Semin Plast Surg 2009; 23(1): 022-031
DOI: 10.1055/s-0028-1110098
© Thieme Medical Publishers

Facial Contouring Surgery for Asians

Yong-Ha Kim1 , Byung-Chae Cho2 , Lun-Jou Lo3
  • 1Department of Plastic and Reconstructive Surgery, College of Medicine, Yeungnam University Hospital, Daegu, Korea
  • 2Department of Plastic and Reconstructive Surgery, College of Medicine, Kyunpook University Hospital, Daegu, Korea
  • 3Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital and Chang Gung University, Taoyuan, Taiwan
Further Information

Publication History

Publication Date:
09 February 2009 (online)

ABSTRACT

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.

REFERENCES

  • 1 Baek S M, Chung Y D, Kim S S. Reduction malarplasty.  Plast Reconstr Surg. 1991;  88 53-61
  • 2 Whitaker L A. Aesthetic augmentation of the malar-midface structures.  Plast Reconstr Surg. 1987;  80 337-346
  • 3 Powell N B, Riley R W, Laub D R. A new approach to evaluation and surgery of the malar complex.  Ann Plast Surg. 1988;  20 206-214
  • 4 Cho B C, Lee J H, Baik B S. Reduction malarplasty using sliding setback osteotomy.  J Craniofac Surg. 1998;  9 275-279
  • 5 Hinderer U T. Malar implants for improvement of the facial appearance.  Plast Reconstr Surg. 1975;  56 157-165
  • 6 Marquardt S R, Dr. Stephen R. Marquardt on the Golden Decagon and human facial beauty. Interview by Dr. Gottlieb.  J Clin Orthod. 2002;  36 339-347
  • 7 Kim Y H. Easy facial analysis using the facial golden mask.  J Craniofac Surg. 2007;  18 643-649
  • 8 Onizuka T, Watanabe K, Takasu K et al.. Reduction malarplasty.  Aesthetic Plast Surg. 1983;  7 121-125
  • 9 Whitaker L A. Temporal and malar-zygomatic reduction and augmentation.  Clin Plast Surg. 1991;  18 55-64
  • 10 Uhm K I, Lew J M. Prominent zygoma in Orientals: classification and treatment.  Ann Plast Surg. 1991;  26 164-170
  • 11 Yang D B, Park C G. Infracture technique for the zygomatic body and arch reduction.  Aesthetic Plast Surg. 1992;  16 355-363
  • 12 Hwang Y J, Jeon J Y, Lee M S. A simple method of reduction malarplasty.  Plast Reconstr Surg. 1997;  99 348-355
  • 13 Hahm J W, Baek R M, Oh K S et al.. 10-year experience on reduction malarplasty.  J Korean Soc Plast Reconstr Surg. 1997;  24 1478-1484
  • 14 Sumiya N, Kondo S, Ito Y et al.. Reduction malarplasty.  Plast Reconstr Surg. 1997;  100 461-467
  • 15 Kim Y H, Seul J H. Reduction malarplasty through an intraoral incision: a new method.  Plast Reconstr Surg. 2000;  106 1514-1519
  • 16 Lee H Y, Yang H J, Cho Y N. Minimally invasive zygoma reduction.  Plast Reconstr Surg. 2006;  117 1972-1979
  • 17 Baek S M, Kim S S, Bindiger A. The prominent mandibular angle: preoperative management, operative technique, and results in 42 patients.  Plast Reconstr Surg. 1989;  83 272-278
  • 18 Baek S M, Baek R M, Shin M S. Refinement in aesthetic contouring of the prominent mandibular angle.  Aesthetic Plast Surg. 1994;  18 283-289
  • 19 Yang D B, Park C G. Mandibular contouring surgery for purely aesthetic reasons.  Aesthetic Plast Surg. 1991;  15 53-60
  • 20 Baek S M, Kim S S, Bindiger A. The prominent mandibular angle: preoperative management, operative technique, and results in 42 patients.  Plast Reconstr Surg. 1989;  83 272-280
  • 21 Deguchi M, Iio Y, Kobayashi K, Shirakabe T. Angle-splitting ostectomy for reducing the width of the lower face.  Plast Reconstr Surg. 1997;  99 1831-1839
  • 22 Han K, Kim J. Reduction mandibuloplasty: ostectomy of the lateral cortex around the mandibular angle.  J Craniofac Surg. 2001;  12 314-325
  • 23 Choi H K, Lee S K, Rhee D Y et al.. Mandibular angle reduction by “3mm external approach”.  J Korean Soc Aesth Plast Surg. 2000;  6 104-108
  • 24 Lee H Y, Yang H J, Cho Y N. Minimally invasive mandible reduction using Lee's rasp & saw.  Aesthetic Plast Surg. 2007;  31 201-205
  • 25 Whitaker L A. Aesthetic contouring of the facial support system.  Clin Plast Surg. 1989;  16 815-823

Yong-Ha KimM.D. Ph.D. 

Department of Plastic and Reconstructive Surgery, College of Medicine, Yeungnam University Hospital

317-1 Daemyung 5-dong, Namgu, Daegu, 705-717, Korea

Email: yhkim@med.yu.ac.kr

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