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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:

  1. Widening of the upper jaw with a smile distractor (Titamed®).
  2. Orthodontic treatment.
  3. 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.
  4. 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.