Aesthetic Plastic Surgery

, Volume 17, Issue 2, pp 129–137 | Cite as

Profiloplasty of the lower face by maxillary and mandibular anterior segmental osteotomies

  • Se-Min Baek
  • Rong-Min Baek


Maxillary and mandibular anterior segmental osteotomies (ASO) are ways to correct disharmony in the lip (contour, lip seal, and profile) and occasional dentoalveolar malocclusion. We performed 23 maxillary setback ASO, three maxillary advancement ASO, 21 mandibular setback ASO, and six mandibular advancement ASO in 28 patients to improve their lower facial profile. Other combined operative procedures include nine LeFort 1 osteotomies, four bilateral mandibular ramus osteotomies, two genioplasties, four mandibular angle contouring procedures, two reduction malar plasties, two piriform augmentations with bone graft, and a facelift for correcting of long faces, asymmetric faces, severe malocclusions, microgenias, prominent mandibular angles, prominent malar eminences, piriform recessions, and an aging face. Twenty five patients were satisfied with the results. Two patients complained of an over-recessed lip region, and one of septal deviation. There were no other significant complications or relapses throughout the followup period (9–30 months). Maxillary and mandibular ASO are effective, selective, relatively safe, and simple methods for correcting lower facial profile disharmony to attain a satisfactory aesthetic facial contour.

Key words

Profiloplasty Maxillary anterior segmental osteotomy Mandibular anterior segmental osteotomy 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Chang T: An evaluation of the “norm” in the Oriental face and its comparison to Downs' and Steiner's standards. M.S. thesis, University of Southern California, 1964Google Scholar
  2. 2.
    Cox NH, Van Der Linden FGH: Facial harmony. Am J Orthod60:175, 1971Google Scholar
  3. 3.
    Iizuka T, Ootsubo J, Ishikawa F: Teeth, jaws and faces in harmony, from the winners of two concours. Nihon Shikaishi-Kai Zasshi10:287, 1957Google Scholar
  4. 4.
    Jacobs JD, Bell WH: Combined surgical and orthodontic treatment of bimaxillary protrusion. Am J Orthod83:321, 1983Google Scholar
  5. 5.
    Lamberton CM, Reichart PA, Triatananimit P: Bimaxillary protrusion as a pathologic problem in the Thai. Am J Orthod77:320, 1980Google Scholar
  6. 6.
    Miura F, Inoue N, Suzuki K: Cephalometric standards for Japanese according to the Steiner analysis. Am J Orthod51:288, 1965Google Scholar
  7. 7.
    Yamauchi K: Studies on “beautiful face” of Japanese female adults. Part I. Roentgenocephalometric analysis. J Jpn Orthod Soc18:18, 1959Google Scholar

Copyright information

© Springer-Verlag New York Inc 1993

Authors and Affiliations

  • Se-Min Baek
    • 1
  • Rong-Min Baek
    • 1
  1. 1.Institute of Plastic, Reconstructive and Craniofacial SurgeryInje University College of MedicineSeoulKorea

Personalised recommendations