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Comparison of Techniques and Introduction of the Lower Facial Triangle

F. Brian Gibson, MD; Karen H. Calhoun, MD

Arch Otolaryngol Head Neck Surg. 1992;118(3):273-276.

Abstract
• Many patients undergoing rhinoplasty can benefit from chin augmentation, yielding a more balanced appearance. Preoperative facial analysis identifies patients with retrusive chins and suggests optimal chin position. Current profile analysis methods depend on subnasale position (Legan's angle) or require estimation of bony landmarks from soft-tissue photographs (Goode's alar crease perpendicular, Gonzalez-Ulloa's zero meridian, and Merrifield's Z-angle). We describe a technique for determining ideal chin position using soft-tissue landmarks. We compare this technique with Legan's, Goode's, Gonzalez-Ulloa's, and Merrifield's techniques in 35 women and conclude that this method provides accurate and rapid determination of ideal chin position.

(Arch Otolaryngol Head Neck Surg. 1992;118:273-276)

Author Affiliations
From the Department of Otolaryngology, University of Texas Medical Branch, Galveston.

Footnotes
Accepted for publication August 14, 1991.

Presented at the Southern Section Meeting of the American Academy of Facial Plastic and Reconstructive Surgery, Houston, Tex, February 9, 1991.

Reprint requests to Department of Otolaryngology, University of Texas Medical Branch, Galveston, TX 77550 (Dr Calhoun).

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