eMedicine Specialties > Plastic Surgery > Craniofacial
Craniofacial, Asian Malar and Mandibular Surgery: Workup
Updated: May 1, 2009
Workup
Laboratory Studies
- Order routine preoperative laboratory studies, including a CBC count. Order other studies, such as coagulation profiles and ECGs, as indicated.
Imaging Studies
- Zygomatic reduction: A cephalogram and facial series is usually obtained to assist in surgical planning.
- Mandibular angle reduction: Obtain Panorex films (to assess the course of the inferior alveolar nerve), submental vertex views (to assess the angle between the mandibular [intergonial] angle), and a lateral cephalogram (to measure the gonial angle, ideally 105-115°, and the mandibular plane, ideally 30°). The preferred angle and contour of the mandibular border is drawn on a duplicate radiographic film and used as a template for surgery.
More on Craniofacial, Asian Malar and Mandibular Surgery |
| Overview: Craniofacial, Asian Malar and Mandibular Surgery |
Workup: Craniofacial, Asian Malar and Mandibular Surgery |
| Treatment: Craniofacial, Asian Malar and Mandibular Surgery |
| Follow-up: Craniofacial, Asian Malar and Mandibular Surgery |
| Multimedia: Craniofacial, Asian Malar and Mandibular Surgery |
| References |
| « Previous Page | Next Page » |
References
Onizuka T, Watanabe K, Takasu K, Keyama A. Reduction malar plasty. Aesthetic Plast Surg. 1983;7(2):121-5. [Medline].
Watanabe K. Cosmetic contouring of the midface. In: Song IC, ed. Facial Cosmetic Surgery in Orientals. Problems in Plastic and Reconstructive Surgery. Vol 1. 1991:643-53.
Baek SM, Chung YD, Kim SS. Reduction malarplasty. Plast Reconstr Surg. Jul 1991;88(1):53-61. [Medline].
Morris DE, Moaveni Z, Lo LJ. Aesthetic facial skeletal contouring in the Asian patient. Clin Plast Surg. Jul 2007;34(3):547-56. [Medline].
Ahn J, Horn C, Blitzer A. Botulinum toxin for masseter reduction in Asian patients. Arch Facial Plast Surg. May-Jun 2004;6(3):188-91. [Medline].
Baek SM, Kim SS, Bindiger A. The prominent mandibular angle: preoperative management, operative technique, and results in 42 patients. Plast Reconstr Surg. Feb 1989;83(2):272-80. [Medline].
Kim JH, Shin JH, Kim ST, Kim CY. Effects of two different units of botulinum toxin type a evaluated by computed tomography and electromyographic measurements of human masseter muscle. Plast Reconstr Surg. Feb 2007;119(2):711-7. [Medline].
Al-Ahmad HT, Al-Qudah MA. The treatment of masseter hypertrophy with botulinum toxin type A. Saudi Med J. Mar 2006;27(3):397-400. [Medline].
Castro WH, Gomez RS, Da Silva Oliveira J, Moura MD, Gomez RS. Botulinum toxin type A in the management of masseter muscle hypertrophy. J Oral Maxillofac Surg. Jan 2005;63(1):20-4. [Medline].
von Lindern JJ, Niederhagen B, Appel T, Berge S, Reich RH. Type A botulinum toxin for the treatment of hypertrophy of the masseter and temporal muscles: an alternative treatment. Plast Reconstr Surg. Feb 2001;107(2):327-32. [Medline].
Al-Muharraqi MA, Fedorowicz Z, Al Bareeq J, Al Bareeq R, Nasser M. Botulinum toxin for masseter hypertrophy. Cochrane Database Syst Rev. Jan 21 2009;CD007510. [Medline].
Kang J, Han K. Cosmetic contouring of the lowerface. In: Song IC, ed. Facial Cosmetic Surgery in Orientals. Problems in Plastic and Reconstructive Surgery. Vol 1. 1991:654-66.
Ousterhout D. Mandibular width reduction including surgical treatment of benign masseteric hypertrophy. In: Aesthetic Contouring of the Craniofacial Skeleton. Boston, Mass: Little Brown; 1991:451-69.
Further Reading
Keywords
malar surgery, mandibular surgery, Asian malar surgery, Asian mandibular surgery, cheek bone reduction, malar reduction, reduction malarplasty, zygoma reduction, zygomatic reduction, reduction zygomaplasty, Asian malarplasty, benign masseteric hypertrophy, jawline contouring, jawline reduction, mandible reduction, jawline shaving, bone contouring, facial bone surgery, BOTOX® jawline, BOTOX® jaw muscle, BOTOX® masseter muscle, botulinum toxin therapy, botulinum toxin, BOTOX®, masseteric hypertrophy, work hypertrophy, habitual jaw clenching, habitual teeth grinding, teeth grinding, jaw clenching, prominent malar bones, malar prominence, zygomatic prominence, Asian plastic surgery, oriental plastic surgery
Workup: Craniofacial, Asian Malar and Mandibular Surgery