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The 3 Bs of upper face rejuvenation: blepharoplasty, browlifting, and botulinum
Surgical Clinics and effective long-term management modality in a patient population with the conditions listed above. References Mercuri LG, Wolford LM, Sanders B, et al: Custom CAD/CAM Total temporomandibular Joint Reconstruction System: Preliminary multicenter report. J Oral Maxillofac Surg 53:106, 1995 Mercuri LG: The TMJ Concepts Patient Fitted Total Temporomandibular Joint Reconstruction Prosthesis. Oral Maxillofac Surg Clin North Am 12:73, 2000 Mercuri LG, Wolford LM, Sanders B, et al: Long-term follow-up of the CAD/CAM total temporomandibular joint reconstruction system. J Oral Maxillofac Surg 60:1440, 2002
S110 Rotation of the Maxillomandibular Complex (alteration of the occlusal plane): Indications, Treatment Planning, and Treatment Outcomes Johan P. Reyneke, MChD, FCMFOS(SA), Rivonia, South Africa Introduction: The principle of rotation of the maxillomandibular complex (MMC) as orthognathic treatment design is not always fully understood. This surgical design is used in cases where the desired aesthetic results cannot be achieved by conventional treatment designs. Indications: The indications for this alternative surgical treatment design will be discussed by using clinical examples. Geometry: The geometry of rotations of the MMC in all 3 dimensions (clockwise and counterclockwise in a sagittal plane, as well as transverse and coronal rotations) and the expected soft tissue results will be discussed. The importance of selecting the correct point around which the MMC should be rotated for specific cases with the focus on development of a visual treatment objective will be demonstrated. Clinical cases: Cases demonstrating the importance of rotation point and direction of rotation will be presented. References Reyneke JP, Evans WG: Surgical manipulation of the occlusal plane. Int J Adult Orthod Orthognath Surg 5:99, 1990 Reyneke JP: Surgical manipulation of the occlusal plane: New concepts in geometry. Int J Adult Orthod Orthognath Surg 13:307, 1998 Reyneke JP: Surgical cephalometric prediction tracing for the alteration of the occlusal plane by means of rotation of the maxillomandibular momplex. Int J Adult Orthod Orthognath Surg 14:55, 1999
S111 Drug-Drug Interactions and Pharmacology Update: Important for the Oral and Maxillofacial Surgeon Jeffrey Bennett, DMD, Farmington, CT (no abstract provided) AAOMS • 2003
S112 The 3 Bs of Upper Face Rejuvenation: Blepharoplasty, Browlifting, and Botulinum Steven Guttenberg, DDS, MD, Washington, DC Ptosis of the upper-face soft tissues can lead to the appearance of aging, which is easily noticed by our patients and their peers. Rejuvenation of this facial third is relatively straightforward and can lead to dramtic improvement of the maturing visage. After one has evaluated the patient and arrived at a diagnosis, there are several office-based, outpatient procedures that can be used to correct the defect(s). Injection of Clostridium botulinum toxin type A to weaken periorbital depressor muscle contractions can diminish wrinkles and frown lines and may even raise the brow superiorly. Use of this neurotoxin complex is a quick and facile method to renew the upper facial third. Chronologic aging, ultraviolet radiation, and genetic and environmental factors can lead to the descent of periorbital and intraorbital fat, which contributes to an unaesthetic appearance. Upper and lower blepharoplastic procedures to correct this baggy eyelid deformity can aid greatly in cosmetic improvement of this facial zone. Use of the carbon dioxide laser to perform the procedures results in virtually bloodless operations and minimizes postoperative complications. The laser can also be used for resurfacing the upper eyelids and the lower eyelid skin in conjunction with transconjunctival blepharoplasties, eliminating or diminishing wrinkles while mitigating the risks of postoperative scleral show or ectropion. In patients in whom there is lowering of the eyebrows below the superior orbital rim, brow/forehead lifting is a technique that has gained popularity. Much of the reluctance of patients to undergo this procedure has been diminished by virtue of an advancement in technology. Specifically, use of the endoscope with small, hidden incisions has all but replaced the previously used “ear-to-ear” hairline incisions. Patient acceptance has increased, results have improved, and morbidity has diminished. The use of these aforementioned procedures, alone or in combination, has significantly helped oral and maxillofacial surgeons to improve the facial cosmesis of their patients.
