Submentoplasty for esthetic improvement of the neck-lower facial region : Two cases report

하안면과 경부의 심미성 증진을 위한 지방흡입술을 동반한 Submentoplasty 술식: 증례보고

  • Park, Young-Ju (Department of Oral and Maxillofacial Surgery, College of Medicine, Kangnam Sacred Heart Hospital, Hallym University) ;
  • Nam, Jeong-Hun (Department of Oral and Maxillofacial Surgery, College of Medicine, Kangnam Sacred Heart Hospital, Hallym University) ;
  • Song, Jun-Ho (Department of Oral and Maxillofacial Surgery, College of Medicine, Kangnam Sacred Heart Hospital, Hallym University) ;
  • Yeon, Byung-Moo (Department of Oral and Maxillofacial Surgery, College of Medicine, Kangnam Sacred Heart Hospital, Hallym University) ;
  • Kim, Da-Young (Department of Oral and Maxillofacial Surgery, College of Medicine, Kangnam Sacred Heart Hospital, Hallym University) ;
  • Ahn, Jang-Hun (Department of Oral and Maxillofacial Surgery, College of Medicine, Kangnam Sacred Heart Hospital, Hallym University) ;
  • Gang, Tae-In (Department of Oral and Maxillofacial Surgery, College of Medicine, Kangnam Sacred Heart Hospital, Hallym University) ;
  • Kang, Hae-Jin (Department of Oral and Maxillofacial Surgery, College of Medicine, Kangnam Sacred Heart Hospital, Hallym University) ;
  • Kim, Jun-Hyun (Bestian Medical Center)
  • 박영주 (한림대학교 의과대학 강남성심병원 구강악안면외과학교실) ;
  • 남정훈 (한림대학교 의과대학 강남성심병원 구강악안면외과학교실) ;
  • 송준호 (한림대학교 의과대학 강남성심병원 구강악안면외과학교실) ;
  • 연병무 (한림대학교 의과대학 강남성심병원 구강악안면외과학교실) ;
  • 김다영 (한림대학교 의과대학 강남성심병원 구강악안면외과학교실) ;
  • 안장훈 (한림대학교 의과대학 강남성심병원 구강악안면외과학교실) ;
  • 강태인 (한림대학교 의과대학 강남성심병원 구강악안면외과학교실) ;
  • 강혜진 (한림대학교 의과대학 강남성심병원 구강악안면외과학교실) ;
  • 김준현 (서울 베스티안병원)
  • Published : 2009.11.01

Abstract

Purpose : The purpose of this study is to evaluate the clinical availability of submentoplasty for esthethic improvement of the cervico-facial region of patients with obtuse chin-neck angle. Materials and methods : Case 1. We evaluate the changes of submental line length and chin-neck angle of 35-year-old woman with skeletal Class III and mandibular excess with excessive submental fat before and after surgery: Bilateral sagittal split ramus osteotomy(BSSRO) setback(5mm), Mandibular Angle Reduction, Reduction Malarplasty and Submentoplasty. In this case, It was done simultaneously with orthognathic surgery. Case 2. The changes of submental line length and chin-neck angle of 20-year-old man with skeletal class III and maxillary defiency were evaluated before surgery, at first surgery : Lefort I osteotomy(6mm posterior Impaction), BSSRO setback(9mm), Paranasal Augmentation and at second surgery: genioplasty(6mm advanced) with submentoplasty. In this case, submentoplasty and advancement genioplasty were done after 2 months post-operative periods. Results : Case 1. In case of the Skeletal Class III mandibular excess with submental fat deposit, It showed the improvement of submental angle and length of submental line after simultaneous submentoplasty. Submental angle is changed from $177^{\circ}$ (pre-op) to $151^{\circ}$ (post-op) and submental line length is changed from 8mm(pre-op) to 36mm(post-op). Case 2. The improvement of submental angle and length of submental line after delayed submentoplasty was aquired in case of the skeletal class III maxillary defiency. Submental angle is changed from $154^{\circ}$ (pre-op) to $161^{\circ}$ (first surgery) and to $153^{\circ}$ (second surgery) and submental line length is changed from 25mm(pre-op) to 19mm(first surgery) and to 23mm(second surgery). Conclusion : The results suggest that Submentoplasty is useful surgical procedure for esthethic improvement of the cervicofacial region of patients with obtuse chin-neck angle.

Keywords

References

  1. Cuzalina LA, Koehler J. Submentoplasty and facial liposuction, Oral Maxillofac Surg Clin North Am 2005;17:85-98. https://doi.org/10.1016/j.coms.2004.09.008
  2. Bitner JB, Friedman O, Richard T, et al. Direct submentoplasty for neck rejuvenation, Arch Facial Plast Surg 2007;9:194-200. https://doi.org/10.1001/archfaci.9.3.194
  3. Hayes RJ, Sarver DM, Jacobson A. The quantification of soft tissue cervicomental changes after mandibular advancment surgery, Am J Orthod Dentofac Orthop 1994;105:383-91 https://doi.org/10.1016/S0889-5406(94)70133-4
  4. Michael EJ. Submentoplasty as an isolated rejuvenated procedure for the neck, Arch Facial Plast Surg 2003;5:180-183. https://doi.org/10.1001/archfaci.5.2.180
  5. Watson D. Submentoplasty, Facial Plast Surg Clin North Am 2005;13:459-467. https://doi.org/10.1016/j.fsc.2005.04.008
  6. Dedo DD. Management of the platysma muscle after open and closed liposuction of the neck in facelift surgery, Facial Plast Surg 1986;4:45-56. https://doi.org/10.1055/s-2008-1064822
  7. Drissi QH, Zribi A, Raphael B, et al. Genioplasty: technique and application, Maxillofac 2007;108(5):441-50. https://doi.org/10.1016/j.stomax.2006.12.005
  8. Kane MA. Botox injections for lower facial rejuvenation, Oral and Maxillofacial Surgery Clinics N Am 2005;17:41-49. https://doi.org/10.1016/j.coms.2004.09.003