Baek S M, Baek R M, Shin M S
Aesthetic Plast Surg. 1994 Summer;18(3):283-9. doi: 10.1007/BF00449796.
Oriental women, in general, greatly desire a more delicate and feminine facial shape. This can be obtained by contouring the prominent mandibular angles that give a strong, masculine image. Western authors regarded masseteric muscular hypertrophy the main cause of a square facial appearance, so they usually corrected it by partially excising the masseter muscle. In the authors' view, a square facial appearance in the Oriental is not due to masseteric hypertrophy but to a posterior projection and lateral flaring of the mandibular angle. However, it is sometimes difficult to make the square face narrow and ovoid by using only the conventional curved-angle osteotomy. We divided patients, whose chief complaint was a square facial appearance, into three groups after clinical, photographic, and radiographic evaluation. We applied different contouring methods to each of the three groups and obtained cosmetically improved facial appearance in both lateral and frontal views.
一般来说，东方女性非常渴望拥有更精致、更具女性化的脸型。这可以通过修整突出的下颌角来实现，突出的下颌角会给人一种硬朗、男性化的形象。西方学者认为咬肌肥大是方形脸外观的主要原因，因此他们通常通过部分切除咬肌来进行矫正。在作者看来，东方人的方形脸外观并非由于咬肌肥大，而是由于下颌角向后突出和向外扩。然而，仅使用传统的弯角截骨术有时很难使方形脸变窄并呈椭圆形。我们在对以方形脸外观为主诉的患者进行临床、照片及影像学评估后，将他们分为三组。我们对三组患者分别采用了不同的轮廓修整方法，并在侧视图和正视图中均获得了美容效果改善的面部外观。
