Genioplasty Workup

  • Author: Edward W Chang, MD, DDS; Chief Editor: Arlen D Meyers, MD, MBA   more...
 
Updated: Jun 17, 2010
 

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.

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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.
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Proceed to Treatment & Management
 
 
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  Department of Otolaryngology, 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 and International Society of Hair Restoration Surgery

Disclosure: Nothing to disclose.

Edward H Farrior, MD, FACS  Affiliate Associate Professor, Voluntary Faculty, Department of Otolaryngology-Head and Neck Surgery, University of South Florida Health Sciences Center; Visiting Clinical Associate Director, Department of Otolaryngology, University of Virginia

Edward H Farrior, 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, American College of Surgeons, American Medical Association, and Florida Medical Association

Disclosure: Nothing to disclose.

Specialty Editor Board

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 College of Surgeons, American Society for Aesthetic Plastic Surgery, American Society of Maxillofacial Surgeons, Texas Medical Association, and Texas Society of Plastic Surgeons

Disclosure: Nothing to disclose.

Francisco Talavera, PharmD, PhD  Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Medscape Salary Employment

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.

Christopher L Slack, MD  Private Practice in Otolaryngology and Facial Plastic Surgery, 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: Covidien Corp Consulting fee Consulting; US Tobacco Corporation Unrestricted gift Unknown; Axis Three Corporation Ownership interest Consulting; Omni Biosciences Ownership interest Consulting; Sentegra Ownership interest Board membership; Syndicom Ownership interest Consulting; Oxlo Consulting; Medvoy Ownership interest Management position; Cerescan Imaging Honoraria Consulting; GYRUS ACMI Honoraria Consulting

References

  1. Wolfe, S Anthony, Rivas-Torres, Maria Teresa, Marshall, Deiidre. The Genioplasty and Beyond: An End-Game Strategy for the Multiply Operated Chin. Plastic abd Reconstructive Surgery. April 2006;117:1435-1446.

  2. Johannes Franz Hoenig. Sliding Osteotomy Genioplasty for Facial Aesthetic Balance: 10 Years of Experience. Aesthetic Plastic Surgery. August 2007;31:384-391.

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

  4. 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].

  5. 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].

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

  7. 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].

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

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

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

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

  12. 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].

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

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

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

  16. 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].

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

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

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

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

  21. 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].

 
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An alloplastic chin implant.
Placing implant through a submental incision.
Notice midline marking on implant.
Submental incision closed.
Preoperative cephalometric tracing is in the planning of a sliding genioplasty.
Access for an intraoral placement of an alloplastic implant or for a sliding genioplasty.
Identification of the mental nerve.
Bony cut with an oscillating saw.
Advancement and plate placement.
Prominent chins may be reduced with a burr.
Chin dressed.
 
 
 
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