Cranial Maxillofac Trauma Reconstruction 2017; 10(04): 325-328
DOI: 10.1055/s-0036-1592089
Technical Note
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

New Management in Bilateral Masseter Muscle Hypertrophy

Gabriele Bocchialini1, Andrea Castellani1, Stefano Negrini1, Alessandro Rossi1
  • 1Department of Maxillofacial Surgery, Spedali Civili Brescia, Brescia, Italy
Further Information

Publication History

08 February 2016

03 April 2016

Publication Date:
01 November 2016 (eFirst)


Bilateral masseter muscle hypertrophy is an alteration in shape and thickness of the masseter muscles that can modify the width of the lower face causing aesthetic and functional problems. A 21-year-old man was referred to the Department of Maxillofacial Surgery at the Civil Hospital in Brescia by his dentist for an evaluation of his facial appearance with a square-face type. To reduce the undesirable facial appearance, a surgical intraoral approach was performed; the procedure includes the bilateral dissection of the masseter muscle, partial lipectomy, and the ostectomy of the mandibular angle assisted by a surgical guide built on a stereolithographic model. The patient was satisfied with the functional and aesthetic outcomes of both the profile and the frontal views. There was no evidence of complication at a 1-year follow-up. This new method yields optimal aesthetic results with an enhanced outline of the lower face.