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- ArticleLiposky RB.Oral Surg Oral Med Oral Pathol. 1979 Aug;48(2):101-7.A one-step procedure has been designed to help the patient with abnormal maxillary anterior alveolar atrophy. The technique combines an anterior maxillary osteotomy with a maxillary vestibuloplasty. Bone grafting and skin grafting are not required, and prosthetic rehabilitation can begin 6 to 8 weeks postoperatively. This is a preliminary report; however, 18-month follow-up examinations show continued stability and minimal regression.