Genioplasty is a procedure designed for correction of chin deformities, designed to achieve aesthetic objectives, without functional changes. There are few complications associated with genioplasty been reported in literature, including neurosensory disturbances, teeth apices injury, muscle dysfunctions (mentalis muscle ptosis) and relapses with a rare complication been reported including mucocele in the chin region. However this patient post-operative an eventful the time was in the hospital which was forty eight hours (48hours) then patient discharge home with antibiotic and pain medication. One week follow up patient presented with subcutaneous hematoma extended from sub mental to the xiphoid region.

Internal maxillary artery injury is life threatening injury. It needs immediate intervention to save victim life. This case is very unusual because the intervention was not definite but was saving the patient life. This went for all most two months. The surgical challenges to have definite treatment for the internal maxillary artery injury needs very well experience Oral and Maxillofacial or head and neck surgeon with very well-trained team. Bullet is distractive mechanism for both hard and soft tissues.