Genioplasty

Spear, Scott L.; Kassan, Martin

doi:10.1016/s0094-1298(20)31292-x

Cited by 23 publications

(4 citation statements)

References 29 publications

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“…Graft removal secondary to infection was detected in 1.6 percent (2 of 124) of procedures and revision surgery was performed. The literature and practical experience revealed that the major postoperative augmentation mentoplasty complications focused on implant position 4–10 . Implants placed via an oral approach had a tendency to migrate superiorly, and those placed submentally could drift inferiorly 5 .…”

Section: Resultsmentioning

confidence: 99%

“…Numerous materials found their way surgically into the chin, and modern surgeons continue to use techniques or modifications of methods described long before. Controversy surrounds the technique of chin augmentation (osseous genioplasty vs allograft augmentation), 4 route of insertion of the implant (extraoral vs intraoral), 5,6 method of pocket formation (supraperiosteal vs subperiosteal), 7 method of implant fixation (limited pocket vs all others), 4,5 and the possibility and cause of mandibular resorption. 8,9 Different kinds of procedures are used to augment the chin, such as the alloplastic implants, the osteotomies, and the use of costal bone or nasal cartilage grafts.…”

Section: Discussionmentioning

confidence: 99%

“…The literature and practical experience revealed that the major postoperative augmentation mentoplasty complications focused on implant position. [4][5][6][7][8][9][10] Implants placed via an oral approach had a tendency to migrate superiorly, and those placed submentally could drift inferiorly. 5 In our series, a limited pocket dissection worked reasonably well to stabilize most implants centrally and no displacement was observed.…”

Section: Discussionmentioning

confidence: 99%

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Augmentation mentoplasty with osteocartilaginous nasal graft

Cingi

Songu

Thomas

2010

Otolaryngol.--head neck surg.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Augmentation mentoplasty with osteocartilaginous nasal graft

Cingi

Songu

Thomas

2010

Otolaryngol.--head neck surg.

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“…When the size, shape, position, and ratio of the chin are harmonized with the other facial parts, a beautiful and balanced facial contour is formed. When asymmetry or dysmorphism of the chin has a major effect on the facial appearance, genioplasty is needed for cosmetic or reconstructive reasons [ 1 ]. Among various facial plastic techniques, genioplasty follows relatively simple surgical procedures with highly satisfactory results.…”

Section: Introductionmentioning

confidence: 99%

The Utility of a Three-Dimensional Approach with T-Shaped Osteotomy in Osseous Genioplasty

et al. 2013

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BackgroundFacial beauty depends on the form, proportion, and position of various units of the face. In terms of the frontal view and facial profile, the chin is the most prominent aesthetic element of the lower third of the face. Many methods have been implemented to obtain good proportions of the lower face. In this study, we applied the T-shaped genioplasty method to correcting chin deformities.MethodsAll of the procedures in 9 cases were performed under general anesthesia. For genioplasty, a horizontal cutting line and 1 or 2 vertical cutting lines were drawn 5 mm below the mental foramen. Osteotomed bone segments of the chin were used for horizontal widening using bone grafts or for horizontal shortening. Likewise, they were used as bone grafts for vertical lengthening or vertical shortening. The bone segments were approximated in the midline and held in place using miniplates.ResultsThe postoperative appearance of the 9 cases showed that the lower third of the face had been naturally changed. At the same time, vertical lengthening or shortening, and horizontal widening or shortening could be implemented during the operation. Satisfactory results were obtained based on reviews of the patients' preoperative and postoperative photographs. The patients were also satisfied with the outcomes.ConclusionsUsing T-shaped genioplasty, we efficiently adjusted the shape and position of the chin to obtain good proportions of the lower face and change its contour to obtain an aesthetically appealing oval face in accordance with East Asians' aesthetic preferences.

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Combined Rhinoplasty and Genioplasty

Bertossi

Aglietta

Turra

et al. 2013

JAMA Facial Plast Surg

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Importance: Long-term follow-up reference for experienced clinicians dedicated to profileplasty.Objective: To evaluate the long-term results and complications of combined rhinoplasty and genioplasty.Design: Retrospective study including objective and subjective evaluation before and after 3 years of undergoing simultaneous open rhinoplasty and genioplasty among a cohort of 90 patients.Setting: Academic medical center. Patients: A total of 90 cases of combined rhinoplasty and genioplasty performed from January 2002 through January 2004 were reviewed to evaluate the stability of the esthetic result. Main Outcome Measure: Long-term stability of the esthetic outcome of the simultaneous open rhinoplasty and genioplasty.Results: Soft-tissue Pogonion projection to the true vertical line and mandibular height (mandibular incisor tip to menton) were recorded. As far as reduction genioplasty patients are concerned, 45.6% of the patient population had a 100% stability after 3 years (Ͻ0.25 mm re-sorption measured at the menton). On the other hand, if augmentation genioplasty patients are considered, 52.4% (22 patients with a vertical augmentation range from 4-6 mm; mean, 5.3 mm; and 25 patients with a sagittal augmentation from 6-8 mm; mean, 7.2 mm) had 100% stability after 3 years. The chin was stable with no more than 1 mm of recurrence. Conclusions and Relevance:The results of the study indicate that the combined approach in correcting the facial profile is an effective procedure to achieve a more harmonic and consistent clinical outcome. The recurrence rate of less than 1 mm on the chin bone measurements is relevant to support this statement. An aesthetically proportionate face is strongly determined by the nasal-cervical relationship when observing the patient's profile. Even after a successful rhinoplasty, the patient's face can lack aesthetic attractiveness. Combined rhinoplasty-genioplasty is usually the best solution, particularly for patients with microgenia. It provides optimum patient satisfaction with a low incidence of recurrence.

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Genioplasty

Cited by 23 publications

References 29 publications

Augmentation mentoplasty with osteocartilaginous nasal graft

Augmentation mentoplasty with osteocartilaginous nasal graft

The Utility of a Three-Dimensional Approach with T-Shaped Osteotomy in Osseous Genioplasty

Combined Rhinoplasty and Genioplasty

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