very quickly. If there is not enough resection, or if there is a small unevenness, don’t force the surgeon to fix it. There must be a reason why the surgery could not be resected at that time, and try not to face the same difficulty again.