Lower facial contouring surgery using a novel method: M-genioplasty

Lee, June Bok; Han, Jin Woo; Park, Jun Hyung; Min, Ki‐Bok

doi:10.5999/aps.2018.00682

Cited by 8 publications

(3 citation statements)

References 15 publications

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“…5). 9,10 Most previous studies defined or recognized a long face through the absolute linear measurement from the midfrontal hairline to the tip of the chin in the frontal view. Relevant operations involved reducing the vertical length seen in the frontal view, such as chin reduction surgery or lowering the forehead height.…”

Section: Discussionmentioning

confidence: 99%

Hairline correction by hair transplantation for reducing apparent face length in long face females

Park¹,

Suh²

2022

Plastic &Amp; Reconstructive Surgery

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Background: The long-face morphology is associated with aesthetic concerns, and surgery is often necessary to correct excess length in the frontal plane, in the upper, middle, and lower thirds of the face. However, correcting midline facial length in the frontal plane alone does not provide facial harmony. This study introduces a novel approach to correcting long-face morphology using measurements in the frontal, oblique, and lateral views, and reducing hairline measurements using hair transplants. Methods: Eighty-three patients were enrolled in the study. The authors measured the midline facial length in the frontal plane and the lengths of the upper, middle, and lower thirds of the face. The authors also measured four additional distances in the oblique and lateral views, including the distance from the infratemporal hairline to the chin and from the sideburn to the chin. The patients’ midfrontal hairlines were lowered, and the distances from the infratemporal hairline to the chin and from the sideburn to the chin were also shortened. The results were evaluated by patients and the surgeon using a five-point Likert scale. Results: The mean patient Likert score was 4.5 (range, 3 to 5), and the mean surgeon Likert score was 4.9 (range, 3 to 5). No patients experienced adverse events. Three patients required touch-up surgery at the recipient sites to increase the hair density. Conclusion: This novel approach to correcting long-face morphology using hair transplants to decrease hairline measurements provided excellent facial harmony and symmetry. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.

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Section: Discussionmentioning

confidence: 99%

Hairline correction by hair transplantation for reducing apparent face length in long face females

Park¹,

Suh²

2022

Plastic &Amp; Reconstructive Surgery

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“…Most of the cases did not require significant advancements and hence, rigid fixation plates and screws were applied after performing chin narrowing and shift correcting the asymmetry. There were two cases where M-osteotomy was performed according to the technique of Lee et al (2018) where no vertical augmentation was indicated [8]. Another two cases required modified M-osteotomy of the chin with additional advancement according to [9].…”

Section: Discussionmentioning

confidence: 99%

Esthetic Surgery of the Chin in Cis- and Transgender Patients—Application of T-Genioplasty vs. Single-Piece Segment Lateralization

Pokrowiecki,

Šufliarsky,

Jagielak

2024

Medicina

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Background and Objectives: Correction of lower face asymmetry still remains challenging in maxillofacial surgery. This report describes techniques for the lateral transposition of the symphyseal segment to restore lower face symmetry while maintaining gender-related features in cis- and transgender patients. Materials and Methods: A retrospective review of medical records of 31 patients who attended for esthetic corrective surgery after orthodontic camouflage or orthognathic treatment, or during facial feminization of the lower face between June 2021 and June 2023 was performed. Result: All patients underwent lateralization genioplasty (with or without advancement or setback), either with or without narrowing T-osteotomy supplemented with necessary procedures in order to obtain proper facial balance and desired esthetical effects, such as bichectomy, liposuction, and face and neck lift. The mean asymmetry of the chin was 5.15 mm and was surgically corrected either by single segment lateralization or T-shape narrowing genioplasty depending on the gender and esthetical requirements. No complications were reported. Conclusions: Lateral shift genioplasty serves as a powerful tool in primary and secondary corrective surgery for lower face asymmetry that maintains gender-specific facial features. It may serve either as an additive to orthodontic camouflage or a way to correct previous orthognathic surgery pitfalls. The surgeon performing esthetic genioplasty associated with gender-specific expectations must be trained in facelift and facial liposculpting techniques in order to provide the best results and properly choose the right procedures for the right patients.

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“…Multiple approaches for narrowing genioplasty have been described to correct broad or square chins. [4][5][6][7][8][9][10][11][12][13][14][15][16] First, the T-shaped osteotomy method has been the most widely performed for narrowing genioplasty. 6,12,14,16,17 This procedure involves central bone segment resection with horizontal and two vertical osteotomies followed by reapproximation of the bone fragments of each side.…”

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confidence: 99%

A New Concept of Narrowing Genioplasty: Home Plate–Shaped Sliding Osteotomy

Hirohi¹

2021

Plastic &Amp; Reconstructive Surgery

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Background: Narrowing genioplasty is commonly performed among East Asian populations, as a broad and/or square chin can be aesthetically unappealing. This study was aimed to introduce the home plate-shaped sliding osteotomy technique for narrowing genioplasty and to evaluate the results of this technique. Methods: A retrospective chart review of 117 patients who underwent home plate-shaped sliding osteotomy alone between 2011 and 2019 was performed. The angles of oblique osteotomy lines and measurements of caudal repositioning, which significantly affect the postoperative chin shape, were evaluated. Results: The home plate-shaped sliding osteotomy technique was successfully accomplished for narrowing genioplasty as an isolated procedure. The mean distance of caudal repositioning was 3.9 ± 0.8 mm, and the mean angles of oblique osteotomy lines were 23.3 ± 4.8 degrees on the right and 21.8 ± 3.5 degrees on the left. This produced an aesthetically pleasing rounded and proportionately narrow chin. The incidence of minor complications was 6.0 percent. There were no major complications. In particular, the risk of inferior alveolar nerve injury was obviated, as an additional mandibular border osteotomy was not typically used with this technique. Conclusions: This new surgical procedure for narrowing genioplasty provides improved aesthetic results by altering the chin shape, rather than reducing the transverse width of the chin. The versatility of this procedure allows the chin shape to be adjusted with respect to narrowing, vertical lengthening, anterior advancement, and asymmetric or cleft chin correction. The present study suggests that home plate-shaped sliding genioplasty may be an excellent alternative for correcting broad and/or square chins and more complex chin deformities.

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Lower facial contouring surgery using a novel method: M-genioplasty

Cited by 8 publications

References 15 publications

Hairline correction by hair transplantation for reducing apparent face length in long face females

Hairline correction by hair transplantation for reducing apparent face length in long face females

Esthetic Surgery of the Chin in Cis- and Transgender Patients—Application of T-Genioplasty vs. Single-Piece Segment Lateralization

A New Concept of Narrowing Genioplasty: Home Plate–Shaped Sliding Osteotomy

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