Chin Implants Workup

  • Author: Suzanne K Doud Galli, MD; Chief Editor: Arlen D Meyers, MD, MBA   more...
 
Updated: Feb 28, 2012
 

Imaging Studies

  • Photodocumentation
    • This is a basic need for all facial plastic surgery procedures.
    • In chin analysis, photography can be helpful to evaluate the patient for chin retrusion. The chin should be considered in its relation to the face shape and length and in reference to the nose. The basic views, full face, oblique, profile, and base, are adequate for this evaluation.
    • From the lateral view, the 0° meridian and other types of analysis can be used to determine the grade of retrusion and the desired augmentation. The lateral view is emphasized, but the full-face view is mandatory to evaluate chin width.
    • Photographs should be taken with the patient smiling and in repose. This provides additional information and documentation of labial competence.
  • Cephalometric study
    • This is an excellent method to document skeletal configurations.
    • Population-based comparison data are available.
    • This analysis may be more applicable to the osteoplastic technique.
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Staging

  • Gonzalez-Ulloa bases his staging system on the 0° meridian.[2]
    • First-degree retraction describes the pogonion at less than 10 mm behind the 0° meridian.
    • Second-degree retraction is in the range of 10-20 mm.
    • Third-degree retraction is more than 20 mm.
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Contributor Information and Disclosures
Author

Suzanne K Doud Galli, MD  PhD, FACS, Consulting Staff, Cosmetic Facial Surgery, Private Practice

Suzanne K Doud Galli, MD is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngic Allergy, American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Rhinologic Society, and Triological Society

Disclosure: Nothing to disclose.

Coauthor(s)

Philip J Miller, MD, FACS  Assistant Professor, Department of Otolaryngology, Division of Facial Plastic and Reconstructive Surgery, New York University School of Medicine

Philip J Miller, MD, FACS is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngic Allergy, American College of Surgeons, American Medical Association, and Phi Beta Kappa

Disclosure: Nothing to disclose.

Specialty Editor Board

Jennifer P Porter, MD  Assistant Professor, Department of Otorhinolaryngology, Division of Communicative Science, Chevy Chase Facial Plastic Surgery

Jennifer P Porter, 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, and Texas Medical Association

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 of Otolaryngology, Dentistry, and Engineering, 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; Medvoy Ownership interest Management position; Cerescan Imaging Consulting; Headwatersmb Consulting fee Consulting; Venturequest Royalty Consulting

References

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