Aesthetic Plastic Surgery

, Volume 18, Issue 3, pp 283–289 | Cite as

Refinement in aesthetic contouring of the prominent mandibular angle

  • Se-Min Baek
  • Rong-Min Baek
  • Myoung-Soo Shin


Oriental women, in general, greatly desire a more delicate and feminine facial shape. This can be obtained by contouring the prominent mandibular aangles that give a strong, masculine image. Western authors regarded masseteric muscular hypertrophy the main cause of a square facial appearance, so they usually corrected it by partially excising the masseter muscle. In the authors' view, a square facial appearance in the Oriental is not due to masseteric hypertrophy but to a posterior projection and lateral flaring of the mandibular aangle. However, it is sometimes difficult to make the square face narrow and ovoid by using only the conventional curved-aangle osteotomy. We divided patients, whose chief complaint was a square facial appearance, into three groups after clinical, photographic, and radiographic evaluation. We applied different contouring methods to each of the three groups and obtained cosmetically improved facial appearance in both lateral and frontal views.

Key words

Prominent mandibular aangle Curved osteotomy Tangential osteotomy 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Adams WA: Bilateral hypertrophy of the masseter muscle: An operation for correction (case report). Br J Plast Surg 2:78, 1949Google Scholar
  2. 2.
    Baek SM, Kim SS, Bindiger A: The prominent mandibular aangle: Preoperative management, operative technique and results in 42 patients. Plast Recontr Surg 83:272, 1989Google Scholar
  3. 3.
    Converse JM: Deformities of the jaws. In: Converse JM (ed): Reconstructive Plastic Surgery. Philadelphia: Saunders, 1977, p 1406Google Scholar
  4. 4.
    Gurney CE: Chronic bilateral benign hypertrophy of the masseter muscle. Am J Surg 73:137, 1947Google Scholar
  5. 5.
    Kalish GH, Gillis SS: Hypertrophy of the masseter or temporalis muscles or both. Am J Dis Child 121:346,1971Google Scholar
  6. 6.
    Kern AB: Masseter muscle hypertrophy. Arch Dermatol 69:558, 1954Google Scholar
  7. 7.
    Lash H: Benign masseteric hypertrophy. Surg Clin North Am 43:1357, 1963Google Scholar
  8. 8.
    Legg JW: Enlargement of the temporal and masseter muscles on both sides. Trans Pathol Soc (London) 31:361, 1880Google Scholar
  9. 9.
    Masters F, Georgiade NG, Pickrell K: The surgical treatment of benign masseteric hypertrophy. Plast Reconstr Surg 15:220, 1955Google Scholar
  10. 10.
    Maxwell JH, Waggoner RW: Hypertrophy of the masseter muscles. Ann Otol Rhinol Laryngol 60:538, 1951Google Scholar
  11. 11.
    Park CG, Yang DB: Mandibular contouring surgery for purely aesthetic reasons. Aesth Plast Surg 15:53, 1991Google Scholar
  12. 12.
    Riefkohl R, Georgiade GS, Georgiade NG: Masseter muscle hypertrophy. Ann Plast Surg 12:528, 1984Google Scholar
  13. 13.
    Wade WM, Roy EW: Idiopathic masseter muscle hypertrophy: Report of cases. J Oral Surg 29:196, 1971Google Scholar

Copyright information

© Springer-Verlag New York Inc. 1994

Authors and Affiliations

  • Se-Min Baek
    • 1
  • Rong-Min Baek
    • 1
  • Myoung-Soo Shin
    • 1
  1. 1.SeoulKorea

Personalised recommendations