Effects of bimaxillary surgery on the mid and lower face soft tissues

AIM: Treatment planning for patients who require orthognathic surgery should include both hard and soft tissue cephalometric analysis. Although the hard tissue analysis will show the nature of the existing skeletal discrepancy, it is incomplete in proving information concerning the facial form and proportions of the patient. The purpose of this study was to assess cephalometrically the hard and the soft tissue response of skeletal Class III patients treated by bimaxillary orthognatic surgery, and to evaluate the correlation between the two. MATERIALS: Forty-nine patients, 20 men and 29 women, aged 19 to 37 years, had undergone two-jaw orthognatic surgery, with no additional surgical procedures on the midface or chin. Treatment planning for patient who require orthognatic surgery should include both a hard tissue and soft tissue cephalometric analysis. Although the hard tissue analysis will show the nature of the existing skeletal discrepancy, it is incomplete in providing information concerning the facial form and proportions of the patient. RESULTS: After the bimaxillary surgery was underlined a strong correlation in the horizontal and vertical direction between all the selected landmarks of the lower lip and chin, but only between superior labial sulcus and point A in the upper lip in the horizontal direction. CONCLUSIONS: The relationship between hard tissue surgery and the effect which it has on the overlying soft tissue is extremely important in predicting final.