the dire truth about jaw cutting surgery

One of my favorite patients asked me about jaw cutting surgery today. She was interested to do it because she wanted to correct her cross bite. Her orthodontist have told her that she is not suitable for correction by braces alone and advised her to consider surgical correction.

I’ve always known the high risks of such invasive surgery, but when she asked me for advice, I decided to read up more about it out of concern for her and the information I found was rather appalling.

Understandably, she may actually need this kind of surgery to correct her cross bite and it could be her only solution, but it’s actually a rising fad in South Korea as a beauty treatment. That’s grossly understating the dangers of undergoing a procedure of such extent only to look better, without real medical need.

Jaw surgery is a surgical procedure carried out to correct facial bone deformities in people who are unable to bite or chew properly, by realigning upper and lower jaws. It takes months to recover from such a procedure and carries 50% risk of complications such as facial numbness or even paralysis. Other potential complications include a skewed jaw, chronic jaw pain, misaligned bite and inability to chew or smile. For a previously healthy and well person who does not suffer any physical ailments until the surgery was done, this is debilitating.

jaw cutting surgery in south korea

This radical procedure is much more dramatic than minimally invasive procedures such as botox or filler injections – yet people with no real dental flaws are opting to go through it to achieve a small pretty face. There have been incidents of suicides after the surgery due unbearable complications and a significant reduction in quality of life. Deaths from the procedure itself due to excessive bleeding and suffocation are also not uncommon. You hear about it happening here and there but there has yet to be stricter controls for the advocation of such dangerous surgery for purely cosmetic purposes.

jaw cutting surgery

In my two cents’ worth, unless it is medically indicated for you, such as in maladjusted bite, the risks surely outweigh the benefits. There is nothing wrong if you desire a slimmer face in the name of beauty. Consider safer, less invasive ways to achieve it, such as with botox jaw slimming, chin filler augmentation or skin tightening treatments. Even liposuction for the face or mesotherapy may be better options than radical open jaw shaping surgery. Consult with your friendly aesthetic dr for further and better particulars if you need! :)

clip art

News articles for your reading pleasure:

There is a safer, much less invasive way to achieve your desired slimmer face:

Dr Tiffiny Yang’s V shape face treatment

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tyas clinic retreat 2014

Guess where we went for our clinic retreat this year? 4 days 3 nights in Tokyo, Japan! :) Jane and Lynette had an awesome great time indeed.


wpid-img-20141008-wa0010.jpg wpid-img-20141008-wa0021.jpg wpid-img-20141005-wa0009.jpgUnfortunately, I couldn’t join them this year because by the time we planned the trip, I was 4 months preggie. Alas! ><

Instead, I attended a charity gala dinner instead. It was a event held in efforts to kick sarcoma. In fact, that’s the title of the event. Sarcoma is a little known cancer that affects many people too, and it’s pretty debilitating because diagnosis of the cancer and subsequent treatment can potentially disable a person for life.

The dress theme was Arabian/Persian/Indian… anything silk. As my dress choices were pretty limited by now, so I went chiffon instead, matched with a scarf that was silk. (Scarf unfortunately not shown in the pic below!)


Pretty much rested for the rest of the time. Hope my staff girls enjoyed themselves thoroughly! We all need a break to refresh and recharge so we can continue to run our engines for a long time to come. As they always say, sometimes you gotta take a step back to take a leap forward! ;)

Cheers to all~


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check out this month’s issue of FHM!

tiffiny yang on fhm

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TYAS brochure and paperbag have a new look!

TYAS new look

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a review on different brands of facial fillers

There are so many brands of facial fillers on the market these days, many find it hard to decide which is most suitable for them. My two cents’ worth below– hope it helps!

1. Restylane

This is the oldest USA FDA approved facial filler, so I guess it can be used as a control to compare all the others! I absolutely love to use this brand of filler on the tear troughs and lips because its range e.g. Vital Light and Lip Volume is soft and natural enough for these areas. Perlane and SubQ are harder types suitable for other areas of augmentation, but I find SubQ is far too hard for a good result in the nose or chin.

2. Juvederm

Also a very popular and well marketed brand that is also USA FDA approved. Quite costly though. Its range of Ultra Plus and Voluma is suitable for areas like the nasolabial folds, cheeks, nose and chin. From experience, Voluma tends to give a bit more swelling– I don’t like it for that reason because in the first week, the swelling may give rise to a wrong impression of asymmetry which settles quickly but causes a lot of worry in the meantime. It’s known to last slightly longer for a hyaluronic acid based filler. Its range Ultra seems very effective as a filler for scars and wrinkles.

3. Revanesse

This is a relatively low profile brand made in Canada but has quite a number of worthy clinical studies to back it. Its range Ultra seems very versatile and gives good results for nasolabial lines, nose, chin and cheeks (in that order of preference). Surprisingly, it gives very little problems– seldom cause lumpiness or migration, and settles very well to give a most natural result. Perhaps the only shortcoming is it doesn’t give as great a volumising / lifting effect as Juvederm Voluma or Radiesse. Revanesse basic, a softer type, also is effective for scars and wrinkles.

