Mandibular contouring surgery for purely aesthetic reasons

Area of Science:

• Plastic Surgery
• Oral and Maxillofacial Surgery
• Aesthetic Surgery

Background:

• The mandible's contour significantly impacts facial and neck appearance.
• Surgical interventions like mandible angle reduction and genioplasty can alter lower facial aesthetics without orthodontics.

Purpose of the Study:

• To classify mandible angle reduction techniques based on protrusion severity.
• To describe surgical methods for genioplasty.
• To evaluate patient satisfaction with combined procedures.

Main Methods:

• Performed 258 mandibular contouring procedures, categorizing angle reduction into Types A, B, and C.
• Described genioplasty techniques including shaving, advancement, shortening, and lengthening.
• Emphasized curved ostectomy for natural mandibular border in angle reduction.

Main Results:

• Mandible angle reduction cases included 21 Type A, 186 Type B, and 28 Type C.
• Grafting of ostectomized bone was utilized in vertical lengthening genioplasty.
• 71 patients reported high satisfaction with combined genioplasty and angle reduction.

Conclusions:

• Mandibular contouring via angle reduction and genioplasty offers effective aesthetic improvement.
• Specific techniques are tailored to the degree of mandibular angle protrusion.
• Combined procedures demonstrate significant patient satisfaction.