Policy on browser cookies
This website uses cookies. To find out more about cookies, read this page. If you continue browsing this site, you are deemed to have automatically authorised Facial Sculpture Clinic to use these cookies. Please note: blocking certain types of cookies will impede the proper functioning of the website.
Go back to the case overview

Diana: : Lower jaw too short, weak chin. +lipofilling

Facial diagnosis

  • Receding lower jaw
  • Too long upper jaw
  • Too narrow upper jaw

Dental diagnosis

  • Class II division 1

Treatment jaw surgery

  • Advancement lower jaw (BSSO)
  • Shortening upper jaw (intrusion upper jaw - Le Fort I)
  • Chin surgery (Sliding genioplasty)

Treatment aesthetic surgery

  • Lipofilling

About this case

Diana is in her early 40s. She popped into our consultation to discuss her options for facial enhancement. Diana was particularly unhappy with the appearance of her upper teeth. Those teeth became loose and were periodontally affected. She had in mind an implant rehabilitation in the upper jaw. Her financial possibilities were rather restricted and very soon it became clear that choices and compromises would be part of the treatment plan. Instead of focusing on implant rehabilitation, we gradually directed the treatment plan towards a more overall facial enhancement plan.

The following treatment plan was finalised:

  • Extraction of the upper teeth with substantial vertical reduction of the alveolar bone. This bone was processed and used as onlay graft on the vestibular alveolar area.
  • For cost-saving, a conventional and removable denture was made in the upper jaw.
  • Lengthening of the lower jaw to resolve the substantial skeletal Class II (BSSO advancement).
  • Chin surgery: genioplasty with vertical reduction and substantial advancement.
  • Facial lipofilling - liposculpture was felt mandatory. We discussed this adjunctive surgical procedure extensively with Diana before the surgery. Note that the lower jaw advancement would have made her face even more narrow. 40 cc of fat from the lower abdomen was harvested. 25 cc of the fat was processed as micro-fat, and 15 cc as nano-fat.

The outcome of the procedures performed by Dr Defrancq fulfilled Diana’s expectations by a long way and made her extremely happy. She felt the outcome as a major contribution for her sense of well-being. She is gradually saving up money to afford placing implants and a fixed bridge.