Aesthetic Orthognathic Surgery and Rhinoplasty

Comprehensive in scope, Aesthetic Orthognathic Surgery and Rhinoplasty presents orthognathic surgery from an aesthetic perspective, encompassing analysis, diagnosis, treatment, 3D virtual planning, and adjunctive procedures.

• Easily accessible clinical information presented in a concise and approachable format
• Well-illustrated throughout with more than 1,000 clinical photographs
• Includes access to a companion website with videos of surgical procedures

Aesthetic Orthognathic Surgery and Rhinoplasty präsentiert die orthognathe Chirurgie aus ästhetischer Sicht und behandelt die Bereiche Analyse, Diagnose, Behandlung, virtuelle 3D-Planung und begleitende Verfahren.
- Präsentiert klinische Informationen prägnant und zugänglich.
- Reich illustriert mit mehr als 1.000 klinischen Aufnahmen.
- Begleitende Website mit Videos zu chirurgischen Verfahren.

List of Contributors vii

Foreword I ix

Foreword II xi

Foreword III xiii

Foreword IV xv

Foreword V xvii

Preface xix

Acknowledgements xxi

About the Companion Website xxiii

1 Introduction to Aesthetic Orthognathic Surgery and Rhinoplasty 1

2 Assessment and Evaluation in the Aesthetic Orthognathic Patient 15

3 Orthodontic Considerations in Orthognathic Surgery 35

4 3D Analysis, Planning, and Model Surgery 53

5 Convex Facial Profiles, Class II Skeletal Problems 77

6 Concave Facial Profiles, Class III Skeletal Problems 97

7 Anterior Open Bite 117

8 Width and Transverse Problems 145

9 Facial Asymmetry 175

10 Midface and Orbitozygomatic Aesthetics 213

11 Smile Aesthetics 253

12 Chin and Submental Aesthetics 289

13 Rhinoplasty: Evaluation and Workup 331

14 Rhinoplasty Techniques: The Nasal Dorsum, Midvault, Septum, and Osteotomies 349

15 Rhinoplasty Techniques: Control of Tip, Ala, and Tripod Complex 381

16 Nasal Considerations and Orthognathic Surgery 421

17 Rhinoplasty and Orthognathic Surgery 447

18 Rhinoplasty Technique 489

19 Orthognathic Technique: Le Fort I and Bilateral Sagittal Split Osteotomy (BSSO) 505

20 Osseous Genioplasty 517

21 Submental Liposuction 535

22 Fat Grafting 547

23 Alloplastic Facial Augmentation 559

24 Anesthesia for Orthognathic Surgery and Rhinoplasty 573

25 Operative Preparation and Setup for Aesthetic Orthognathic Surgery and Rhinoplasty 587

26 Postoperative Care and Considerations 603

Index 613

The Editor

Derek M. Steinbacher, DMD, MD, FACS, is Director of Craniomaxillofacial Surgery, Associate Professor of Plastic and Reconstructive Surgery, and Chief of Oral and Maxillofacial Surgery at Yale School of Medicine and Yale New Haven-Health, in New Haven, Connecticut, USA and is Associate Clinical Professor of Orthodontics at the University of Connecticut in Farmington, Connecticut, USA. Dr. Steinbacher can be found at www.dereksteinbacher.com and on Instagram at dereksteinbacher.

This comprehensive book presents orthognathic surgery from an aesthetic perspective, encompassing analysis, diagnosis, treatment, 3D virtual planning, and adjunctive procedures. Focusing on aesthetic optimization in orthognathic surgery, the book addresses nasal deformity and considers, in detail, the interaction between the nasal and maxillofacial systems to most completely influence and impart positive aesthetic change and functionality to the face. Case examples and high-quality full-color clinical photographs, including pre-, intra-, and postoperative images, 3D photos, and CT analysis, demonstrate the concepts discussed, making this a highly visual clinical reference.

Aesthetic Orthognathic Surgery and Rhinoplasty offers in-depth coverage of evaluation and assessment; convex class II deformities; anterior open bite deformities; width and transverse problems; malar and midface deformities; chin and submental deformities; nasal deformities and rhinoplasty assessment; dorsum and midvault problems; nasal changes with orthognathic; genioplasty; fat grafting; alloplastic augmentation; submental liposuction; postoperative care and considerations; and much more.

• Easily accessible clinical information presented in a concise and approachable format
• Well-illustrated throughout with more than 1,000 clinical photographs
• Includes access to a companion website with videos of surgical procedures

Aesthetic Orthognathic Surgery and Rhinoplasty is an important text for plastic surgeons, oral and maxillofacial surgeons, and craniofacial surgeons, as well as for ear, nose, and throat specialists and orthodontists.