面部轮廓整形新进展-- 下颌角 及 颧弓 的微创无痕整形
仁济医院倡导 安全 健康的 科学整形美容
Experience in Oriental Facial Recontouring: Reduction Malarplasty and Mandibular Reshaping
YANG Jun-yi, XU Hai-song, MU Xiong-zheng.
ABSTRACT Objective: To reviewed facial contouring surgery both malarplasty and mandible reshaping to establish optional, effective, and reliable surgical protocals.
Methods: Several ideal techniques either zygoma arch reduction or mandible angle reduction have been employed since 2002. We applied wedge-section osteotomy in reduction of zygomatic arch and inclined-fullness osteotomy in reduction of mandibular angle and margin in recent cases. Osteotomies were selected according to personal experience and deal setting communicated with patients. In middle face, the wedge-section zygoma osteotomy was undergone in the lower zygomatic body via intraoral approach and greenstick fracture of the posterior zygomatic arch through a tiny anterio-auricular incision. While in lower face, inclined-fullness osteotomy in mandibular angle and margin was used to reshape the contouring appearance.
Results: 585 cases was reviewed in this study. Intraoral incision was dominant access in both osteotomies. Wedge-section zygoma osteotomy was more effective and reliable as compared with other conventional methods. More than half of the cases in mandibular reshaping have been operated included both reduction of mandibular angle and shaving of mandibular margin with good results and less complications.
Conclusion: Intraoral zygoma reduction and/or mandibular reshaping are selected as common procedures to deal with the oriental facial contouring surgery.