4. Radiesse

I absolutely love the effect this filler gives for the cheeks. The lifting effect is good and immediately visible even with a very little amount, as long as it’s in the right place. I find it best in the cheeks, nose and chin.

5. Aquamid

An almost permanent filler that can last 2-5 years cos it’s a plastic gel. Considering the cost vs the length of time it lasts, it’s easily the most economical filler. The obvious pitfall is, of course, the risk for lumpiness, as with any longer lasting filler. In the event of lumps, it cannot be dissolved easily like the hyaluronic acid based fillers. You can wait it out or massage it down or opt to remove it surgically.


Filler choice varies, depending on your specific requirements, budget and desired area of treatments. There is no “one size fits all” in this regard. It’s ok even if you may need different fillers for different areas of treatment as they seldom cross react with one another. It’d be worse if you try to force a certain type of filler in an area it is not suitable for. Discuss with your aesthetic doctor what you are looking for and get the best recommendation for you! :)

tiffiny yang

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For you, my little Eddy.

Mama give you all my very best;

All I hope for you is that you will always take good care of yourself.

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Happy National Day!

Happy Birthday, Singapore! Looking forward to the celebratory weekend~ :)

tiffiny yang

tiffiny yang

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Grinding your teeth?

Are you grinding your teeth?

You may be able to tell whether you have grinding if you have clicking or painful jaw joints, sensitive teeth, headaches in the temples from over grinding, etc. Or your family may inform you that you are making grinding or tapping noises at night even though you are not aware of it.

Your dentist is also able to advise you on whether you are doing so, by looking at the degree of wear and tear on your teeth such as cracked or fractured teeth and at your temporomandibular joint (TMJ, the movable joint at the back of your jaws).

This is known as bruxism, defined by excessive grinding of teeth or excessive clenching of the jaws. It is actually very common but frequently unnoticed or undetected by the people suffering from it until it is too late, where the teeth become very worn down.

Most of the time, the cause of grinding is unknown or unresolvable. Fret not, this does not spell the end of the world for grinders. You can control the damage caused by persistent grinding with the following ways:

  1. Visit your dentist for a mouth guard to wear during sleep, especially if you are a night grinder.
  2. Decrease the strength and intensity of grinding by relaxing your chewing muscles — the masseters — with injectable botox treatment. This places a suitable amount of botulinum into the grinding muscles so as to relax them and thereafter reduce the intensity of grinding and the damage it can cause.

At the same time, the relaxation of these muscles will also help the muscles to shrink in size and bulk. Big masseter muscles are a common problem among grinders (just like bodybuilding) and gives the appearance of a round or square face. Slimming these muscles will then restore the appearance of a slimmer face.

If you are suffering from teeth grinding, leading to painful joints, weak teeth or a big face, hesitate not to seek medical treatment immediately to alleviate those troublesome symptoms and unjustified appearance of big square jaws!


You may also read up more about botulinum treatment for the jaws here:

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ranting on girly stuff

Coco Chanel has a new fragrance – Mademoiselle. Hubs got it for me when he was in the USA… the scent is awesome! Do try it too. ;)

coco chanel mademoiselle

I also recently got a new eyeshadow color palette by Urban Decay from Sephora – Naked 3. It’s all rose gold and shimmery, but I realize there are very few situations I can use it. :( Should’ve gotten Naked 2 instead – more practical.

In my recent foray to South Korea, I got this really sweet peachy blouse with a huge ribbon bow on the front. Love the look! I loooooove to shop in Korea and Japan for fashion items – dresses, shoes, bags and accessories. I can always find stuffs that I never see in Singapore, that I simply adore and must buy back to wear!

tiffiny yang

Ok, enough ranting on girly stuffs for the week. Stay tuned for more on my next blog post!

Til next time, folks! :)

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chin filler vs chin implant – which is better?

Many people think that the main difference between chin augmentation by filler and chin augmentation by implant is simply this: filler is temporary whereas implant is permanent.

But it’s not as simple as that.

If you are thinking about chin augmentation at all, the most important consideration is, of course – you want you to look better. So which is better – filler or implant?

These are 2 pictures after chin augmentation, one by filler and the other by implant.

chin filler chin implant

Can you tell which is the one by filler augmentation?

It’s the one on the left side, which looks pointier and more feminine.

Indeed, filler augmentation for the chin tends to create a sweeter looking chin than an implant is able to. Chin implants tend to look bulkier and (so it seems to be) more difficult in achieving a sweet V face. Sometimes, in order to achieve the right chin length, the implant chosen may be oversized and create a heavy-looking chin or leave a deep mental crease. Frankly, I hardly see an implant that has been able to achieve the right effect most Asian girls want in chin augmentation. The right chin shape is easier to achieve with filler augmentation. Disclaimer: for guys or females of bigger builds, this observation does not apply. :)

So if you are considering chin augmentation, do consult with your aesthetics doctor to see which is a more suitable option. Permanence of result should not be the only consideration in your choice. The only good end point is seeing the right look you want to see in your dressing mirror!

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