THE AESTHETIC ORTHOPAEDY SURGERY OF THE FACE JAW AREA   

1. When should we intervene the aesthetic orthopaedy surgery?

      The orthopaedy surgery of the face jaw area is wide deep and high specialty, claiming the doctor should intervene not only localize at the soft tissue but also deeply act upon in the bone structure raising below, the face skull one. And just this fact has helped in some extent changing the face shape (the formation of bone structure stipulating the face external shape0. The orthopaedy surgery could be deeply intervened in the face skull block system that could be helped improving considerably for the face appearance.

May I try a little scattered:

     “Why didn’t you go playing at the Vg village

     You would see the sunlight through the areca rows, the now appearance one.

      Whose garden had been so smooth shining and pure as the pearl.

      The bamboo heaves had hidden across the square face…”

                                                            (Han Mac Tu.)

       There were so many generations who were in love with poem had not regretted a whole to praise lissome verses of the great poet who had been talented but dead young. The image of the sweet bamboo leaf, velvety and sketchy the perfectly square face with angles and edges being really impressive, and Asia. But if this square face character is “located” on the girl face, then this is another question, the aesthetic one. When describing the girl with pretty features, people often compare with the oval face sweet and supple. So, the girls who were born hunted for the face jaw aesthetic orthopaedy surgery.

2.  The face jaw orthopaedy in the aesthetic surgery:

On the Asian look respect and in the practicing physiognomy art the high and low appearance and position is very important. The women are worried to have an edge and angle face with high cheeks, a prominent nose, a square chin… on the contrary if men having the oval face are “a little too graceful and pretty” persons. The face jaw orthopaedy surgery includes many wide and deep, complicated surgeries helping one another the aesthetic requirements:

The forehead area orthopaedy: the forehead, the mound over the orbit (the eyebrow are)

     The cheek orthopaedy

     The nose tower orthopaedy

     The jaw bone orthopaedy: To give medical treatment to buck teeth, chin correction, jaw angle…

      Except the orthopaedy surgery for treating buck teeth, we must cut to be separated from one by one the bone section, after that we translate gradually the bone monolith and fix it at the new position with rims, screws, the remaining amount of surgeries we add up into two groups:

    + To stuff the materials

    + To cut down the tissues

3. Anaesthesia in the surgery:

      Anaesthesia in the face jaw can b used the anaesthetized method or causing in sensible. The simple surgeries such as the chin and noose correction… maybe used the insensible method. On the contrary the methods that need much time, much as taken off much, a large field of action we must use the anaesthetized method. Although with any method can be used it must be guaranted the safety as well as the economy effete.

4. The surgery method:

        To pad and graft materials:

 In the article “the nose raising surgery of the Asians” advertising in the Young Fashion paper on the 10/2008, it has been mentioned the materials using to pad and graft. Like in the nose raising surgery, we have used the chosen pad into the lack and deeply sunken in places: the low cheeks, the pouting eyebrow are, the pouting forehead, the receding chin, sunken checks… The pad material putting hold must be large enough. It Maybe fix pad material into the received place with the rims, screws or the sewed threads according to the circumstances.

        To cut down the tissues:

The tissues that have been cut down in the orthopaedy surgery are essential the bones. After slitting the skin and off the muscles, we must directly intervene the bones. We have used the thrilling machine, the whet or the specially make for cutting one to take or whittle and leave off the intending bone. After the surgery the left bone surface should be whittled and filed smoothly and carefully hemostatic. This surgery has been applied in cases: to whittle the forehead hillock, to correct the eyebrow are, to lower the two chicks, a square chin.

5. The surgery slit line:

   Both the two pad and graft materials or taking to diminish the tissues maybe going the same surgery slit but the one slit taken to diminish the tissues maybe longer and dissect broadlyer. It maybe goes on the external skin or in the mouth according to the position needing to intervene the surgery but giving the aesthetic and safe result. The inside slit in the mouth surgery in often difficult to operate but it has high sense of taste.

6. The side-effects might be encountered:

     In this article “The nose raising technology of the Asians” we have also dealt with a lot of side _ effects that might be encountered in the nose raising surgery. Here we could add a lot of side _ effects in the orthopasdy surgery of face jaw area.

 -  Bleed: Because of the complex surgery, the needed intervention area has been in the deep layer, so it is easy to bleed in the surgery time as well as in the pots _ operational one if we are not careful and do not have the careful hemostasis.

 - The face nerve branches had been paralysed: In the check bone orthopaedy surgery if the skin external surgery slit follows the Ear – Temple _ Top line it should be careful with the temple branches of the face nerves. If they are injured they might he paralysed the agitation of the muscles that hang on the skin in the forehead area and or bid one.

   In the jaw angle orthopaedy surgery, when it is necessary to whittle the jaw angle area smaller and swelter, if the slit of the skin external surgery, it should be careful with the nerve branches of the lower jaw paralysed the muscles hung on to the lower lip area. Generally speaking, the face jaw area surgeries have

 - Injuring the pipe nerve of the lower teeth.

   If cutting, whittling too much the jaw angle area bone, the lower jaw one cross branch area and the chin one, that might be injured the bundle of the lower teeth nerve vessel causing bleeding and loosing the lower lip edge sensation.

   Generally speaking, the face jaw area surgeries have been the completed ones and have had high specialty. So when carrying on the surgery we should be careful and have had a great survey to get the safe affect, the most aesthetic result. The face structure change would be entirely possible. With the result of transferming the pretty square face into the oval one would be the near at hand of the aesthetic surgery doctor. “What do you remember?  I remember the oval face girl.

Stooping timidly under the palm – leaf conical hat brim and stooping on the old track.”

                                                                                 Doctor Vo Duy Thien