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A patient with a square-shaped face who underwent wedge-section reduction malarplasty and inclined-fullness mandibular reshaping.

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Suture fixation also has merit in that the muscle attachment adheres to the zygomaticomaxillary buttress, and it plays a role in prevention of soft-tissue drooping.

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This preoperative analysis was helpful in determining the severity prominence of the malar complexes and lower facial appearance, which is beneficial in precisely estimating the amount of bone reduction that is needed.

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Three-dimensional computerized illustration of wedge-section osteotomy in a case of severe mandibular prominence: trapezoidal osteotomy.

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Purchase access Subscribe now. The osteotomy direction was usually started from the inner cortex to the outer cortex so that excessive dissection of the malar body could be avoided. Intraoral incision was the dominant method of access in both types of osteotomies. A pinhole was burred on the zygomaticomaxillary buttress, then nonabsorbable surgical suture was used for the zygomatic arch and masseter muscle reattachment. After that, split cortical osteotomy was performed to remove the half-thickness of the outer cortex, thus reducing the lateral projection of the lower face Figure 4. Dissection should be careful and meticulous to minimize the detachment of the masseteric muscle to the zygomatic arch and thus prevent postoperative cheek droop.

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5 thoughts on “Asian facial tube

  1. Because it just matters soooo much. I wonder what kind of floss he uses too.