Premature aging of the face after orthognathic surgery

Dussen, Frans Noorman van der; Egyedi, P

doi:10.1016/s1010-5182(05)80051-4

Cited by 19 publications

(7 citation statements)

References 1 publication

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“…7,8 Maxillomandibular soft tissue is affected by skeletal changes after orthognathic surgery. [9][10][11][12] Midfacial soft tissues such as the upper lip and the nasal structure change remarkably after Le Fort I osteotomy, which results in alar width widening or nasal tip projection. 10,11 Mandibular asymmetry has various patterns because they are affected by the position and the shape of the mandible and the overlying soft tissue.…”

Section: Methodsmentioning

confidence: 99%

“…In general, most patients are satisfied with functional improvements (ie, occlusion, masticatory ability, and pronunciation) after OGS. It was reported that 89% to 95% of patients were generally satisfied with the esthetic results of OGS, 7–9 whereas there were also reports that the results were inadequate or did not meet the patient’s expectations 10,11 . In addition to esthetic problems, patients complain of dissatisfaction even when functional improvement cannot meet their expectations or intra/postoperative complications are severe.…”

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confidence: 99%

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Causes of Reoperation Consultation and Clinical Review of Actual Reoperation After Previous Orthognathic Surgery

Kim

Lee

et al. 2023

Journal of Craniofacial Surgery

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Objective: To investigate the causes of reoperation consultation, and the actual percentage and procedures of reoperation after previous orthognathic surgery. Methods: The samples consisted of 30 patients who visited our clinic for reoperation consultation from October 2015 to September 2021 (6 males and 24 females; mean age at reoperation consultation, 28.4 y). Patient’s causes of reoperation consultation were divided into “esthetic dissatisfaction,” “airway changes,” “temporomandibular disorders,” “uncomfortable occlusion,” and “other complications”. In terms of esthetic dissatisfaction, the more detailed esthetic problem was evaluated by the clinical chart, facial photographs, and radiographs. In patients who actually underwent reoperation, the actual percentage and procedures of reoperation were investigated. Results: The most prevalent causes for reoperation consultation were “esthetic dissatisfaction” (n = 21, 70.0%), followed by “airway changes” (n = 11, 36.7%), “uncomfortable occlusion” (n = 8, 26.7%), “other complications” (n = 5, 16.7%), and “temporomandibular disorder” (n = 4, 13.3%). Less than half of patients actually underwent reoperation (n = 13, 43.3%). Actual reoperation procedures included minor revision surgery, reconstruction surgery, or complete reoperation according to the patient’s need. In case of complete reoperation, more accurate and predictable results were obtained by using virtual surgical planning, customized surgical guides, titanium surgical plates made with computer-aided design and computer-aided manufacturing technique, and a 3-dimensional printing method. Conclusion: It is important to communicate with patients about expectations for facial esthetic improvement by orthognathic surgery for obtaining the patient’s postoperative satisfaction.

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Section: Methodsmentioning

confidence: 99%

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confidence: 99%

Causes of Reoperation Consultation and Clinical Review of Actual Reoperation After Previous Orthognathic Surgery

Kim

Lee

et al. 2023

Journal of Craniofacial Surgery

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“…2 The disadvantages of applying to PRS without a home program is compounded by this change. 3,4 Attending a medical school with an affiliated PRS program provides interested students increased exposure, more research opportunities, and. if earned, strong LORs from well-respected faculty.…”

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confidence: 99%

“…Successfully matched students from medical schools with established integrated PRS residency programs match into higher-ranked programs than those whose institutions have no affiliated programs. 4 There has been no discussion regarding the implications for prospective applicants who face this disadvantage: no home PRS program and a Step 1 pass-fail scoring system. With a lack of standardized comparison among medical students, program directors will lose the only standardized, unbiased assessment to compare applicants from different medical schools directly.…”

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confidence: 99%

The Unintended Consequences of Pass-Fail Step 1 on the Prospective PRS applicant with no Home Institution

Deldar

Hawa

Rashid

et al. 2022

Plastic &Amp; Reconstructive Surgery

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“…The degree of natural soft-tissue contraction that occurs in response to skeletal reduction is variable and can ultimately result in soft-tissue excess. 2–4 Disruption of ligaments also contributes to soft-tissue laxity and a deflated soft-tissue envelope. 5 The well-documented effects of skeletal contraction that occur with age require due consideration, as these inevitably contribute to inadequate soft-tissue support.…”

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confidence: 99%

Managing the Soft Tissue Envelope in Facial Feminization Surgery: Filling and Tightening Surgical Approaches

Luby

Morrison

Vercler

et al. 2022

Plastic &Amp; Reconstructive Surgery

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It could also be combined with harvested fat, passed 10 times with a 1.2-mm Micronizer, and injected with a 1-mm blunt cannula with good clinical results. We continue to assess the need for further procedures based on resorption rates.The PRP preparation protocol requires the use of an anticoagulant, which has an important effect because acid-citrate-dextrose has a low pH, which may be detrimental to platelet concentrates and some patients have an allergic reaction to the citrate. Furthermore, acidcitrate-dextrose may add antiangiogenic, antiregenerative, and proinflammatory properties to PRP. 4 PRF continuously releases large amounts of growth factors, such as platelet-derived growth factor and vascular endothelial growth factor, for up to 28 days. The growth factors are related to revascularization and anti-inflammation that promote survival of the fat graft and subsequent incorporation into the recipient site. 5 These aspects make it a promising choice to promote fat graft survival in cosmetic and reconstructive procedures. We found that, by using the Micronizer to liquefy PRF, we were able to easily inject it alone into the tissue with optimal postoperative aesthetics.PRF has been shown to have better long-term release of growth factors compared with PRP but is more difficult to inject because of its denser state on preparation. However, PRF can be injected by liquefying it with a Micronizer or can be injected with fat grafts to improve survival. This procedure offers promising aesthetic and healing results because of the prolonged growth factor release that can stimulate cell proliferation. Additional research regarding the PRF injection technique and outcomes are warranted.

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Premature aging of the face after orthognathic surgery

Cited by 19 publications

References 1 publication

Causes of Reoperation Consultation and Clinical Review of Actual Reoperation After Previous Orthognathic Surgery

Causes of Reoperation Consultation and Clinical Review of Actual Reoperation After Previous Orthognathic Surgery

The Unintended Consequences of Pass-Fail Step 1 on the Prospective PRS applicant with no Home Institution

Managing the Soft Tissue Envelope in Facial Feminization Surgery: Filling and Tightening Surgical Approaches

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