닫기

Ex) Article Title, Author, Keywords

Original Article

Split Viewer

J Cosmet Med 2017; 1(2): 120-129

Published online December 31, 2017

https://doi.org/10.25056/JCM.2017.1.2.120

Subperiosteal chin augmentation with hyaluronic acid filler in patients with a small chin

Kyoungjin Kang, MD, PhD, FKCCS1, Choongyee Chai, MS2

1Seoul Cosmetic Surgery Clinic, Busan, Rep. of Korea, 2Korean College of Cosmetic Surgery, Busan, Rep. of Korea

Correspondence to :
Kyoungjin Kang, Seoul Cosmetic Surgery Clinic, 10th floor, New Nampo B/D #4, Gudeok-ro 34 Beon-gil, Jung-gu, Busan 48954, Rep. of Korea
Tel: 82-51-247-7776, Fax: 82-51-248-7765, E-mail: mdkjkang@hanmail.net

Received: August 10, 2017; Revised: November 21, 2017; Accepted: November 21, 2017

© Korean Society of Korean Cosmetic Surgery

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Background: For correction of small chin, surgical genioplasty, allograft implantation, and injectable filler have been widely used. Among these, the injectable fillers is a simple, non-invasive procedure that has minimal downtime and low risk of complications. It has been commonly injected at intradermal, subdermal, submuscular and supraperiosteal layer. However, common complications such as nodules, bumps, lumps, migration, asymmetry, overcorrection, and chin ptosis frequently happened.
Objective: The main objective of this study was injecting filler into sub-periosteal layer in a small chin and evaluated its effect and incidence of complications.
Methods: A total of 14 subjects aged between 33 and 64 years had been performed Elravie? hyaluronic acid filler injection subperiosteally and Medytoxin? as a botulinum toxin treatment intramuscularly. Morphological change were observed through the photos. Changes of proportion of lower 1/3 face, Modified Legan’s angle, and open gap distance of lips were measured. Follow-up patient satisfaction surveys were conducted from 2 to 3 weeks.
Results: Proportion of lower face was significantly changed that the ratio of upper and middle 1/3 were decreased (5.26%, 3.85%) and the ratio of lower 1/3 was increased (8.33%). Modified Legan’s angle was significantly decreased (37.4±16.5%). Open gap distance between lips was decreased (66.2±17.9%) and dry mouth was significantly decreased. Lower facial contour was changed from round shape to elliptical shape and mouth looked smaller and less protruded. Upper lip was everted, but lower lip was inverted. Perioral wrinkles, labio-mandibular folds, and mental dimples were significantly decreased. There was no significant incidence of common complications including chin ptosis.
Conclusion: Subperiosteal filler injection is easy, safe and effective in improvement of small chin and interestingly, showed additional beneficial effects such as improvement of dry mouth, lips contour, and perioral wrinkles.
Level of Evidence: IV

Keywords: subperiosteal chin augmentation, injectable filler, chin ptosis, dry mouth

