Optimizing Facial Esthetics in the Orthognathic Surgery Patient

O’Ryan, Felice; Lassetter, Jeremy

doi:10.1016/j.joms.2010.11.012

Cited by 25 publications

(14 citation statements)

References 66 publications

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“…1,2 Facial symmetry is one of the key factors of harmonious function and esthetically pleasing appearance. The interrelationship and symmetrical proportionality of the components of the face including the nose, eyes, lips and chin are important for the esthetic success of treatment.…”

Section: Introductionmentioning

confidence: 99%

Natural Head Postures of Patients With Facial Asymmetry in Frontal View Are Corrected After Orthognathic Surgeries

Kim

Kang²,

You³

et al. 2016

Journal of Oral and Maxillofacial Surgery

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Section: Introductionmentioning

confidence: 99%

Natural Head Postures of Patients With Facial Asymmetry in Frontal View Are Corrected After Orthognathic Surgeries

Kim

Kang²,

You³

et al. 2016

Journal of Oral and Maxillofacial Surgery

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“…Apesar de a percepção da beleza depender de preferência individual, hoje existe um conceito universal de estética, em que as preferências atrativas numa face independem de convenções culturais. (O'RYAN;LASSETER, 2011) A melhora da estética facial é um dos principais motivos pelos quais os pacientes buscam o tratamento ortodôntico e a associação com a cirurgia ortognática é cada vez mais aceita para alcançar a face desejada. Na prática ortodôntica, a beleza e o equilíbrio no perfil facial são prioridades durante o tratamento, principalmente no planejamento.…”

Section: Introductionunclassified

Mudanças no perfil facial após cirurgia de avanço de mento

Cabral

Filho

Machado

2012

cmbio

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ResumoIntrodução: A cirurgia ortognática de avanço de mento, realizada de forma isolada, tem sido cada vez mais indicada para a correção de deficiência anterior da mandíbula, harmonizando o perfil e promovendo mudanças funcionais. Objetivo: Assim, este estudo teve como finalidade avaliar os reais efeitos da cirurgia de avanço de mento no perfil facial. Metodologia: A amostra constou de 22 radiografias cefalométricas de perfil de 11 indivíduos que se submeteram à cirurgia de mentoplastia de avanço isolada. Destas radiografias, 11 retratavam o período imediatamente pré-cirúrgico (T0) e 11 o pós-cirúrgico, de pelo menos quatro meses (T1). As radiografias foram digitalizadas e transferidas para o programa Dolphin® Imaging 11.0 (Dolphin Imaging and Management Solutions, Chatsworth, Calif., EUA), por meio do qual foram feitas as medições entre os pontos demarcados. Resultados: Os resultados mostraram uma diminuição da convexidade facial esquelética (Convex), assim como da projeção do lábio inferior (Li-LH) e da distância do ponto subnasal em relação à linha H. O ângulo facial aumentou e, consequentemente, diminuiu o ângulo H. Conclusão: A cirurgia ortognática de avanço de mento, feita de forma isolada, promove mudanças faciais que favorecem o perfil do indivíduo. Uma posição mais anterior do mento diminui a convexidade facial, melhora o posicionamento do lábio inferior e, como consequência, pode promover um selamento labial passivo. Palavras-chave: Cirurgia ortognática. Queixo. Cefalometria. AbstractIntroduction: Orthognathic surgery to advance chin conducted in isolation, has been increasingly used for the correction of anterior mandibular deficiency, harmonizing the profile and promoting functional changes. Objective: Thus, this study was to evaluate the real effects of surgical treatment in advance of the facial profile. Methods: The sample consisted of 22 profile cephalometric radiographs of 11 patients who underwent genioplasty surgery of isolated chin advancement. From these radiographs, 11 portrayed the period immediately before surgery (T0) and 11 post-surgery at least four months (T1). The radiographs were digitized and transferred to the Dolphin ® Imaging Program 11.0 (Dolphin Imaging and Management Solutions, Chatsworth, Calif., USA), through which the measurements were made between the points marked. Results:The results showed a decrease in skeletal face convexity (Convex) as well as the projection of the lower lip (Li, LH) and the projection of the distance from subnasal point in relation to line H. The facial angle increased, and consequently reduced the angle H. Conclusion: Chin advancement orthognathic surgery performed in isolation promotes facial changes that favor the profile of the individual. A more anterior position of the chin decreases the face convexity, improves the positioning of the lower lip, and, consequently, can promote a passive lip seal.

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“…Currently, surgical planning should contemplate symmetry, proportion, and, above all, facial harmony [1]. In order to maximize the benefits of surgery, however, it may be necessary to focus on supporting procedures to optimize esthetics [2].…”

mentioning

confidence: 99%

Orthognathic Surgery Combined with Partial Lipectomy of the Buccal Fat Pad: Case Report on Optimization of Esthetic Outcome

Marlière¹,

Lovisi²,

Schmitt³

et al. 2017

JPP

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Abstract:Orthognathic surgery involves correction of functional and often esthetic disharmonies. The purpose of this case report is to present the case of a 22 years-old female with class III dentofacial deformity that required orthognathic surgery to treat her malocclusion and buccal fat pad excision for optimizing soft-tissue facial contour. Treatment planning involved a counterclockwise rotation of the maxilomandibular complex with genioplasty based on digital 3D surgical planning using the Dolphin Imaging ® 11.7 3DPremium software. Prototyping splints allowed surgical procedures (bilateral sagital mandibular osteotomy associated to a Le fort I osteotomy) that corrected position of the gnathic bones. In the same surgical procedure, the buccal fat pad was partially removed for a sharp cheek contour giving a slimmer appearance to her face. After 5 months, the patient was reassessed and reported no complaints regarding esthetics or function. This case illustrates that a combination of orthognathic surgery and an esthetic procedure can result in a stable and harmonious facial as well as occlusal outcomes.

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Optimizing Facial Esthetics in the Orthognathic Surgery Patient

Cited by 25 publications

References 66 publications

Natural Head Postures of Patients With Facial Asymmetry in Frontal View Are Corrected After Orthognathic Surgeries

Natural Head Postures of Patients With Facial Asymmetry in Frontal View Are Corrected After Orthognathic Surgeries

Mudanças no perfil facial após cirurgia de avanço de mento

Orthognathic Surgery Combined with Partial Lipectomy of the Buccal Fat Pad: Case Report on Optimization of Esthetic Outcome

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