隨著矯正裝置的縮小化，越來越多人願意選擇矯正治療來改善嘴型或是臉型的問題。然而部分咬合異常是因為顏面骨發育異常所造成的。單純藉由矯正治療來拉近上下牙對咬關係不僅會犧牲牙齒的角度，同時對於臉型改善效果有限。許多患者在經歷過這類型的矯正掩飾型治療後，對於臉型仍舊不滿意而回頭尋求正顎手術的幫助。然而經歷過矯正後的牙齒，已經為了遷就咬合而造成傾斜。在手術設計時就要特別考量進去。尤其部分患者已經接受過矯正治療，不希望在正顎手術後再一次接受矯正治療，這時就需要考量到上下顎牙齒對咬的穩定度。 The indications of orthodontic camouflage treatment has been broadened with the applications of mini implants in orthodontics. In class II with maxillary vertical excess, clinician has greater ability to retract and intrude maxillary segment to maximize autorotation and advancement of mandible with mini-implants placed in the maxilla. In skeletal class III cases, camouflage may involve implants placed in the maxilla and mandible to maximize lower molar distalization and minimize upper molar extrusion and upper incisor proclination with class III elastics. Although the occlusion can be successfully neutralized through reliable anchorage device, some patients may not be satisfied with the functional and esthetic results or may even “regret” the previous decision of non-surgical camouflage approach. This presentation will focus on the orthognathic solution after orthodontic camouflage treatment.

「唇寒齒亡」，牙醫師臨床上許多的治療都會大幅影響嘴唇的美觀，例如贋復假牙、牙冠貼片、齒顎矯正治療或正顎手術改變了齒槽骨及牙齒的形狀、位置、角度同時也改變了嘴唇的外觀及功能。事實上，許多硬組織顎顏面的問題或診斷都可以從軟組織的嘴唇上看出一些端倪。本次報告討論臨床上咬合及臉型的“垂直向“變化如何影響軟組織（嘴唇）功能及外觀，該如何診斷？及在齒顎矯正-正顎手術協同治療時的考量，改善患者嘴唇的位置、形狀及功能，達到長期穩定的治療結果。

正顎手術因其改變面容的程度非常大，常被視為是一種美容性的手術。然而，正顎手術評估時其實有三個目標，臉型、咬合、呼吸道。正顎手術能透過下顎骨旋轉、往前，能夠大量拉提拓寬呼吸道，一次打通多個阻塞點進而治療睡眠呼吸中止。因此，這類型的正顎手術又稱為上呼吸道拉提手術。

「唇寒齒亡」，牙醫師臨床上許多的治療都會大幅影響嘴唇的美觀，例如贋復假牙、牙冠貼片、齒顎矯正治療或正顎手術改變了齒槽骨及牙齒的形狀、位置、角度同時也改變了嘴唇的外觀及功能。事實上，許多硬組織顎顏面的問題或診斷都可以從軟組織的嘴唇上看出一些端倪。本次報告討論臨床上咬合及臉型的“垂直向“變化如何影響軟組織（嘴唇）功能及外觀，該如何診斷？及在齒顎矯正-正顎手術協同治療時的考量，改善患者嘴唇的位置、形狀及功能，達到長期穩定的治療結果。

許多患者因為齒列紊亂而接受牙齒矯正治療，然而齒列紊亂常是因為上下顎骨發育異常而引起，通常顎骨的發育異常也會伴隨顱顏部其他骨頭代償。常見的有中臉凹陷等臉型外觀問題，甚至會影響到呼吸道而造成睡眠呼吸中止。謝醫師分享關於這類型患者，可以透過除了正顎手術外其他的手術項目來綜合規劃患者的治療計畫。

許多患者因為齒列紊亂而接受牙齒矯正治療，然而齒列紊亂常是因為上下顎骨發育異常而引起，通常顎骨的發育異常也會伴隨顱顏部其他骨頭代償。常見的有中臉凹陷等臉型外觀問題，甚至會影響到呼吸道而造成睡眠呼吸中止。謝醫師分享關於這類型患者，可以透過除了正顎手術外其他的手術項目來綜合規劃患者的治療計畫。

額頭的形狀和比例在整體面部美學中起著重要作用。髮際線的高度決定了上半臉三分之一的長度與全臉比例。前額扁平往後傾斜度或是圓潤澎滿會影響臉部看起來像是陽剛的男性還是柔美的女性。本次演講將介紹改變前額形狀、傾斜度與髮際線高度的各種技術。分為兩種切口的方式，即冠狀切口（在髮箍位置）與髮際線切口（若是要搭配髮際線前移的患者，就需要從髮際線切口）。客製化植入物已經普遍使用於額頭美型手術中，也建議臉部整形醫師將額頭整形手術視為評估的手術項目或是在鼻整形、面部骨骼輪廓手術、下巴整型或正顎手術之外可一併評估整體的輔助效果。 Comprehensive Forehead Sculpture The shape and proportion of the forehead play an important role in overall facial aesthetics. The height of the hairline determines the upper third length. The inclination of the forehead has a direct impact on how the face looks masculine or feminine. This presentation will cover various techniques to alter the shape and inclination of the forehead. There are two basic approaches which are the coronal approach and the trichophytic incision. Three-dimensional assisted forehead implant augmentation is frequently used in forehead sculpture. It is recommended to all facial aesthetic surgeons that the upper third-forehead-temporal complex should always be treated either as a solo procedure or as an adjunctive procedure in addition to rhinoplasty, facial bone contouring surgery, genioplasty, or orthognathic surgery.

臉部老化的原因眾多，起因由內而外可能是骨骼改變、臉部脂肪萎縮或移位、肌肉張力與厚度下降以及皮膚辯駁或鬆弛。治療臉部老化前，深入了解成因至關重要，才能對症下藥。了解臉部各個部位的解剖構造，可以幫助醫師更準確更有效地治療患者。本次的演講將會探討多種對抗臉部老化的骨骼對策，雕塑臉部骨骼、客製化植入物手術增加骨骼支撐、拉皮手術以及在施作其他手術時，如何避免對臉部造成加速老化。

Comprehensive Forehead Sculpture The shape and proportion of forehead play an important role in overall facial aesthetics. The height of hairline determines the upper third length. The inclination of forehead has a direct impact on how the face looks masculine or feminine. This presentation will cover various techniques to alter the shape and inclination of the forehead. There are two basic approaches which are coronal approach and via trichophytic incision. Three-dimensional assisted forehead implant augmentation is frequently used in forehead sculpture. It is recommended to all facial aesthetic surgeons that upper third-forehead-temporal complex should always be treated either as a solo procedure, or as an adjunctive procedure in addition to rhinoplasty, facial bone contouring surgery, genioplasty or orthognathic surgery.

Comprehensive Forehead Sculpture The shape and proportion of forehead play an important role in overall facial aesthetics. The height of hairline determines the upper third length. The inclination of forehead has a direct impact on how the face looks masculine or feminine. This presentation will cover various techniques to alter the shape and inclination of the forehead. There are two basic approaches which are coronal approach and via trichophytic incision. Three-dimensional assisted forehead implant augmentation is frequently used in forehead sculpture. It is recommended to all facial aesthetic surgeons that upper third-forehead-temporal complex should always be treated either as a solo procedure, or as an adjunctive procedure in addition to rhinoplasty, facial bone contouring surgery, genioplasty or orthognathic surgery.