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To better define the extent of these bony changes with aging and to consolidate piecemeal information in the literature, a review of the literature was undertaken. The application of this knowledge to selectively correct areas of reduced bone projections in patients with deficiencies either inherent or due to aging is discussed. The exclusion criteria ruled out pathologic cases, including those with congenital anomalies such as cleft lip and palate, craniofacial syndromes, or a history of craniofacial trauma. The papers were reviewed and the relevant data extracted.