• #6-2. Application in plastic surgery: Micrognathia

    Dr. Jung-whan Baek (H Plastic Surgery)

     

    Image 2. The most ideal remedy in the patient would be creating a new mandible all together, however, that was impossible with previous methods.

     

    It has become possible with 3D Fit Face Sculpting using the 3D Fit PMMA implant.

     

    Image 3. From the frontal view of the face, the area marked with a red circle is slightly concave.

     

    This indentation is caused by short mentum-cervicomental angle length and lack of bone anterior to the gonial angle and can be resolved by bone supplementation. The 3D CT image in <Image 3> also shows a slight concaveness of the bone.

     

    Image 4. From a diagonal view, the red circle shows concave outline of the bone mentioned in <Image 3> and an extremely short mentum.

     

    The distance between the teeth and mentum is important when considering a chin implant in patients with a short chin. When this distance is sufficient, advance genioplasty can be carried out. However, if this distance is too short, the chin needs to be advanced and elongated at the same time and a suitable implant cannot be produced using previous methods. Autologous bone implant requires harvesting a large amount of autologous bone. It is not a treatment option as the amount of bone resorption cannot be predicted.

     

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    -To be continued-

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