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Is Beauty a Matter of Volume Distribution? Proposal of a New Aesthetic Three-Dimensional Guide in Orthognathic Surgery.
Bianchi, Alberto; Seidita, Francesco; Badiali, Giovanni; Lusetti, Laura; Saporosi, Cristiana; Pironi, Marco; Marchetti, Claudio; Crimi, Salvatore.
Afiliação
  • Bianchi A; Maxillofacial Surgery Unit, "Policlinico-San Marco" University Hospital, Viale Azeglio Ciampi, 95121 Catania, Italy.
  • Seidita F; Maxillofacial Surgery Unit, "Policlinico-San Marco" University Hospital, Viale Azeglio Ciampi, 95121 Catania, Italy.
  • Badiali G; Maxillofacial Surgery Unit, "Sant'Orsola" University Hospital, Via Giuseppe Massarenti 9, 40138 Bologna, Italy.
  • Lusetti L; Plastic Surgery Unit, "Policlinico di Modena" Hospital, Via del Pozzo 71, 41100 Modena, Italy.
  • Saporosi C; Independent Researcher, 40100 Bologna, Italy.
  • Pironi M; Independent Researcher, 40100 Bologna, Italy.
  • Marchetti C; Maxillofacial Surgery Unit, "Sant'Orsola" University Hospital, Via Giuseppe Massarenti 9, 40138 Bologna, Italy.
  • Crimi S; Maxillofacial Surgery Unit, "Policlinico-San Marco" University Hospital, Viale Azeglio Ciampi, 95121 Catania, Italy.
J Pers Med ; 13(6)2023 Jun 01.
Article em En | MEDLINE | ID: mdl-37373925
ABSTRACT

BACKGROUND:

Orthognathic surgery is a multidisciplinary surgery in which the aesthetic results have become increasingly important, and consequently, also the predictability of the surgical outcomes. In this paper, we analyzed the volumetric distribution of the lower two-thirds of the face, in patients operated by orthognathic surgery and selected for their attractiveness. Our goal was to analyze the aesthetic volumetric distribution for gender and to propose our operating philosophy, that a normative distribution of facial volumes could be used like a new 3D aesthetic guide in orthognathic planning.

METHODS:

A group of 46 orthognathic patients (26 females, 20 males) with the best postoperative aesthetic score was selected by a jury of plastic surgeons, orthodontists, and journalists. The mean soft tissue volumes of the malar, maxillary, mandibular, and chin regions were analyzed.

RESULTS:

Overall, we measured a mean female facial volume distribution of 38.7%, 29%, 27.6%, and 4.7%, respectively, in the malar, maxillary, mandibular, and chin regions, while in males, it was 37%, 26%, 30%, and 6%, respectively.

CONCLUSIONS:

In this paper, the expansion of facial volumes in orthognathic surgery is proposed as a key point for facial harmonization. Beauty could be scientifically interpreted as a balanced distribution of facial volumes, and the virtual study of this distribution can become an important part of the preoperative analysis, such as a "volumetric" 3D cephalometry, where the surgeon could use average values of aesthetic volumetric distribution as preoperative surgical references.
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Texto completo: 1 Base de dados: MEDLINE Tipo de estudo: Prognostic_studies Idioma: En Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Tipo de estudo: Prognostic_studies Idioma: En Ano de publicação: 2023 Tipo de documento: Article