Department of Plastic and Reconstructive Surgery, College of Medicine, Yeungnam University Hospital, Daegu, Korea.
Semin Plast Surg. 2009 Feb;23(1):22-31. doi: 10.1055/s-0028-1110098.
Asian people, especially women, prefer a more delicate and feminine facial shape. To achieve a softer and better facial contour, there are several procedures to change the facial skeleton. Reduction malarplasty and mandibular angleplasty are common facial contouring operations in Asia. A lot of techniques have been developed independently by several authors. Various approaches can be chosen, such as intraoral or external skin incisions. There as also different contouring methods that can be chosen depending on the patient's morphology and the surgeon's technical preferences. The different osteotomy techniques used to mobilize the zygomatic complex can be classified according to the specific portion that is being repositioned. Resection and contouring methods for a prominent mandibular angle can be subdivided according to the specific type of anomaly. The purpose of this article is to review the concepts and various operative procedures for reduction malarplasty and angleplasty. The authors propose a guideline for selecting the appropriate procedure(s) for individual patients. Decisions should be made according to the patient's need, anatomic variations, and possible operative sequelae.
亚洲人，尤其是女性，更喜欢更精致和女性化的面部形状。为了获得更柔和、更美观的面部轮廓，可以通过几种手术来改变面部骨骼。颧骨缩小术和下颌角截骨术是亚洲常见的面部轮廓整形手术。几位作者已经独立开发了很多技术。可以根据患者的形态和外科医生的技术偏好选择不同的入路。根据患者的形态和外科医生的技术偏好，可以选择不同的轮廓成形方法。用于动员颧骨复合体的不同截骨技术可以根据正在重新定位的特定部分进行分类。下颌角突出的切除和整形方法可以根据特定的畸形类型进一步细分。本文旨在回顾颧骨缩小术和下颌角截骨术的概念和各种手术操作。作者为每位患者选择合适的手术方法提出了一个指南。决策应根据患者的需求、解剖变异和可能的手术后遗症来做出。