S201 Treatment of Facial Skin Lesions Michael F. Zide, DMD, Fort Worth, TX Skin cancer can be part of any practice that treats patients over age 35. Approximately 1 million new cases are diagnosed per year in the United States alone. This talk will discuss which patients are most suscep109
S110 Rotation of the Maxillomandibular Complex (alteration of the occlusal plane): Indications, Treatment Planning, and Treatment Outcomes Johan P. Reyneke, MChD, FCMFOS(SA), Rivonia, South Africa Introduction: The principle of rotation of the maxillomandibular complex (MMC) as orthognathic treatment design is not always fully understood. This surgical design is used in cases where the desired aesthetic results cannot be achieved by conventional treatment designs. Indications: The indications for this alternative surgical treatment design will be discussed by using clinical examples. Geometry: The geometry of rotations of the MMC in all 3 dimensions (clockwise and counterclockwise in a sagittal plane, as well as transverse and coronal rotations) and the expected soft tissue results will be discussed. The importance of selecting the correct point around which the MMC should be rotated for specific cases with the focus on development of a visual treatment objective will be demonstrated. Clinical cases: Cases demonstrating the importance of rotation point and direction of rotation will be presented. References Reyneke JP, Evans WG: Surgical manipulation of the occlusal plane. Int J Adult Orthod Orthognath Surg 5:99, 1990 Reyneke JP: Surgical manipulation of the occlusal plane: New concepts in geometry. Int J Adult Orthod Orthognath Surg 13:307, 1998 Reyneke JP: Surgical cephalometric prediction tracing for the alteration of the occlusal plane by means of rotation of the maxillomandibular momplex. Int J Adult Orthod Orthognath Surg 14:55, 1999
S111 Drug-Drug Interactions and Pharmacology Update: Important for the Oral and Maxillofacial Surgeon Jeffrey Bennett, DMD, Farmington, CT (no abstract provided) AAOMS • 2003
S112 The 3 Bs of Upper Face Rejuvenation: Blepharoplasty, Browlifting, and Botulinum Steven Guttenberg, DDS, MD, Washington, DC Ptosis of the upper-face soft tissues can lead to the appearance of aging, which is easily noticed by our patients and their peers. Rejuvenation of this facial third is relatively straightforward and can lead to dramtic improvement of the maturing visage. After one has evaluated the patient and arrived at a diagnosis, there are several office-based, outpatient procedures that can be used to correct the defect(s). Injection of Clostridium botulinum toxin type A to weaken periorbital depressor muscle contractions can diminish wrinkles and frown lines and may even raise the brow superiorly. Use of this neurotoxin complex is a quick and facile method to renew the upper facial third. Chronologic aging, ultraviolet radiation, and genetic and environmental factors can lead to the descent of periorbital and intraorbital fat, which contributes to an unaesthetic appearance. Upper and lower blepharoplastic procedures to correct this baggy eyelid deformity can aid greatly in cosmetic improvement of this facial zone. Use of the carbon dioxide laser to perform the procedures results in virtually bloodless operations and minimizes postoperative complications. The laser can also be used for resurfacing the upper eyelids and the lower eyelid skin in conjunction with transconjunctival blepharoplasties, eliminating or diminishing wrinkles while mitigating the risks of postoperative scleral show or ectropion. In patients in whom there is lowering of the eyebrows below the superior orbital rim, brow/forehead lifting is a technique that has gained popularity. Much of the reluctance of patients to undergo this procedure has been diminished by virtue of an advancement in technology. Specifically, use of the endoscope with small, hidden incisions has all but replaced the previously used “ear-to-ear” hairline incisions. Patient acceptance has increased, results have improved, and morbidity has diminished. The use of these aforementioned procedures, alone or in combination, has significantly helped oral and maxillofacial surgeons to improve the facial cosmesis of their patients.
S201 Treatment of Facial Skin Lesions Michael F. Zide, DMD, Fort Worth, TX Skin cancer can be part of any practice that treats patients over age 35. Approximately 1 million new cases are diagnosed per year in the United States alone. This talk will discuss which patients are most suscep109