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Treatment protocol and surgical techniques for macrogenia
Shiyu Wang1, Changsheng Lv, Lai Gui
1Department of Maxillofacial Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Science, Peking Union Medical College, Beijing, China.
Background:
This study focused on the treatment protocol for macrogenia and surgical techniques of the semicircular ostectomy of the mandibular inferior border.
Methods:
Seven patients with macrogenia were treated following our treatment protocol including a preoperative assessment (the Delaire analysis), an operative design (three-dimensional reconstruction and simulation), operation techniques (semicircular ostectomy of the mandibular inferior border), and a postoperative evaluation.
Results:
Our treatment procedure provided an overall harmonizing effect on the lower facial contour. All 7 patients were satisfied with their aesthetic results. A few complications such as numbness and submental soft-tissue excess were observed, but they improved to different extent as time went by.
Conclusions:
Our treatment protocol for macrogenia is of great use to make the surgeries to be precisely and safely done with satisfactory results.

