Experience in East Asian facial recontouring: reduction malarplasty and mandibular reshaping

Archives of Facial Plastic Surgery
Xiongzheng Mu

Abstract

To review my experience in both malar reduction and mandibular reshaping techniques to establish optional, effective, and reliable surgical procedures. A square-shaped face is considered aesthetically unfavorable among East Asians; therefore, reduction malarplasty and mandibular reshaping are becoming more acceptable for aesthetic facial skeleton recontouring. The techniques of zygoma arch infracture or mandibular angle reduction were used until 2 alternative techniques were introduced in 2002: the wedge-section osteotomy in the malar complex and inclined-fullness osteotomy in the mandibular angle and margin. Both osteotomies were selected according to personal experience and communication with patients. The wedge-section zygoma osteotomy was performed in the lower zygomatic body via an intraoral approach and greenstick infracture of the posterior zygomatic arch through a tiny preauricular incision. The prominent malar complex could be reduced by being pressed inward and was stabilized only by surgical suture or self-stabilization without any fixation, and the latter method was chosen in my recent cases. For the lower face, I designed an inclined-fullness osteotomy to address the mandibular angle and margin along the diagonal o...Continue Reading

Citations

Jan 9, 2013·Aesthetic Plastic Surgery·Zhen ShaoTaichao Du
Oct 6, 2014·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Huanhuan WuChao Zhang
Mar 28, 2017·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Rui LeiJinghong Xu
May 16, 2017·Current Opinion in Otolaryngology & Head and Neck Surgery·Regina Rodman
Jun 28, 2019·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Atchima SuwanchindaNiamh Corduff
Jun 28, 2019·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Yates Yen Yu ChaoThorin L Geister
Jul 6, 2016·The Journal of Craniofacial Surgery·Sanghoon ParkTae Sung Lee
Dec 13, 2018·Annals of Plastic Surgery·Xi FuYing Chen
Jan 11, 2014·The Journal of Craniofacial Surgery·Junyi YangXiongzheng Mu

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