  1. Kang KJ. SAFI (Sequential autologous fat injection). Seoul:Koonja Publishing Inc.; 2017. p. 234-36.
  2. Bertossi D, Galzignato PF, Albanese M, Botti C, Botti G, Nocini PF. Chin microgenia: a clinical comparative study. Aesthetic Plast Surg 2015;39:651-8.
    Pubmed CrossRef
  3. Bass LS. Injectable filler techniques for facial rejuvenation, volumization, and augmentation. Facial Plast Surg Clin North Am 2015;23:479-88.
    Pubmed CrossRef
  4. Rho NK, Chang YY, Chao YY, Furuyama N, Huang PY, Kerscher M, et al. Consensus recommendations for optimal augmentation of the Asian face with hyaluronic acid and calcium hydroxylapatite fillers. Plast Reconstr Surg 2015;136:940-56.
    Pubmed CrossRef
  5. Garfein ES, Zide BM. Chin ptosis: classification, anatomy, and correction. Craniomaxillofac Trauma Reconstr 2008;1:1-14.
    Pubmed KoreaMed CrossRef
  6. Mendelson B, Wong CH. Changes in the facial skeleton with aging: implications and clinical applications in facial rejuvenation. Aesthetic Plast Surg 2012;36:753-60.
    Pubmed KoreaMed CrossRef
  7. Rohrich RJ, Pessa JE. Discussion. Aging of the facial skeleton:aesthetic implications and rejuvenation strategies. Plast Reconstr Surg 2011;127:384-5.
    Pubmed CrossRef
  8. Shaw RB Jr, Katzel EB, Koltz PF, Yaremchuk MJ, Girotto JA, Kahn DM, et al. Aging of the facial skeleton: aesthetic implications and rejuvenation strategies. Plast Reconstr Surg 2011;127:374-83.
    Pubmed CrossRef
  9. Carruthers J, Fagien S, Matarasso SL; Botox Consensus Group. Consensus recommendations on the use of botulinum toxin type a in facial aesthetics. Plast Reconstr Surg 2004;114(6 Suppl):1S-22S.
    Pubmed CrossRef
  10. Arroyo HH, Olivetti IP, Lima LF, Jurado JR. Clinical evaluation for chin augmentation: literature review and algorithm proposal. Braz J Otorhinolaryngol 2016;82:596-601.
    Pubmed CrossRef
  11. Kang KJ. SAFI (Sequential autologous fat injection). Seoul:Koonja Publishing Inc.; 2017. p. 71-6.
  12. Belmontesi M, Grover R, Verpaele A. Transdermal injection of Restylane SubQ for aesthetic contouring of the cheeks, chin, and mandible. Aesthet Surg J 2006;26(1S):S28-34.
    Pubmed CrossRef

Article

Original Article

J Cosmet Med 2017; 1(2): 120-129

Published online December 31, 2017 https://doi.org/10.25056/JCM.2017.1.2.120

Copyright © Korean Society of Korean Cosmetic Surgery.

Subperiosteal chin augmentation with hyaluronic acid filler in patients with a small chin

Kyoungjin Kang, MD, PhD, FKCCS1, Choongyee Chai, MS2

1Seoul Cosmetic Surgery Clinic, Busan, Rep. of Korea, 2Korean College of Cosmetic Surgery, Busan, Rep. of Korea

Correspondence to:Kyoungjin Kang, Seoul Cosmetic Surgery Clinic, 10th floor, New Nampo B/D #4, Gudeok-ro 34 Beon-gil, Jung-gu, Busan 48954, Rep. of Korea
Tel: 82-51-247-7776, Fax: 82-51-248-7765, E-mail: mdkjkang@hanmail.net

Received: August 10, 2017; Revised: November 21, 2017; Accepted: November 21, 2017

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background: For correction of small chin, surgical genioplasty, allograft implantation, and injectable filler have been widely used. Among these, the injectable fillers is a simple, non-invasive procedure that has minimal downtime and low risk of complications. It has been commonly injected at intradermal, subdermal, submuscular and supraperiosteal layer. However, common complications such as nodules, bumps, lumps, migration, asymmetry, overcorrection, and chin ptosis frequently happened.
Objective: The main objective of this study was injecting filler into sub-periosteal layer in a small chin and evaluated its effect and incidence of complications.
Methods: A total of 14 subjects aged between 33 and 64 years had been performed Elravie? hyaluronic acid filler injection subperiosteally and Medytoxin? as a botulinum toxin treatment intramuscularly. Morphological change were observed through the photos. Changes of proportion of lower 1/3 face, Modified Legan’s angle, and open gap distance of lips were measured. Follow-up patient satisfaction surveys were conducted from 2 to 3 weeks.
Results: Proportion of lower face was significantly changed that the ratio of upper and middle 1/3 were decreased (5.26%, 3.85%) and the ratio of lower 1/3 was increased (8.33%). Modified Legan’s angle was significantly decreased (37.4±16.5%). Open gap distance between lips was decreased (66.2±17.9%) and dry mouth was significantly decreased. Lower facial contour was changed from round shape to elliptical shape and mouth looked smaller and less protruded. Upper lip was everted, but lower lip was inverted. Perioral wrinkles, labio-mandibular folds, and mental dimples were significantly decreased. There was no significant incidence of common complications including chin ptosis.
Conclusion: Subperiosteal filler injection is easy, safe and effective in improvement of small chin and interestingly, showed additional beneficial effects such as improvement of dry mouth, lips contour, and perioral wrinkles.
Level of Evidence: IV

