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Midface augmentation using bony segments obtained from sagittal splitting angle ostectomy in asians.
Hyun Park1, Kyung-Wook Chun, Min-Seok Kye
1Seoul, Korea From the Park-Hyun Plastic Surgery Clinic; the Department of Plastic and Reconstructive Surgery, Korea University College of Medicine; and the Kye Min Seok Plastic Surgery Clinic.
Plastic and Reconstructive Surgery
|February 28, 2008
Summary
This study presents a one-stage facial contouring surgery combining mandible angle reduction and midface augmentation. The procedure achieved satisfactory aesthetic results with a low complication rate for patients seeking facial feature enhancement.
Area of Science:
- Plastic Surgery
- Aesthetic Surgery
- Facial Reconstruction
Background:
- Asian facial morphology often presents with flat midfaces and prominent mandibles.
- Enlarged jawbones and masticatory muscles contribute to a broader facial appearance.
- Midface hypoplasia, narrow nasolabial angles, and depressed cheeks are common features.
Purpose of the Study:
- To evaluate a combined surgical technique for facial contouring in Asian patients.
- To address prominent mandible angles and midface hypoplasia simultaneously.
- To assess aesthetic outcomes and patient satisfaction with the integrated procedure.
Main Methods:
- A cohort of 32 patients underwent simultaneous mandible angle reduction and midface augmentation.
- Bony segments from sagittal splitting angle ostectomy were used for midface augmentation.
- An intraoral approach was employed for bone grafting and reshaping.
Main Results:
- The surgery effectively reduced mandible width and advanced the midface.
- Patient satisfaction was high, with 47% of patients in their thirties.
- Complications were minimal, including one wound infection and two instances of wound dehiscence.
Conclusions:
- A one-stage surgical approach offers satisfactory aesthetic results for facial contouring.
- The technique provides aesthetic advantages without the drawbacks of autologous bone grafting.
- The procedure is associated with low costs and a low infection rate, making it a viable option.
