title: Mandibular marginal contouring in oriental aesthetic surgery: refined surgical concept and operative procedure.
abstract: OBJECTIVE
  In aesthetic mandibular contouring surgery, which is often conducted in Asians, the operative procedure is thought to deliver a more aesthetic mandibular shape by means of contouring conducted as a whole from the ramus to the symphysis. The authors describe the refined concept and operative procedures of mandibular marginal contouring.
  
  
  METHODS
  For the 7-year period from 2004 to 2011, mandibular marginal contouring has been used in 57 consecutive series of Japanese subjects. Patient ages ranged from 18 to 33 years, and the subjects included 15 men and 42 women. The surgery was carried out by cutting off the protruding deformed mandibular margin from the ramus to the symphysis. In 53 of 57 cases, the focus was on angle contouring. Concomitant genioplasty by horizontal osteotomy of the chin was conducted in 42 of 57 cases (recession, advancement, shortening, elongation, and correction of the shift variously). In 22 materials exhibiting bulk around the mandibular, the ramus to the body was excised sagittally and thinned. In all the patients, mandibular marginal contouring from the ramus to the symphysis was completed. Partial masseter muscle resection was conducted in 11 of 57 cases.
  
  
  RESULTS
  Mandibular contouring effectively achieved a highly satisfactory result in all cases. The upper portion of the peripheral branch of the trunk of the mental nerve was dissected by an electric scalpel in 1 case but sutured immediately using an 8-0 nylon stitch. Transient palsy of the mental nerve was noticed in a few cases but subsided in 1 to 2 months. No particular complications were encountered. No secondary revision was required in this series.
  
  
  CONCLUSIONS
  In mandibular angle plasty, mandibular marginal contouring from the ramus to the symphysis should be carried out by cutting off the angle keeping in mind the entire mandibular shape. This concept and the procedure can deliver greater patient satisfaction.
authors: From the Department of Plastic, Reconstructive, and Aesthetic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.
authors: Kaneshige
authors: K
authors: Satoh
authors: Nobuyuki
authors: N
authors: Mitsukawa
mesh_terms: D000293:Adolescent; D000328:Adult; D044466:Asian People; D002680:Chin / Q000033:anatomy & histology / Q000601:surgery; D004954:Esthetics; D005145:Face / Q000033:anatomy & histology; D005260:Female; D006801:Humans; D008297:Male; D008334:Mandible / Q000002:abnormalities / Q000601:surgery*; D017060:Patient Satisfaction; D018579:Patient Selection; D019651:Plastic Surgery Procedures / Q000379:methods*; D016896:Treatment Outcome