- Author:
June Bok LEE
1
;
Jin Woo HAN
;
Jun Hyung PARK
;
Kyung Hee MIN
Author Information
- Publication Type:Original Article
- Keywords: Mandible; Chin; Genioplasty
- MeSH: Bone Resorption; Chin; Far East; Follow-Up Studies; Genioplasty; Humans; Korea; Mandible; Methods*; Osteotomy
- From:Archives of Plastic Surgery 2018;45(6):572-577
- CountryRepublic of Korea
- Language:English
- Abstract: BACKGROUND: Mandibular contouring surgery to produce a more slender and small face has become popular, especially in East Asia. Narrowing genioplasty should be simultaneously performed with mandibular angle resection to achieve satisfactory results. In Korea, T-genioplasty has been frequently performed for chin narrowing. The authors developed a new, safe, and reliable method, termed M-genioplasty, that can provide a more slender and attractive lower face. METHODS: From June 2013 to December 2017, 36 patients underwent M-genioplasty with mandibular angle resection for lower facial contouring. Horizontal and vertical osteotomies were performed obliquely. The resected bone segments were wedge-shaped. The remaining two bone segments were rotated and approximated centrally. The lateral mandible bony stepoff was trimmed off for mandibular angle resection. RESULTS: In all patients, the facial contour sufficiently improved, and most patients were satisfied with the outcome. No severe complications took place during postoperative follow-up. CONCLUSIONS: M-genioplasty can provide more mandibular angle resection and can create a more acute chin angle without bone resorption than other methods, including T-genioplasty. M-genioplasty with mandibular angle resection is a safer, more accurate, and more reliable method for lower facial contouring.