Arch Plast Surg.  2018 Nov;45(6):572-577. 10.5999/aps.2018.00682.

Lower facial contouring surgery using a novel method: M-genioplasty

Affiliations
  • 1Mega Plastic Surgery Clinic, Seoul, Korea.
  • 2Department of Plastic and Reconstructive Surgery, Eulji General Hospital, Eulji University School of Medicine, Seoul, Korea. mkh797@hanmail.net
  • 3THE PLAN Plastic Surgery Clinic, Seoul, Korea.

Abstract

BACKGROUND
Mandibular contouring surgery to produce a more slender and small face has become popular, especially in East Asia. Narrowing genioplasty should be simultaneously performed with mandibular angle resection to achieve satisfactory results. In Korea, T-genioplasty has been frequently performed for chin narrowing. The authors developed a new, safe, and reliable method, termed M-genioplasty, that can provide a more slender and attractive lower face.
METHODS
From June 2013 to December 2017, 36 patients underwent M-genioplasty with mandibular angle resection for lower facial contouring. Horizontal and vertical osteotomies were performed obliquely. The resected bone segments were wedge-shaped. The remaining two bone segments were rotated and approximated centrally. The lateral mandible bony stepoff was trimmed off for mandibular angle resection.
RESULTS
In all patients, the facial contour sufficiently improved, and most patients were satisfied with the outcome. No severe complications took place during postoperative follow-up.
CONCLUSIONS
M-genioplasty can provide more mandibular angle resection and can create a more acute chin angle without bone resorption than other methods, including T-genioplasty. M-genioplasty with mandibular angle resection is a safer, more accurate, and more reliable method for lower facial contouring.

Keyword

Mandible; Chin; Genioplasty
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