{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T22:10:18Z","timestamp":1792793418082,"version":"4.5.0"},"reference-count":5,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2020,11,19]],"date-time":"2020-11-19T00:00:00Z","timestamp":1605744000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>A concave profile with class III malocclusion is most often due to a combination of maxillary hypoplasia and mandibular hyperplasia. Surgical correction entails normalization of jaw positions and is more challenging in the setting of concurrent asymmetry and open bite. Treatment should optimize both facial harmony and occlusion. Orthognathic surgery for class III deformities occurs at skeletal maturity and should address all aspects of the condition while preventing unnecessary emotional stress from delayed treatment. In this article, the authors describe the 3-jaw orthognathic surgery technique to address maxillary hypoplasia, mandibular prognathism, open bite, and mandibular asymmetry in a single procedure. The process of preoperative 3-dimensional (3D) virtual surgical planning, detailed surgical technique, fat grafting, and a comparison of preoperative and postoperative 3D aesthetic outcomes is presented. Additionally, a retrospective review of postoperative outcomes of 54 patients who received 3-jaw orthognathic surgery is presented as well.<\/jats:p>","DOI":"10.1093\/asjof\/ojaa051","type":"journal-article","created":{"date-parts":[[2020,11,20]],"date-time":"2020-11-20T05:22:21Z","timestamp":1605849741000},"source":"Crossref","is-referenced-by-count":7,"title":["Orthognathic Surgery to Improve Facial Profile: Assessment, 3-Dimensional Planning, and Technique"],"prefix":"10.1093","volume":"3","author":[{"given":"Kitae E","family":"Park","sequence":"first","affiliation":[{"name":"Section of Plastic and Reconstructive Surgery, Department of Surgery, Yale School of Medicine , New Haven, CT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seija","family":"Maniskas","sequence":"additional","affiliation":[{"name":"Section of Plastic and Reconstructive Surgery, Department of Surgery, Yale School of Medicine , New Haven, CT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omar","family":"Allam","sequence":"additional","affiliation":[{"name":"Section of Plastic and Reconstructive Surgery, Department of Surgery, Yale School of Medicine , New Haven, CT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Navid","family":"Pourtaheri","sequence":"additional","affiliation":[{"name":"Yale Division of Plastic and Reconstructive Surgery , New Haven, CT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Derek M","family":"Steinbacher","sequence":"additional","affiliation":[{"name":"Plastic and Reconstructive Surgery, Yale School of Medicine , New Haven, CT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2020,11,19]]},"reference":[{"issue":"10","key":"2024031806043369200_CIT0001","doi-asserted-by":"crossref","first-page":"1693","DOI":"10.1359\/jbmr.090405","article-title":"Bone and muscle development during puberty in girls: a seven-year longitudinal study","volume":"24","author":"Xu","year":"2009","journal-title":"J Bone Miner Res."},{"issue":"3","key":"2024031806043369200_CIT0002","doi-asserted-by":"crossref","first-page":"698","DOI":"10.1097\/SCS.0000000000005287","article-title":"Effect of fat grafting on postoperative edema after orthognathic surgery","volume":"30","author":"Cabrejo","year":"2019","journal-title":"J Craniofac Surg."},{"key":"2024031806043369200_CIT0003","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1002\/9781119187127.ch4","article-title":"3D analysis, planning, and model surgery. In: Steinbacher DM, eds","author":"Steinbacher","year":"2019","journal-title":"Aesthetic Orthognathic Surgery and Rhinoplasty."},{"issue":"1","key":"2024031806043369200_CIT0004","doi-asserted-by":"crossref","first-page":"89e","DOI":"10.1097\/PRS.0000000000005744","article-title":"Conformity of the actual to the planned result in orthognathic surgery","volume":"144","author":"Wilson","year":"2019","journal-title":"Plast Reconstr Surg."},{"issue":"4","key":"2024031806043369200_CIT0005","doi-asserted-by":"crossref","first-page":"1509","DOI":"10.1007\/s00784-020-03241-4","article-title":"Outcomes of conventional versus virtual surgical planning of orthognathic surgery using surgery-first approach for class III asymmetry","volume":"24","author":"Liao","year":"2020","journal-title":"Clin Oral Investig."}],"container-title":["Aesthetic Surgery Journal Open Forum"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/asjopenforum\/advance-article-pdf\/doi\/10.1093\/asjof\/ojaa051\/34411783\/ojaa051.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/asjopenforum\/article-pdf\/3\/1\/ojaa051\/56997470\/ojaa051.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/asjopenforum\/article-pdf\/3\/1\/ojaa051\/56997470\/ojaa051.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,18]],"date-time":"2024-03-18T06:04:44Z","timestamp":1710741884000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/asjopenforum\/article\/doi\/10.1093\/asjof\/ojaa051\/5992277"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11,19]]},"references-count":5,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,1,1]]}},"URL":"https:\/\/doi.org\/10.1093\/asjof\/ojaa051","relation":{},"ISSN":["2631-4797"],"issn-type":[{"value":"2631-4797","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2021,1]]},"published":{"date-parts":[[2020,11,19]]},"article-number":"ojaa051"}}