Mandibular Angle Reduction

Frontal cepharograms should be taken before operation to check for the degree of flaring, and mandibular panoramagraphs for the degree of angle protrusions. On the basis of the condition, it is important to make a preoperative plan concerning where and how much to eliminate. Superficial musculo-aponeurotic system (SMAS) undermining near to the angles performed at the time of facelift could provide relatively easy vision of mandibular branches of facial nerves. With great care not to damage these branches, the origin of the masseter muscle is excised a little bit for a full subperiosteal exposure of the angles to be excised, and bone is excised in a full thickness with an oscillating or a reciprocating saw. Direct vision allows a surgeon to eliminate residues completely, avoid a resultant linear contour, and make natural mandibular plane angles. In principle, the masseter muscle is not excised except when it is too thick (Figs. 46.10, 46.11). Some cases are illustrated in Figs. 42.12 and 46.13.

  1. 46.9. Preoperative and postoperative conditions of malar bone reduction performed along with facelift
  2. 46.9. Preoperative and postoperative conditions of malar bone reduction performed along with facelift
Subperiosteal Facelift

Fig. 46.10. The procedure of angle reduction performed along with facelift. The protruded angle is exposed under direct vision

Mandible Angle Reduction Procedures
Fig. 46.11. The resected bone of both angles
Malar Reduction
Fig. 46.12. A 45-year-old woman who has protruded mandibular angles. a, b Pre- and postoperative conditions in frontal view. c, d Pre- and postoperative conditions in profile view. You can note that the postoperative facial contour is smaller than the preoperative one

Fig. 46.13. A 47-year-old woman who has extremely protruded mandibular angles. a, b Pre- and postoperative conditions in frontal view. c, d Pre- and postoperative conditions in profile view. In the postoperative condition shown in the profile view, you can note the mandible became smooth and natural

Www Mandibular Angle Surgery

Fig. 46.13. A 47-year-old woman who has extremely protruded mandibular angles. a, b Pre- and postoperative conditions in frontal view. c, d Pre- and postoperative conditions in profile view. In the postoperative condition shown in the profile view, you can note the mandible became smooth and natural

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  • hasan docherty
    Who to reduce angle of mandible?
    3 years ago

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