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April 1988

Use of Facial Osteotomies for Aesthetic and Reconstructive Contouring

Author Affiliations

Palo Alto, Calif

Arch Otolaryngol Head Neck Surg. 1988;114(4):378-379. doi:10.1001/archotol.1988.01860160022009

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The use of facial osteotomies for aesthetic and reconstructive contouring is an established concept that is experiencing renewed interest within our specialty. These procedures are now frequently included with other surgical techniques, such as rhinoplasty, liposuction, and meloplasty. This renewed interest has stemmed, in part, from the by-products of two areas of research. The first is computer-generated three-dimensional imaging, and the second area is two-dimensional computer imaging, allowing projection alterations that can be viewed immediately. This dramatic display of bone and soft-tissue contours helped illuminate the interplay between supportive bony foundation and soft-tissue drape. Surgical procedures that deal with the uniting of these two components have been aptly referred to as interface surgery.

Our oral and maxillofacial colleagues have long practiced this concept in the correction of dentofacial deformities. The expansion of this concept to include the entire face is an appropriate goal for our specialty. However, many of our

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