Keywords: subperiosteal chin augmentation, injectable filler, chin ptosis, dry mouth

References

  1. Kang KJ. SAFI (Sequential autologous fat injection). Seoul:Koonja Publishing Inc.; 2017. p. 234-36.
  2. Bertossi D, Galzignato PF, Albanese M, Botti C, Botti G, Nocini PF. Chin microgenia: a clinical comparative study. Aesthetic Plast Surg 2015;39:651-8.
    Pubmed CrossRef
  3. Bass LS. Injectable filler techniques for facial rejuvenation, volumization, and augmentation. Facial Plast Surg Clin North Am 2015;23:479-88.
    Pubmed CrossRef
  4. Rho NK, Chang YY, Chao YY, Furuyama N, Huang PY, Kerscher M, et al. Consensus recommendations for optimal augmentation of the Asian face with hyaluronic acid and calcium hydroxylapatite fillers. Plast Reconstr Surg 2015;136:940-56.
    Pubmed CrossRef
  5. Garfein ES, Zide BM. Chin ptosis: classification, anatomy, and correction. Craniomaxillofac Trauma Reconstr 2008;1:1-14.
    Pubmed KoreaMed CrossRef
  6. Mendelson B, Wong CH. Changes in the facial skeleton with aging: implications and clinical applications in facial rejuvenation. Aesthetic Plast Surg 2012;36:753-60.
    Pubmed KoreaMed CrossRef
  7. Rohrich RJ, Pessa JE. Discussion. Aging of the facial skeleton:aesthetic implications and rejuvenation strategies. Plast Reconstr Surg 2011;127:384-5.
    Pubmed CrossRef
  8. Shaw RB Jr, Katzel EB, Koltz PF, Yaremchuk MJ, Girotto JA, Kahn DM, et al. Aging of the facial skeleton: aesthetic implications and rejuvenation strategies. Plast Reconstr Surg 2011;127:374-83.
    Pubmed CrossRef
  9. Carruthers J, Fagien S, Matarasso SL; Botox Consensus Group. Consensus recommendations on the use of botulinum toxin type a in facial aesthetics. Plast Reconstr Surg 2004;114(6 Suppl):1S-22S.
    Pubmed CrossRef
  10. Arroyo HH, Olivetti IP, Lima LF, Jurado JR. Clinical evaluation for chin augmentation: literature review and algorithm proposal. Braz J Otorhinolaryngol 2016;82:596-601.
    Pubmed CrossRef
  11. Kang KJ. SAFI (Sequential autologous fat injection). Seoul:Koonja Publishing Inc.; 2017. p. 71-6.
  12. Belmontesi M, Grover R, Verpaele A. Transdermal injection of Restylane SubQ for aesthetic contouring of the cheeks, chin, and mandible. Aesthet Surg J 2006;26(1S):S28-34.
    Pubmed CrossRef

Stats or Metrics

Share this article on :

  • line
  • mail

Most KeyWord ?

What is Most Keyword?

  • It is most registrated keyword in articles at this journal during for 2 years.

Journal of Cosmetic Medicine

eISSN 2586-0585
pISSN 2508-8831
qr-code Download