Different Concepts Based on Literature in Acquiring Facial Aesthetics in Hidden Orthognathic Patients

Abstract

Objective: Due to the large number of patients with slight skeletal disorders but without any functional limitations and the fact that these patients resort to achieving a more aesthetic appearance by permanent, simple and less risky methods, it was aimed to evaluate the feasibility and success of different facial shaping surgeries and their current conditions for these types of patients according to the literature. Materials-Methods: This review was prepared by examining the literature and existing scientific studies, focusing on facial contour reshaping and facial fat pad repositioning surgeries. Surgical techniques, indications, advantages-disadvantages, results and patient satisfaction were evaluated. Results: To alter the shape of the face, malarplasty (Intraoral bony shaving, Bicoronal I-shape osteotomy, Intraoral I- or L-shape osteotomy, Intraoral and preauricular I- or L-shape osteotomy, Intraoral and preauricular wedge-sections osteotomy, Percutaneous osteotomy, and Transposition of fat pads), mandibular angloplasty (Mandibular lateral outer cortex splitting ostectomy, Mandibular angle ostectomy, V-line ostectomy), as well as Genioplasty may be performed. However, each procedure has its own risks and complications. Therefore, patient selection, presurgical evaluation, and postsurgical follow-up are important. Successful outcomes in face contouring surgeries can be achieved with proper patient selection and appropriate surgical planning. Conclusion: In achieving facial harmony, facial contour reshaping and fat pad repositioning surgeries have been found to be easier to perform, both in terms of patient satisfaction and because they are less invasive surgeries. These surgeries can also be designed customized for the patient and will be performed in combination.

Keywords

• Fat pads
• Orthognathic
• Reshaping

Gizli Ortognatik Hastalarında Yüz Estetiğinin Kazanılmasında Literatüre Dayalı Farklı Kavramlar

Abstract

Amaç: Hafif iskeletsel bozukluğu olan ancak fonksiyonel açıdan bir sınırlaması olmayan hasta sayısının fazla olması ve bu hastaların kalıcı, basit ve daha az riskli yöntemlerle daha estetik bir görünüm kazanmaya yönelmeleri nedeniyle, bu tip hastalar için farklı yüz şekillendirme ameliyatlarının uygulanabilirliği, başarısı ve güncel durumlarının literatüre göre değerlendirilmesi amaçlandı. Gereç-Yöntem: Bu derleme, literatür ve mevcut bilimsel çalışmalar incelenerek, yüz konturunun yeniden şekillendirilmesi ve yüz yağ yastıklarının yeniden konumlandırılması ameliyatlarına odaklanarak hazırlandı. Cerrahi teknikler, endikasyonlar, avantaj-dezavantajlar, sonuçlar ve hasta memnuniyeti değerlendirildi.. Bulgular: Yüz şeklini değiştirmek için, malarplasti (Ağız içi kemik traşı, Bikoronal I-şekilli osteotomi, Ağız içi I- veya L-şekilli osteotomi, Ağız içi ve preauriküler I- veya L-şekilli osteotomi, Ağız içi ve preauriküler wedge-sections osteotomi, Perkütan osteotomi ve yağ yastıklarının transpozisyonu), mandibular angloplasti (Mandibular lateral dış korteks bölme ostektomisi, Mandibular açı ostektomisi, V hattı ostektomisi) ve Genioplasti yapılabilir. Ancak, her prosedürün kendine özgü riskleri ve komplikasyonları vardır. Bu nedenle hasta seçimi, cerrahi öncesi değerlendirme ve cerrahi sonrası takip önemlidir. Doğru hasta seçimi ve uygun cerrahi planlama ile yüz şekillendirme ameliyatlarında başarılı sonuçlar elde edilebilir. Sonuç: Yüz uyumunun sağlanmasında, yüz konturunun yeniden şekillendirilmesi ve yağ yastığının yeniden konumlandırılması ameliyatlarının hem hasta memnuniyeti açısından hem de daha az invaziv ameliyatlar olması nedeniyle daha kolay uygulanabilir olduğu bulunmuştur. Bu ameliyatlar aynı zamanda hastaya özel olarak tasarlanabilmekte ve kombine olarak uygulanabilmektedir.

Keywords

• Yağ yastıkları
• Ortognatik
• Yeniden şekillendirme

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