Summary
Introduction
In East Asian population, a square face is considered unappealing as it imparts a
coarse and masculine look. Therefore, Oriental women prefer to have an ovoid and slender
facial contour, which is thought to be more feminine and attractive. Nowadays, mandibular
contouring surgery has become a commonly performed procedure. Clinical data show that
majority of patients who have severe form are characterised by a definite square-shaped
face with low gonial angle. A square face is usually visualised in frontal view but
the lateral view provides additional information regarding gonial angle, mandibular
plane steepness, chin deficiency and more importantly, length of the ramus. These
factors are the key points for a precise categorisation, design, selection of surgical
methods and choosing the ostectomy line for contouring on a square face with low angle.
Patients and methods
From 2005 to 2009, 94 women were diagnosed as square face with low angle. Three types
of surgical design based on procedures such as mandibular ‘V-Line’ ostectomy, mandibular
outer cortex split ostectomy, sliding genioplasty and inlay bone graft in various
combinations were constructed, depending upon the presenting facial features.
Results
Precise categorisation, designs and techniques resulted in higher satisfaction as
these procedures provided an overall narrowing and harmonising effect on the lower
facial contour postoperatively.
Conclusion
Patients with square face and low gonial angle come with multitude of features so
that design and technique applied should be tailored to each individual to achieve
perfection.
Keywords
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Article info
Publication history
Published online: September 15, 2011
Accepted:
August 1,
2011
Received:
May 30,
2011
Identification
Copyright
© 2011 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
