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Designing CAD/CAM Surgical Guides for Maxillary Reconstruction Using an In-house Approach
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Lipofilling as refinement procedure in maxillo-mandibular malformations.

D Cervelli1, G Gasparini1, A Moro1

  • 1Maxillo-Facial Surgery Unit, Complesso Integrato Columbus, Università Cattolica del Sacro Cuore, Rome, Italy.

Acta Otorhinolaryngologica Italica : Organo Ufficiale Della Societa Italiana Di Otorinolaringologia E Chirurgia Cervico-Facciale
|December 14, 2016
PubMed
Summary
This summary is machine-generated.

Fat grafting effectively refines facial asymmetry after orthognathic surgery for maxillo-mandibular malformations. This technique offers a safe, reproducible option with high patient satisfaction, improving aesthetic outcomes.

Keywords:
LipofilligMaxillo-mandibular asymmetryOrthognatic surgery

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Area of Science:

  • Plastic Surgery
  • Oral and Maxillofacial Surgery
  • Aesthetic Medicine

Background:

  • Maxillo-mandibular asymmetry can persist after orthognathic surgery.
  • Residual facial deformities require further aesthetic correction.
  • Autologous fat grafting is a potential solution for persistent asymmetry.

Purpose of the Study:

  • To evaluate the efficacy and safety of lipofilling for residual facial asymmetry post-orthognathic surgery.
  • To assess fat graft integration and long-term volume stability.
  • To determine optimal facial subunits for fat grafting in this context.

Main Methods:

  • Retrospective analysis of 45 patients undergoing orthognathic surgery and subsequent lipofilling.
  • Evaluation of fat graft integration, volume stability, and complications.
  • Assessment of patient satisfaction and aesthetic outcomes based on treated facial subunits.

Main Results:

  • Good fat graft integration and relative volume stability after 6 months.
  • No significant surgical complications; mild, transient edema and bruising were common.
  • High patient satisfaction reported, with malar and lateral cheek regions showing favorable outcomes.

Conclusions:

  • Lipofilling is a safe, effective, and reproducible technique for refining facial asymmetry after maxillo-mandibular correction.
  • Composite procedures combining orthognathic surgery and fat grafting offer customizable aesthetic solutions.
  • Treatment success is influenced by the specific facial aesthetic subunits addressed.