Aesthetic Orthognathic Surgery and Rhinoplasty

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.

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