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Orthognathic Surgery Combined with Partial Lipectomy of the Buccal Fat Pad: Case Report on Optimization of Esthetic Outcome




Author(s)

Daniel Amaral Alves Marlière, Caio Bellini Lovisi, Alan Robert Moreira Schmitt, Bruno Salles Sotto-Maiorand Henrique Duque de Miranda Chaves Netto

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DOI:10.17265/2328-2150/2017.08.012

Orthognathic surgery involves correction of functional and often esthetic disharmonies. The purpose of this case report is to present the case of a 22 years-old female with class III dentofacial deformity that required orthognathic surgery to treat her malocclusion and buccal fat pad excision for optimizing soft-tissue facial contour. Treatment planning involved a counterclockwise rotation of the maxilomandibular complex with genioplasty based on digital 3D surgical planning using the Dolphin Imaging® 11.7 3D Premium software. Prototyping splints allowed surgical procedures (bilateral sagital mandibular osteotomy associated to a Le fort I osteotomy) that corrected position of the gnathic bones. In the same surgical procedure, the buccal fat pad was partially removed for a sharp cheek contour giving a slimmer appearance to her face. After 5 months, the patient was reassessed and reported no complaints regarding esthetics or function. This case illustrates that a combination of orthognathic surgery and an esthetic procedure can result in a stable and harmonious facial as well as occlusal outcomes.

Orthognathic surgery, occlusal plane, malocclusion, buccal fat pad, aesthetic procedure.

Marlière, D. A. A., et al. 2017. “Orthognathic Surgery Combined with Partial Lipectomy of the Buccal Fat Pad: Case Report on Optimization of Esthetic Outcome.” Journal of Pharmacy and Pharmacology 5 (8): 565-571.