Combined plastic surgery for inferior facial enlargement

VernacularTitle:下面部宽大综合整形
Author: Wenlin YU ; Dong ZENG ; Qin LI ; Yongbo LIU
Publication Type:Journal Article
Keywords: Face contour; Mandibular angle; Osteotomy
From: Chinese Journal of Medical Aesthetics and Cosmetology 2009;15(4):247-249
CountryChina
Language:Chinese
Abstract: Objective To study the convenient, safe and effective surgical intervention methods for correcting prominent wide lower face. Methods According to the wideness of mandibular angles, single or combined surgical treatments were performed by an intraoral approach under nerve block and local infiltration anesthesia, such as grinding mandibular angles, curved osteotomy of the angles and osteotomy of ascending ramus outer layer, partial masseter muscle resection, partial buccal fat pad removal and liposuction of cheek to reconstruct the whole lower face contour. Resnlts In the 71 cases followed up for 4 to 24 months, 60 cases were excellent, 9 were acceptable and 2 were unsatisfactory. The total satisfactory rate was 97 %. Conclusion According to the characteristics of prominent wide lower face, single or combined surgical treatments are performed to reconstruct the bone and soft tissue of lower face. This operative method is simple, safe and consistent with cosmetic surgery principle with little complications.