By Harvey M. Rosen M.D., D.M.D (auth.)
Harvey M. Rosen, M.D., D.M.D., broadens the cultured targets of maxillofacial surgey during this new, accomplished quantity on orthognathic surgical correction. within the paintings, Dr. Rosen, who has "changed the best way such a lot surgeons paintings at the jaw and chin," (James Ferraro, President of the Maxillofacial Society), bargains his personal own ideas of jaw surgical procedure. as a result creation of the biotechnical advances that have stabilized skeletal displacement, Dr. Rosen is ready to emphasize the aesthetics of sentimental facial tissue corrections by means of redefining the pursuits of aesthetic surgery.
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Additional resources for Aesthetic Perspectives in Jaw Surgery
They are told that approximately 20% of patients have a permanent sensory deficit of the lower lip. Additionally, they are informed that this also affects the sensibility of the chin. This potential risk is then placed in its proper perspective as related by previous patients who have sustained this complication; that is, this is considered a relatively minor problem that, in retrospect, with rare exception, would not have deterred individuals from having the procedure performed over again. In other words, the benefits they derived from the surgery are far in excess of this sensory deficit.
The Class II patient with deficient height of the lower face represents an entirely different set of problems in terms of facial aesthetics. Because skeletal volume is deficient in two dimensions, these faces are always characterized by an inadequate degree of skeletal support to the overlying facial mask. This is clinically manifested in lower lip eversion, deepened labiomental folds, jowls, and submental fullness. Overall, these patients' faces are short and square, a morphologic pattern that is characteristic of older individuals.
It is also at this time that the author chooses to commit himself to an aesthetic treatment plan based solely on the morphologic appearance of the patient and how he can best enhance it. This global treatment plan includes (1) which jaw or jaws are to be repositioned and (2) the vector or direction of skeletal displacements. The decision to perform single- versus double-jaw surgery is almost always determined at this initial visit. The decision to perform adjunctive osseous genioplasty is most frequently determined at this time as well.