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Facial skeletal surgery in the aging face

E F Edwards

    Facial Plastic Surgery : FPS
    |July 1, 1996
    PubMed
    Summary

    Facial skeleton modifications using alloplastic augmentation, grafts, or osteotomy aid facial rejuvenation. Caution is advised for reductions in older patients due to soft tissue elasticity.

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    Area of Science:

    • Plastic Surgery
    • Oral and Maxillofacial Surgery
    • Aging and Rejuvenation

    Background:

    • Facial aging involves skeletal changes impacting aesthetics and function.
    • Surgical interventions can address age-related facial deformities.
    • Understanding skeletal dynamics is crucial for effective facial rejuvenation.

    Purpose of the Study:

    • To review surgical techniques for facial skeleton modification in facial rejuvenation.
    • To outline appropriate methods for different types of facial disharmonies.
    • To highlight considerations for managing age-related skeletal changes.

    Main Methods:

    • Review of alloplastic augmentation techniques.
    • Evaluation of on-lay grafting procedures.
    • Analysis of osteotomy and bony fragment repositioning for facial contouring.
    • Consideration of soft tissue response in aging patients.

    Main Results:

    • Alloplastic augmentation and on-lay grafts are effective for minor occlusal disharmonies.
    • Osteotomy and repositioning are necessary for extensive facial deformities.
    • Skeletal reductions require careful planning due to inelastic soft tissues in patients over 30.

    Conclusions:

    • Surgical modification of the facial skeleton is a valuable tool for facial rejuvenation.
    • The choice of technique depends on the extent and nature of the deformity.
    • Age-related changes in soft tissue elasticity necessitate cautious surgical planning.

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