By Harvey M. Rosen M.D., D.M.D (auth.)
Harvey M. Rosen, M.D., D.M.D., broadens the classy ambitions of maxillofacial surgey during this new, accomplished quantity on orthognathic surgical correction. within the paintings, Dr. Rosen, who has "changed the way in which so much surgeons paintings at the jaw and chin," (James Ferraro, President of the Maxillofacial Society), deals his personal own recommendations of jaw surgical procedure. a result of creation of the biotechnical advances that have stabilized skeletal displacement, Dr. Rosen is ready to emphasize the aesthetics of sentimental facial tissue corrections through redefining the pursuits of aesthetic surgery.
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Additional info for Aesthetic Perspectives in Jaw Surgery
There is now excessive anterior divergence. Note the overall convex facial profile. PREOPERATIVE A POSTOPERATIVE B FIG. 2-3 Another Class III patient treated with maxillomandibular advancement. There is now excessive anterior facial divergence and overall facial convexity. 28 PAR T 1 PRINCIPLES What about the vertical dimension? Can excessive height of the lower face (subnasale to menton) relative to the midface (glabella to subnasale) be aesthetically pleasing? Provided that it is unaccompanied by the aesthetic stigmata or visual tip-offs of a long face, quantitative vertical facial excess can be extraordinarily attractive (Fig.
Regardless of the reason, the aesthetic implications of inferior maxillary displacement must be put in its proper perspective: it not only exposes the maxillary teeth but it vertically expands the entire lower facial skeleton. It must be explained to the patient that this, in turn, will have an enormous impact on the support of the perioral soft tissues and help rejuvenate the entire lower face. Failure of the surgeon to effectively explain the aesthetic desirability of the recommended surgical plan and to resolve these qualitative perceptual differences represents a significant obstacle in achieving the mutual goals of an optimal aesthetic result and a satisfied patient.
Perspectives in Plastic Surgery 6:1, 1993. 15. : Problem Noses. In Aesthetic Rhinoplasty. St. Louis: Mosby, 1978, p. 370. 16. N. : Premature aging of the face after orthognathic surgery. ] Craniofac Surg 18:335, 1990. 17. W. : Maxillary stability following downgraft and/or advancement procedures with stabilization using rigid fixation and porous block hydroxyapatite implants. ] Oral Maxillofac Surg 47:336, 1989. 18. : Occlusal plane alterations in orthognathic surgery. ] Oral Maxillofac Surg 51:730, 1993.