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Wenda: Overbite surgery - lipofilling
Facial diagnosis
- Receding lower jaw
- Too short upper jaw
- Too narrow upper jaw
Dental diagnosis
- Class II division 1
Treatment jaw surgery
- Advancement lower jaw (BSSO)
- Vertical lengthening upper jaw (extrusion upper jaw - Le Fort I)
- Widening upper jaw (Smile distractor)
Treatment aesthetic surgery
- Lipofilling
About this case
Wenda is a rather young and very optimistic person, loving to laugh all the time. She came to Dr Defrancq’s office sent by an orthodontist, because obviously she has a skeletal facial problem, not resolvable by orthodontics alone. Her facial features can be described as follows: a narrow upper arch, protruding upper teeth, almost no upper dental show, extensive buccal corridors when laughing, retrognathic mandible, Class II 1, a deep traumatic bite, almost touching her palate, a deep labiomental fold. She dreamed of a more full upper lip instead of her very thin upper lip that saddened her the most.
Dr Defrancq proposed her the following treatment plan, that she agreed with:
Wenda came out of the surgery extremely pleased with the result.
Dr Defrancq proposed her the following treatment plan, that she agreed with:
- Widening of the upper jaw with a smile distractor (Titamed®).
- Orthodontic treatment.
- Orthognathic surgery: lower jaw advancement, Le Fort I extrusion with bone graft for stabilisation of the jaw to the skeleton and extra skeletal midface building.
- To enhance her lip volume, a lipofilling was proposed, fat was added not only to her lips, but also to the cheeks. The labiomental fold was corrected with a syringe of hydroxy-apatite and tesseel (a human glue).
Wenda came out of the surgery extremely pleased with the result.
