ABSTRACT
Orthognathic surgery is widely applied to correct congenital and acquired facial skeletal
problems related to malocclusion, temporomandibular joint disorders, and obstructive
sleep apnea. The secondary benefit of enhanced perioral aesthetics is becoming more
accepted as a rationale for corrective jaw surgery. This article presents the plastic
surgeon with a systematic and detailed clinical approach to evaluating the patient
with aesthetic problems in the perioral region. Emphasis is placed on recognition
of dental- and skeletal-based problems and in understanding their impact on perioral
aesthetics. The need for full and complete diagnosis of perioral problems along with
a multidisciplinary approach for optimal management is discussed. A brief overview
of the effect of osteotomies on soft tissues of the face is presented.
KEYWORDS
Orthognathic - perioral - aesthetics - cosmetic
