Cosmetic Jaw Surgery
Genioplasty is a procedure that corrects the chin position. Frequently providing augmentation or greater projection (for people with weak chins). But it can correct asymmetry, and make a chin that is too prominent less so. Genioplasty can entail cutting and repositioning one’s own bone (osseous genioplasty), shaving down the bone, or utilizing an implant (silicone, polyethylene, PEEK, or titanium).[1] [2]
Jaw augmentation is considered for patients with an ill-defined jawline or lack of jaw angles. Typically this is achieved using a jawbone implant that can be off the shelf, or custom. These implants can be of various materials including silicone, polyethylene, PEEK, or titanium. Additionally bone graft materials can sometimes be used for jaw augmentation. Also less invasive “filler” like fat grafting, restylane, juvederm, and radiesse can be used for nonsurgical jaw augmentation.[3]
Malar or midface augmentation can also be performed to create more defined cheeks or upper jaw regions. The same materials or implants can be used to achieve this cosmetic balance. Fat grafting and non-invasive injectables can also enhance the upper jaw, cheeks, and midface.[4]
Jaw reduction in cases where areas of the jawbone are too large, prominent, or asymmetric. To soften or change contours of the jaw regions can be shaved down, contoured, or removed. This can be performed at the setting of orthognathic jaw surgery as well.[5]
V-Line surgery. This refers to a series of procedures, typically sought after in patients with wide zygomatic regions (cheek, malar), and wide and square mandibular angles, and a short, wide chin. The goal is to narrow the face progressively from the malar regions to the chin, creating the appearance of the V-line. These series of procedures are frequently sought after in Asian patients.[6]
Fat Grafting and Jaw Surgery. Fat injections from the patient at the time of jaw contouring, augmentation, or orthognathic surgery is an excellent cosmetic adjunct as well. Reports have shown that this improves the cosmetic result, and can reduce swelling, improve healing (due to growth factors, and adipose derived stem cells), and optimizes aesthetics.[7] [8][9][10][11][12]
Rhinoplasty and Jaw Surgery. The appearance of the nose can be altered due to jaw movements (principally the maxilla in a Le Fort-I osteotomy). In cases where the nasal function and appearance is enhanced, this is ideal. In other cases, either a nasal deformity exists to begin with, or a nasal deformity is created from the Le Fort-I osteotomy, a rhinoplasty may be required. This can be done either at the same time as cosmetic jaw surgery (simultaneous), or at some point later in time (staged).[13][14][15][16][17]
References
- ↑ Kim, Yunsoo A.; Steinbacher, Derek M. (August 2014). "Demineralized bone-fibrin sandwich for genioplasty". Aesthetic Plastic Surgery. 38 (4): 755–758. doi:10.1007/s00266-014-0362-y. ISSN 1432-5241. PMID 24938690. Unknown parameter
|s2cid=ignored (help) - ↑ May, Jeremy; Steinbacher, Derek M. (2019), "Chin and Submental Aesthetics", Aesthetic Orthognathic Surgery and Rhinoplasty, John Wiley & Sons, Ltd, pp. 289–329, doi:10.1002/9781119187127.ch12, ISBN 978-1-119-18712-7, retrieved 2021-04-10
- ↑ "Jaw Implants: What to Expect, Pictures, Procedure, and More". Healthline. 2020-06-24. Retrieved 2021-04-10.
- ↑ "Mid-facial augmentation with malar implants". The PMFA Journal. Retrieved 2021-04-10.
- ↑ Rodman, Regina (August 2017). "Cosmetic bone contouring". Current Opinion in Otolaryngology & Head and Neck Surgery. 25 (4): 337–340. doi:10.1097/MOO.0000000000000370. ISSN 1531-6998. PMID 28504986. Unknown parameter
|s2cid=ignored (help) - ↑ Lee, Tae Sung; Park, Sanghoon (October 2020). "Contouring the Mandible for Aesthetic Enhancement in Asian Patients". Facial Plastic Surgery: FPS. 36 (5): 602–612. doi:10.1055/s-0040-1717080. ISSN 1531-6998. PMID 33368083 Check
|pmid=value (help). - ↑ Iyengar, Rajiv J.; Gabrick, Kyle; Bruckman, Karl; Steinbacher, Derek M. (May–June 2019). "Fat Grafting in Orthognathic Surgery". The Journal of Craniofacial Surgery. 30 (3): 639–643. doi:10.1097/SCS.0000000000005362. ISSN 1536-3732. PMID 30817538. Unknown parameter
|s2cid=ignored (help) - ↑ Cabrejo, Raysa; Sawh-Martinez, Rajendra; Steinbacher, Derek M. (May–June 2019). "Effect of Fat Grafting on Postoperative Edema After Orthognathic Surgery". The Journal of Craniofacial Surgery. 30 (3): 698–702. doi:10.1097/SCS.0000000000005287. ISSN 1536-3732. PMID 30807474. Unknown parameter
|s2cid=ignored (help) - ↑ Lindenblatt, Nicole; van Hulle, Astrid; Verpaele, Alexis M.; Tonnard, Patrick L. (September 2015). "The Role of Microfat Grafting in Facial Contouring". Aesthetic Surgery Journal. 35 (7): 763–771. doi:10.1093/asj/sjv083. ISSN 1527-330X. PMID 26038369.
