Abstract
Modern approach in orthofacial surgery focus on enhancing not only dentoskeletal discrepancies but contextually facial aesthetic refinement [1-6]. In case of skeletal disharmony and concave profile, Le Fort I osteotomy for maxillary advancement could result in dissatisfaction for midface contour flattening that could become more evident postoperatively. Thus, midface irregularities in orthofacial surgery are absolutely a paramount topic for the maxillo-facial surgeon that should refer to the most suitable approach to enhance outcomes and satisfaction rates, as patient specific implants (PSI), osteotomy lines modification and facial soft tissue contouring as Bichat paddle or buccal fat pad (BFP) grafting. Thus we describe our experience to succeed midface aesthetic improvement in orthofacial surgery by a novel approach in BFP transposition.
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