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Setback genioplasty with rotation for aesthetic mentolabial soft tissue: a case report

Journal of the Korean Association of Oral and Maxillofacial Surgeons / Journal of the Korean Association of Oral and Maxillofacial Surgeons, (P)2234-7550; (E)2234-5930
2023, v.49 no.6, pp.365-368
https://doi.org/10.5125/jkaoms.2023.49.6.365
Joon-Bum Hong (Department of Oral and Maxillofacial Surgery, College of Dentistry, Kyung Hee University, Seoul, Korea)
Joo-young Ohe (Department of Oral and Maxillofacial Surgery, College of Dentistry, Kyung Hee University, Seoul, Korea)
Gyu-Jo Shim (Department of Oral and Maxillofacial Surgery, College of Dentistry, Kyung Hee University, Seoul, Korea)
Yong-Dae Kwon (Department of Oral and Maxillofacial Surgery, College of Dentistry, Kyung Hee University, Seoul, Korea)

Abstract

The mentum plays an important role in the aesthetics of the face, and genioplasty is performed to improve an unbalance of the mentum. Among the various surgical approaches, setback genioplasty is used to create an aesthetic jaw-end appearance by moving the mentum backward when it protrudes more than normal. However, conventional setback genioplasty may be aesthetically disadvantageous because the profile of the mentum could become flat. This case study attempted to overcome the limitations of conventional setback genioplasty by rotating the position of the menton and pogonion. We devised a new method for setback genioplasty by rotating the segment anteroinferiorly. Using virtual surgery, we were able to specify the range of surgery more accurately and easily, and the surgery time was reduced. This case report showed the difference in chin soft tissue responses between conventional setback genioplasty and setback genioplasty with rotation.

keywords
Mentolabial angle, Setback genioplasty, Virtual surgery, Rotation

Journal of the Korean Association of Oral and Maxillofacial Surgeons