Reduction mandibuloplasty for facial aesthetic enhancement in western women - a case report

Gustavo Almeida Souza,Paulo Henrique Luiz De Freitas,Renato Da Costa Ribeiro,Francisco Azevedo

doi:10.14393/bj-v32n3a2016-32080

Abstract

This paper reports on the case of a Western female patient with square jaw and low mandibular angle deformity who sought treatment for aesthetic facial enhancement. While face-narrowing surgical procedures are especially popular among Asian women, there seems to be a general, cross-cultural agreement that a beautiful female face should be oval and slender. Under general anesthesia, intra-oral incisions were performed bilaterally to approach the mandibular angles. After periosteal elevation, bilateral corticectomies of the mandibular rami and “V” ostectomies of the mandibular base were executed. Postoperative recovery was uneventful. Six months after surgery, the patient’s face was not only rounder and gentler in the frontal view, but also showed an evident increase of the gonial angles in the profile and three-quarter views.

Highlights

The square jaw with low angle deformity, commonly referred to as “square face”, is a condition defined by a gonial angle between 120 and 90 degree accompanied by a mandibular plane angle lower than 30 degrees, which results in a face with a flat mandibular outline (HSU et al, 2010)
When combined with masseteric hypertrophy, it results in the characteristic “square face” (DEGUCHI et al, 1997)
A combined approach naturally followed, with mandibular angle resection being performed concomitantly with angle-splitting ostectomy, which enabled the narrowing of the lower face and the improvement of the mandibular plane with a single procedure (HWANG et al, 2004; CHEN et al, 2013)

Summary

Case Report

REDUCTION MANDIBULOPLASTY FOR FACIAL AESTHETIC ENHANCEMENT IN WESTERN WOMEN - A CASE REPORT. MANDIBULOPLASTIA DE REDUÇÃO PARA MELHORIA ESTÉTICA FACIAL NA MULHER OCIDENTAL - RELATO DE CASO. Gustavo Almeida SOUZA1; Renato da Costa RIBEIRO1; Francisco AZEVEDO2; Paulo Henrique Luiz de FREITAS3. 1. Graduate Student, Department of Oral Diagnosis, Division of Oral and Maxillofacial Surgery, Piracicaba Dental School, State University of Campinas- UNICAMP, Piracicaba, Brazil; 2. Oral and Maxillofacial Surgeon, Department of Oral and Maxillofacial Surgery, Mário Gatti City Hospital, Campinas, Brazil; 3. Tenure-track Professor, Department of Dentistry, Federal University of Sergipe at Lagarto, Brazil

INTRODUCTION

CASE REPORT