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A Standardized Surgical Technique for Tessier Medial Transnasal Canthopexy
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Nasolabial aesthetics.

Cassidy Mitchell1, John Oeltjen, Zubin Panthaki

  • 1Department of Plastic and Reconstructive Surgery, University of Miami, Miami, Florida, USA.

The Journal of Craniofacial Surgery
|August 2, 2007
PubMed
Summary

Orthognathic surgery, specifically LeFort I osteotomy, corrects jaw deformities and impacts facial aesthetics. Understanding nasolabial soft tissue changes is crucial for optimal functional and aesthetic outcomes.

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Area of Science:

  • Plastic Surgery
  • Oral and Maxillofacial Surgery
  • Facial Aesthetics

Background:

  • Orthognathic surgery corrects skeletal deformities of the jaw, aiming to improve both function and facial aesthetics.
  • The nasolabial region, a central facial aesthetic unit, is significantly affected by maxillary orthognathic surgery.
  • Comprehensive surgical planning and understanding soft tissue changes are vital for successful outcomes.

Purpose of the Study:

  • To discuss the nasolabial region in the context of orthognathic surgery.
  • To outline steps for comprehensive aesthetic evaluation.
  • To detail the effects of LeFort I osteotomy on nasal and labial morphology.

Main Methods:

  • Review of existing literature on LeFort I osteotomy and its effects on the nasolabial region.
  • Discussion of aesthetic evaluation techniques for the nasolabial area.
  • Analysis of specific changes in nasal and lip morphology post-surgery.

Main Results:

  • LeFort I osteotomy can lead to changes in nasal morphology, including alar base widening and nasal tip alterations.
  • The procedure may cause flattening and thinning of the upper lip.
  • Both reduction and augmentation procedures can influence nasolabial aesthetics.

Conclusions:

  • Understanding the impact of LeFort I osteotomy on nasolabial soft tissues is essential for surgeons.
  • Aesthetic evaluation and planning are critical for achieving desirable functional and cosmetic results.
  • The article provides insights into managing aesthetic changes in the nasolabial region following maxillary surgery.