eMedicine Specialties > Otolaryngology and Facial Plastic Surgery > Cosmetic Surgery

Genioplasty: Workup

Author: Edward W Chang, MD, DDS, Consulting Staff, Department of Cosmetic Services, Head and Neck Surgery, Kaiser Permanente of Northern California at Santa Rosa
Coauthor(s): Samuel M Lam, MD, FACS, Facial Plastic Surgery, Presbyterian Hospital of Plano; Edward Farrior, MD, Clinical Associate Professor, Department of Otolaryngology-Head and Neck Surgery, University of South Florida Health Sciences Center
Contributor Information and Disclosures

Updated: Feb 15, 2008

Workup

Imaging Studies

When chin abnormalities are present, obtain additional studies. Perform a lateral soft tissue study, lateral cephalometric study, anteroposterior (AP) skull radiography, and occlusal panoramic radiography.

Other Tests

  • Obtain standard facial photographs.
  • In addition to the facial analysis, study dental occlusion and skeletal structures with the aid of preoperative photography as well as cephalometric and panoramic radiography.
  • If skeletal or dental deformities are present, order dental models to be fashioned.

More on Genioplasty

Overview: Genioplasty
Workup: Genioplasty
Treatment: Genioplasty
Follow-up: Genioplasty
Multimedia: Genioplasty
References

References

  1. Powell N, Humphreys B. Proportions of the Aesthetic Face. New York, NY: Thieme-Stratton Inc; 1984.

  2. Pearson DC, Sherris DA. Resorption beneath silastic mandibular implants. Effects of placement and pressure. Arch Facial Plast Surg. Oct-Dec 1999;1(4):261-4; discussion 265. [Medline].

  3. Proffit WR, Turvey TA, Phillips C. The hierarchy of stability and predictability in orthognathic surgery with rigid fixation: an update and extension. Head Face Med. 2007;3:21. [Medline].

  4. Puricelli E. A new technique for mandibular osteotomy. Head Face Med. 2007;3:15. [Medline].

  5. Chang EW, Lam SM, Karen M, Donlevy JL. Sliding genioplasty for correction of chin abnormalities. Arch Facial Plast Surg. Jan-Mar 2001;3(1):8-15. [Medline].

  6. Converse JM, Wood-Smith D. Horizontal Osteotomy of the Mandible. Plast Reconstr Surg. Nov 1964;34:464-71. [Medline].

  7. Frodel JL, Sykes JM. Chin augmentation/genioplasty: chin deformities in the aging patient. Facial Plast Surg. Jul 1996;12(3):279-83. [Medline].

  8. Gilles HD, Millard DR Jr. The Principles and Art of Plastic Surgery. Philadelphia, Pa:. Lippincott Williams & Wilkins;1957.

  9. Grayson BH. Cephalometric analysis for the surgeon. Clin Plast Surg. Oct 1989;16(4):633-44. [Medline].

  10. Gross EJ, Hamilton MM, Ackermann K, Perkins SW. Mersilene mesh chin augmentation. A 14-year experience. Arch Facial Plast Surg. Jul-Sep 1999;1(3):183-9; discussion 190. [Medline].

  11. Guyuron B, Kadi JS. Problems following genioplasty. Diagnosis and treatment. Clin Plast Surg. Jul 1997;24(3):507-14. [Medline].

  12. Guyuron B, Raszewski RL. A critical comparison of osteoplastic and alloplastic augmentation genioplasty. Aesthetic Plast Surg. Summer 1990;14(3):199-206. [Medline].

  13. Hofer D. Operation der prognathie und mikogenie. Dtsch Zahn Mund Kieferheikd. 1942;121.

  14. Kelly JP, Malik S, Stucki-McCormick SU. Tender swelling of the chin 40 years after genioplasty [clinical conference]. J Oral Maxillofac Surg. Feb 2000;58(2):203-6. [Medline].

  15. Rosen HM. Aesthetic guidelines in genioplasty: the role of facial disproportion. Plast Reconstr Surg. Mar 1995;95(3):463-9; discussion 470-2. [Medline].

  16. Rosen HM. Osseous genioplasty. In: Grabb and Smith's Plastic Surgery. 5th ed. Baltimore, Md:. Lippincott-Raven;1997:705-710.

  17. Schoenrock LD, Papel ID, Nachlas NE. Chin and malar augmentation. Facial Plast Reconstr Surg. 1992;226-232.

  18. Sykes J, Frodel J. Genioplasty. OP Tech Otolaryng. 1995;6:319.

  19. Van Sickels JE, Smith CV, Tiner BD, Jones DL. Hard and soft tissue predictability with advancement genioplasties. Oral Surg Oral Med Oral Pathol. Mar 1994;77(3):218-21. [Medline].

Further Reading

Keywords

genioplasty, mentoplasty, alloplastic implant of the chin, osseous movement of the chin, sliding genioplasty, alloplastic augmentation, mentum reduction, chin implant, chin augmentation, chin reduction

Contributor Information and Disclosures

Author

Edward W Chang, MD, DDS, Consulting Staff, Department of Cosmetic Services, Head and Neck Surgery, Kaiser Permanente of Northern California at Santa Rosa
Edward W Chang, MD, DDS is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, and California Medical Association
Disclosure: Nothing to disclose.

Coauthor(s)

Samuel M Lam, MD, FACS, Facial Plastic Surgery, Presbyterian Hospital of Plano
Samuel M Lam, MD, FACS is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Medical Association
Disclosure: Nothing to disclose.

Edward Farrior, MD, Clinical Associate Professor, Department of Otolaryngology-Head and Neck Surgery, University of South Florida Health Sciences Center
Edward Farrior, MD is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, and Florida Medical Association
Disclosure: Nothing to disclose.

Medical Editor

Jaime R Garza, MD, DDS, FACS, Consulting Staff, Private Practice
Jaime R Garza, MD, DDS, FACS is a member of the following medical societies: Alpha Omega Alpha, American Academy of Otolaryngology-Head and Neck Surgery, American Cleft Palate/Craniofacial Association, American College of Surgeons, American Medical Association, American Society for Aesthetic Plastic Surgery, American Society of Maxillofacial Surgeons, Texas Medical Association, and Texas Society of Plastic Surgeons
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

David W Stepnick, MD, Associate Professor, Departments of Plastic Surgery and Otolaryngology-Head and Neck Surgery, Case Western Reserve University School of Medicine, University Hospitals of Cleveland Case Medical Center
David W Stepnick, MD is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, American Society for Head and Neck Surgery, and Society of University Otolaryngologists-Head and Neck Surgeons
Disclosure: Nothing to disclose.

CME Editor

Christopher L Slack, MD, Otolaryngology-Facial Plastic Surgery, Private Practice, Associated Coastal ENT; Medical Director, Treasure Coast Sleep Disorders
Christopher L Slack, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Medical Association
Disclosure: Nothing to disclose.

Chief Editor

Arlen D Meyers, MD, MBA, Professor, Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine
Arlen D Meyers, MD, MBA is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Head and Neck Society
Disclosure: Advanced Headache Intervention Consulting fee Consulting; Covidien Corp Consulting fee Consulting

 
 
HONcode

We subscribe to the
HONcode principles of the
Health On the Net Foundation

All material on this website is protected by copyright, Copyright© 1994- by Medscape.
This website also contains material copyrighted by 3rd parties.

DISCLAIMER: The content of this Website is not influenced by sponsors. The site is designed primarily for use by qualified physicians and other medical professionals. The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. The information provided here is for educational and informational purposes only. In no way should it be considered as offering medical advice. Please check with a physician if you suspect you are ill.