Pointed Chin → Masculine Angular Jaw

Описание: A 32-year-old male patient underwent facial contouring surgery (T-osteotomy + mandible body resection) in 2017. After surgery, his chin became too narrow and pointed, losing all masculine definition. A failed reconstruction attempt at another hospital in 2018 left him still unsatisfied.

Prof. Uiyong Lee (Chung-Ang University Hospital, Dept. of Oral & Maxillofacial Surgery) reconstructed his jaw using autologous iliac bone graft + custom 3D-printed PCL implant — and this video shows the remarkable 4.5-year long-term result.

✦ Patient's Concerns After V-Line Surgery:
Chin too small and narrow
Chin too pointed — lost masculine appearance
Wanted a wider, angular, masculine jawline
Mandible body indentation on both sides

✦ Reconstruction Plan:
Autologous iliac bone graft for biological bone regeneration
Custom 3D-printed PCL (polycaprolactone) implant
Surgical guide designed for precise implant placement
Correction of mandible body indentation + asymmetry

✦ Results at 4.5 Years Post-Op:
Pointed chin transformed into angular, masculine jaw
Mandible body indentation fully corrected
Asymmetry minimized
Panoramic X-ray confirms new bone formation at mandible border
CT shows complete cortical + cancellous bone formation
Minimal bone resorption after 4+ years — excellent long-term stability

⚠️ Key Takeaways:
V-line/T-osteotomy can narrow the chin excessively, especially problematic for male patients
Autologous bone + PCL combination provides excellent long-term bone regeneration
Male patients need careful consideration of masculine aesthetics in facial contouring
Failed reconstructions can be successfully revised with proper planning

📋 Timestamps:
0:00 Introduction — Why This Case Matters
XX:XX Patient Overview (32M, V-line surgery in 2017, failed revision 2018)
XX:XX Post-V-Line CT Analysis — T-Osteotomy & Body Resection Review
XX:XX Mandible Body Thickness Analysis — Key to Indentation
XX:XX Patient's Facial Appearance — Pointed Chin & Body Indentation
XX:XX Reconstruction Plan — Autologous Bone + 3D PCL + Surgical Guide
XX:XX Pre vs Post-Op CT Comparison — Bone Volume Increase
XX:XX Panoramic X-Ray — New Bone Formation at 4 Years
XX:XX CT Cross-Section — Perfect Cortical & Cancellous Bone
XX:XX 3D CT Superimposition — Before vs After Bone Changes
XX:XX Soft Tissue Changes — Pointed → Angular Masculine Jaw
XX:XX Summary — Feminine to Masculine Transformation

⚠️ This video is for educational purposes only and is not medical advice. Individual conditions vary — please consult a specialist.

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