Pear-Shaped Face Surgery

The current mainstream aesthetic is an oval face with a slim outline that makes people look more beautiful. Many people do not have such a good-looking face shape, and sometimes they have a square face or a pear-shaped face, etc. Therefore, they want to use plastic surgery to make their face more prominent. However, when choosing pear-shaped face plastic surgery, you must understand the various methods and surgical procedures, be fully prepared, and avoid the side effects of the surgery. What is the process of pear-shaped face surgery?

Face shape plays a key role in determining whether a person is beautiful. Nowadays, many people want to have an oval face, but their facial bones are very large. In order to improve their face shape, many people choose to undergo maxillary surgery. The maxillary bone is located in the middle of the face, with one on each side, connected to each other to form a support for the mid-face. The maxillary bone has a body and four bony processes connected to adjacent bones, such as the frontal process connected to the frontal bone, the zygomatic process connected to the zygomatic bone, the palatine process connected to the left and right sides of the middle suture of the upper palate, and the alveolar process which is the bone where the teeth are located.

The surgical procedure for maxillary osteotomy is as follows:

1. Diagnosis of maxillary protrusion, deep overbite or open bite, lips are open in normal resting state, and incisors are exposed more than 2/3. The gums are more exposed when smiling.

2. An incision can be made above the maxillary vestibule groove parallel to the long axis of the tooth, and an incision of the same length can be made in the anterior midline along the direction of the labial frenulum.

3. Incise the mucoperiosteum and use a stripper to peel it upward and to both sides under the periosteum to expose the anterior nasal spine, the lower edge of the piriform aperture, and both sides of the bottom of the nose to the outer edge of the maxilla.

4. Use methylene blue to mark the mandibular osteotomy line, and then go up along the apical direction to the plane 5 to 10 mm below the lower edge of the piriform foramen, and then go inward and upward obliquely to the piriform foramen to mark the width of the removed bone, which is generally 5 to 8 mm.

5. Use a melon-shaped drill bit to cut the anterior wall of the maxillary bone along the marked osteotomy line. When approaching the palatal mucoperiosteum, first insert a dissipator along the inner side of the osteotomy plane close to the palatine bone, dissect the mucoperiosteum to create a small tunnel, and place the dissipator in it to protect the palatal mucoperiosteum. After cutting off both sides, use a small bone chisel to cut off the unbroken parts of the vomer of the nasal septum and the anterior part of the maxilla. Note that when breaking the vomer, the operator's right index finger should be extended into the palate for protection.

The process of maxillary surgery is relatively complicated and risky, so choosing a large and guaranteed hospital is the key to ensuring the success of maxillary surgery. We must be cautious about maxillary surgery and actively cooperate with the doctor so that we can have an ideal face shape.