La cirugía ortognática se puede acompañar de arreglos de desarmonías faciales como "cara de viejo", "cara larga" y otras muchas, esto ayuda a conseguir un mejora sustancial en los resultados finales.
Más información en: http://www.clinicabenarroch.com/cirugia-ortognatica-estetica.html
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Cirugía Ortognática Estética - Orthognathic esthetic surgery
1. Enhancing Facial Harmony ORTHOGNATHIC SURGERY COMBINED WITH FACIAL PLASTIC PROCEDURES Dr. Samuel Benarroch Mahfoda MD, DDS, MS Oral & Maxillofacial Surgery Assistant Professor Oral & Maxillofacial Surgery Residency Program Woodhull Medical Center. New York Hospital Magallanes de Catia. Caracas
2. ORTHOGNATHIC AND ESTHETIC PROCEDURES Create improvement while maintaining a natural appearance
3. Purpose Determine the type of cosmetic surgery procedures most frequently performed to enhance the result of orthognathic surgery
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5. PATIENT DISTRIBUTION SEX AND AGE SEX NUMBER % MALE 358 28.6 FEMALE 894 71.4 TOTAL 1.252 100 AGE NUMBER % 15 – 19 63 5.2 20 – 24 879 70.6 25 – 29 229 18.3 30 – 34 55 4.4 > 35 20 1.6 TOTAL 1.252 100
60. CONCLUSION Facial harmony will not appear as “beautiful” unless the combination of different facial procedures Orthognathic + Cosmetic + Esthetics Guidance
61.
62. Thank you Enhancing Facial Harmony ORTHOGNATHIC SURGERY COMBINED WITH FACIAL PLASTIC PROCEDURES Dr. Samuel Benarroch Mahfoda MD, DDS, MS Oral & Maxillofacial Surgery Assistant Professor Oral & Maxillofacial Surgery Residency Program Woodhull Medical Center. New York Hospital Magallanes de Catia. Caracas
Editor's Notes
Facial harmony is the sum of a number of factors beginning with the skeleton, then influenced by the muscle, fat, cartilage and finally by the skin Aesthetic ideals and proportional norms of the human face have been well studied and documented by artists, scientists, and physicians The functional correction of dentofacial deformities by orthognathic surgery PRODUCES major changes in facial appearance Combining orthognathic and esthetic procedures to enhance the overall result is proposed.
The purpose of this study is to determine the type of cosmetic surgery procedures most frequently used to enhance the result of orthognathic surgery
This is a multicenter retrospective study conducted from 1994 to 2004
A total o fone hundred two hundred and fifty two orthognathic surgery patients, with an average age of 21.8 years, combined with plastic procedures were included, 71.4 % of them were females
All the patients underwent a complete facial analysis in order to achieve other disharmonies aside from the dental skeletal anomalies. No distinction was made among patients based on whether the cosmetic surgery was done before, during or after the surgical correction. Three groups were evaluated depending on the dentofacial deformity diagnosed Group I Maxillary deformities Group II: Mandibulary deformities Group III: Maxillo-mandibular deformities
She had a inferior position of the eye lateral canthus this is highly associated with VME, impact the maxilla 4 mm and I keep the tooth to lip relation in the range of 4 to 6 mm
Presurgical on your left and post surgical on your right.
She had a inferior position of the eye lateral canthus this is highly associated with VME, impact the maxilla 4 mm and I keep the tooth to lip relation in the range of 4 to 6 mm
Presurgical on your left and post surgical on your right.
I over correct the septal deformity in the severe deviations and the nose done 3 months after the orthognathic surgery
Poor definition of the tip she had a Dominant negative trait which is the Mandible deficiency Long upper lip many controversies in this patient
Class II malocclusion with a deep overbite
Distraction osteogenesis in this particular case is just another treatment option
DO protocol Latency of 5 days Distraction Phase rate of 1 mm/d. a rhythm of 1-2 times per day Consolidation phase 8 to 12 weeks
X Rays After the latency period and after 12 weeks with the distractor extended advancement of 0.9 mm About the fixation period must be rigid enough to prevent the formation of fibrous tissue but not too rigid to prevent physiologic loading of the new bone
Maxillary assisted expansion with the same protocol of the last case, the orthodontics star to move the central incisors after 4 months
10 month after de expansion
13 months after surgery
Note that the dominant negative traits on the left, has been corrected. And the assessment of the postoperative result is a combination…………………………………..
of orthognathic surgery, the performances of cosmetic facial plastic procedures and cosmetology advises (eye shape and color , hair cut and color , color make up and skin tones),
The overall esthetic procedures most frequently associated were No statistically significant differences in complication rates were found among the groups. The prevalence of morbidity in all groups was practically identical to previous studies. Of the total facial plastic procedures included in this study, 77 % were performed at the time of the dentofacial correction. Patients´ satisfaction was evaluated after 6 months: 85 % were satisfied with the results in terms of increase of self esteem and improvement in their social life
Estethic it’s a balance between patient needs and surgical goals with an inclination towards the patient´s side