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CC BY-NC 4.0 · Arch Plast Surg 2018; 45(06): 572-577
DOI: 10.5999/aps.2018.00682
Original Article

Lower facial contouring surgery using a novel method: M-genioplasty

June Bok Lee
Mega Plastic Surgery Clinic, Seoul, Korea
,
Jin Woo Han
Department of Plastic and Reconstructive Surgery, Eulji General Hospital, Eulji University School of Medicine, Seoul, Korea
,
Jun Hyung Park
THE PLAN Plastic Surgery Clinic, Seoul, Korea
,
Kyung Hee Min
Department of Plastic and Reconstructive Surgery, Eulji General Hospital, Eulji University School of Medicine, Seoul, Korea
› Author AffiliationsThis work was presented at Aesthetic Plastic Surgery 2017 (KSAPS) on April 1-2, 2017, in Seoul, Korea.
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Background Mandibular contouring surgery to produce a more slender and small face has become popular, especially in East Asia. Narrowing genioplasty should be simultaneously performed with mandibular angle resection to achieve satisfactory results. In Korea, T-genioplasty has been frequently performed for chin narrowing. The authors developed a new, safe, and reliable method, termed M-genioplasty, that can provide a more slender and attractive lower face.

Methods From June 2013 to December 2017, 36 patients underwent M-genioplasty with mandibular angle resection for lower facial contouring. Horizontal and vertical osteotomies were performed obliquely. The resected bone segments were wedge-shaped. The remaining two bone segments were rotated and approximated centrally. The lateral mandible bony stepoff was trimmed off for mandibular angle resection.

Results In all patients, the facial contour sufficiently improved, and most patients were satisfied with the outcome. No severe complications took place during postoperative follow-up.

Conclusions M-genioplasty can provide more mandibular angle resection and can create a more acute chin angle without bone resorption than other methods, including T-genioplasty. M-genioplasty with mandibular angle resection is a safer, more accurate, and more reliable method for lower facial contouring.

Keywords

Mandible - Chin - Genioplasty


Publication History

Received: 01 June 2018

Accepted: 12 October 2018

Article published online:
03 April 2022

© 2018. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)

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