Li Xiang, Hsu Yuchun, Hu Jing, Khadka Ashish, Chen Tao, Li Jihua
Associate Professor, State Key Laboratory of Oral Diseases and Department of Oral and Maxillofacial Surgery, West China College of Stomatology, Sichuan University, Chengdu, China.
J Oral Maxillofac Surg. 2013 Oct;71(10):1761.e1-14. doi: 10.1016/j.joms.2013.04.024. Epub 2013 Jul 24.
From an East Asian traditional esthetic viewpoint, a soft facial appearance seems to be more attractive. A prominent mandibular angle, a high zygomatic bone, and an inharmonious chin strongly lessen the attributes of femininity. Attention should be paid to the zygomatic projection and square mandible from the frontal view and the gonial angle and mental region configuration from the lateral view to obtain a slender oval face (melon seed face).
From January 2005 through December 2010, 47 patients underwent a combination of 4 operative techniques to reshape a square face: L-shaped osteotomy, V-line osteotomy, mandibular outer cortex splitting ostectomy, and sliding genioplasty.
Outcomes in and feedback information from patients showed that these methods made the square face look more harmonious, with significant improvement of the middle and lower facial contours.
Asians with a square face have different combinations of facial features; thus, surgeries should be customized and designed comprehensively to achieve optimal results.
从东亚传统美学观点来看，柔和的面部外观似乎更具吸引力。突出的下颌角、高颧骨以及不协调的下巴会严重削弱女性特质。从正面观应关注颧骨突出度和方形下颌，从侧面观应关注下颌角和颏部形态，以获得细长椭圆形脸（瓜子脸）。
2005年1月至2010年12月，47例患者接受了4种手术技术联合应用以重塑方形脸：L形截骨术、V线截骨术、下颌外板劈开切除术和颏部滑动成形术。
患者的手术效果及反馈信息表明，这些方法使方形脸看起来更和谐，面中下部轮廓有显著改善。
方形脸的亚洲人面部特征组合各异；因此，手术应进行个性化定制和综合设计以达到最佳效果。
