Does Clockwise Rotation of Maxillomandibular Complex Using Surgery-First Approach to Correct Mandibular Prognathism Improve Facial Appearance?

Background: Facial aesthetics may be optimized based on a deeper understanding of soft tissue changes after orthognathic surgery.

Purpose: The purpose of the study was to delineate facial soft tissue changes after clockwise rotation (CWR) of the maxillomandibular complex (MMC) to correct mandibular prognathism using the surgery-first approach.

Study Design, Setting, Sample: This prospective cohort study enrolled patients over 18 years of age with skeletal Class III malocclusion in the craniofacial center.