- ↑ Raffaini, M.; Pisani, C. (March 2015). "Orthognathic surgery with or without autologous fat micrograft injection: preliminary report on aesthetic outcomes and patient satisfaction". International Journal of Oral and Maxillofacial Surgery. 44 (3): 362–370. doi:10.1016/j.ijom.2014.12.017. ISSN 1399-0020. PMID 25617153.
- ↑ Cabrejo, Raysa; DeSesa, Christopher R.; Sawh-Martinez, Rajendra; Steinbacher, Derek M. (November 2017). "Does Fat Grafting Influence Postoperative Edema in Orthognathic Surgery?". The Journal of Craniofacial Surgery. 28 (8): 1906–1910. doi:10.1097/SCS.0000000000003821. ISSN 1536-3732. PMID 28906330. Unknown parameter
|s2cid=ignored (help) - ↑ Wang, Yu-Ching; Wallace, Christopher Glenn; Pai, Betty Chien-Jung; Chen, Hui-Ling; Lee, Yueh-Tse; Hsiao, Yen-Chang; Chang, Chun-Shin; Liao, Yu-Fang; Chen, Philip Kuo-Ting; Chen, Yu-Ray (March 2017). "Orthognathic Surgery with Simultaneous Autologous Fat Transfer for Correction of Facial Asymmetry". Plastic and Reconstructive Surgery. 139 (3): 693–700. doi:10.1097/PRS.0000000000003113. ISSN 1529-4242. PMID 28234849.
- ↑ Khamashta-Ledezma, Leila; Naini, Farhad B.; Manisali, Mehmet (2017). "Review of nasal changes with maxillary orthognathic surgery". Journal of Istanbul University Faculty of Dentistry. 51 (3 Suppl 1): S52–S61. doi:10.17096/jiufd.09789. ISSN 2149-2352. PMC 5750828. PMID 29354309.
- ↑ Worasakwutiphong, Saran; Chuang, Ya-Fang; Chang, Hsin-Wen; Lin, Hsiu-Hsia; Lin, Pei-Ju; Lo, Lun-Jou (February 2015). "Nasal changes after orthognathic surgery for patients with prognathism and Class III malocclusion: Analysis using three-dimensional photogrammetry". Journal of the Formosan Medical Association. 114 (2): 112–123. doi:10.1016/j.jfma.2014.10.003. ISSN 0929-6646.
- ↑ Manisali, Mehmet; Khamashta-Ledezma, Leila (2016-12-23), "Rhinoplasty and Nasal Changes In Relation to Orthognathic Surgery", Orthognathic Surgery, Chichester, UK: John Wiley & Sons, Ltd, pp. 724–738, doi:10.1002/9781119004370.ch48, ISBN 978-1-119-00437-0, retrieved 2021-04-10
- ↑ DeSesa, Chris; Tuggle, Charles; Steinbacher, Derek M. (2019), "Nasal Considerations and Orthognathic Surgery", Aesthetic Orthognathic Surgery and Rhinoplasty, John Wiley & Sons, Ltd, pp. 421–445, doi:10.1002/9781119187127.ch16, ISBN 978-1-119-18712-7, retrieved 2021-04-10
- ↑ Sun, Alexander H.; Steinbacher, Derek M. (February 2018). "Orthognathic Surgery and Rhinoplasty: Simultaneous or Staged?". Plastic and Reconstructive Surgery. 141 (2): 322–329. doi:10.1097/PRS.0000000000004020. ISSN 1529-4242. PMID 29369984. Unknown parameter
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