title: Modification of square face in men.
abstract: BACKGROUND
  Women with elliptical faces are considered to be aesthetically appealing in Asia. Some men prefer this shape for themselves and choose to have their square-shaped face altered to an elliptical shape. To accomplish this, we perform an ostectomy that includes resection of the mandibular angle, splitting of the lateral cortex, and reduction in the width of the chin.
  
  
  METHODS
  Nineteen men with a square face (aged 22-30 years) underwent ostectomy, including resection of the mandibular angle, splitting of the lateral cortex around the mandibular angle, and reduction of the width of the chin by an intraoral approach.
  
  
  RESULTS
  The results of the ostectomy were satisfactory 3 to 6 months postoperatively. The bigonial distance was effectively reduced and stable chin contours were achieved. The overall shape of the face was elliptical. There was no microgenia, facial asymmetry, hematoma, infection, or permanent mental nerve injury.
  
  
  CONCLUSIONS
  Ostectomy that includes resection of the mandibular angle, splitting of the lateral cortex, and reduction in the width of the chin is a safe and effective method to modify a man's square-shaped face into a more elliptical appearance.
authors.affiliation: International Plastic and Cosmetic Center, Nanjing Medical University, 146 Hanzhong Road, Nanjing, China. cxp585@hotmail.com
authors.forename: Xiaoping
authors.initials: X
authors.lastname: Chen
authors.forename: Jinde
authors.initials: J
authors.lastname: Lin
authors.forename: Jie
authors.initials: J
authors.lastname: Lin
authors.forename: Jian
authors.initials: J
authors.lastname: Shen
authors.forename: Yudan
authors.initials: Y
authors.lastname: Zhou
authors.forename: Xuan
authors.initials: X
authors.lastname: Wu
authors.forename: Yanwu
authors.initials: Y
authors.lastname: Xu
mesh_terms: D000328:Adult; D044466:Asian People; D003357:Cosmetic Techniques; D005145:Face / Q000601:surgery*; D006801:Humans; D008297:Male; D008334:Mandible / Q000601:surgery*; D010027:Osteotomy / Q000379:methods*; D017060:Patient Satisfaction; D055815:Young Adult