Areas of prominent places are shaped with a surgical rasp, drill, or micro-saw, curving down from back to front to achieve a well-rounded contour. Once the proper amount of bone and muscle has been removed the wound is closed with self-dissolving stitches. This work typically requires an incision in the front of the mouth along the gum line and is also closed with self-dissolving stitches. After the surgery the mouth must be cleaned with a prescription mouthwash several times a day. Most patients stay in the hospital for one night after surgery. The face will be moderately swollen immediately following surgery. Swelling and bruising will peak 2-3 days after surgery.