Frontal augmentation as an adjunct to orthognathic or facial contouring surgery.
10.1186/s40902-016-0084-y
- Author:
Young Wook PARK
1
Author Information
1. Department of Oral and Maxillofacial Surgery, College of Dentistry, Gangneung-Wonju National University, 7 Jukheon-gil, Gangneung, 210-702 South Korea. ywpark@gwnu.ac.kr
- Publication Type:Case Report
- Keywords:
Esthetic frontal augmentation;
Silicone implant;
Dentofacial deformity
- MeSH:
Dentofacial Deformities;
Esthetics;
Facial Asymmetry;
Female;
Forehead;
Fungi;
Humans;
Osteotomy;
Silicon;
Silicones;
Surgical Procedures, Operative;
Young Adult
- From:Maxillofacial Plastic and Reconstructive Surgery
2016;38(10):37-
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: The dimensions and shape of the forehead determine the esthetics of the upper third of the face. Korean young people consider a broad and smooth, rounded forehead more attractive. As a result, frontal augmentation becomes more popular in patients with dentofacial deformities. Various surgical procedures and materials have been used in frontal augmentation surgery, with associated advantages and disadvantages. Silicone is a good candidate for frontal augmentation. The author presents two cases of esthetic frontal augmentation with a prefabricated silicone implant in female patients with dentofacial deformities. CASE PRESENTATION: In case 1, a 24-year-old female patient underwent frontal augmentation surgery with simultaneous maxillomandibular and zygomatic osteotomies to correct facial asymmetry. A silicone implant was fabricated preoperatively using a positive template stone mold of her forehead. In case 2, a 23-year-old female patient underwent total facial contouring surgery including frontal augmentation for improved facial esthetics. A computed tomography (CT)-guided rapid prototype (RP) model was used to make the silicone implants. The operative procedure was safe and simple, and the silicone implants were reliable for a larger degree of frontal augmentation. Six months later, both patients had recovered from the surgery and were satisfied with their frontal shape and projection. CONCLUSIONS: Frontal augmentation with silicone implants can be an effective adjuvant strategy to improve facial esthetics in patients with a flat and narrow forehead who undergo orthognathic reconstruction or total facial contouring surgery.
