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Are there cases where chin implants are more appropriate than a sliding genioplasty and vice versa?

I'm interested in knowing if there are cases where one is better then the other. Personally I need increased chin projection and height.

Doctor Answers (6)

Difference definitely exist.

+2
Chin implants and genioplasties have advantages over one another in different situations.  In most situations, a chin implant is easier, quicker and less expensive (I use them in over 95% of the chin procedures that I perform).  However, in some circumstances, I feel that a genioplasty is indicated.  What you describe is a situation that would benefit from not only more projection, but also increase in vertical height of the chin.  This situation is when I feel that a genioplasty is indicated and provides a more natural appearance after surgery.   Please seek a consultation with an experience surgeon who can discuss both options with you, and see the reference below.
J. Frodel, J. Sykes, J. Jones: Evaluation and treatment of vertical microgenia. Arch Facial Plast Surg. 6 (2):111-119 2004


Atlanta Facial Plastic Surgeon

Chin implant versus sliding genioplasty

+1
Basically, it's related to the amount of deficiency that is present.  Small to medium deficiencies of the chin area are easily and effectively corrected with the simpler chin implant operation.  Severe deficiencies of the chin area usually do better with the sliding genioplasty.

Thomas Fiala, MD
Orlando Plastic Surgeon
5.0 out of 5 stars 28 reviews

Implant or genioplasty

+1
I do a lot of both, but prefer chin implants for less severe cases.  Less surgery, less expense, less healing, more reversible.

Joe Niamtu, III
Cosmetic Facial Surgery
Richmond, Virginia

Joseph Niamtu, III, DMD
Richmond Oral & Maxillofacial Surgeon
3.0 out of 5 stars 7 reviews

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Chin implant versus genioplasty

+1
 A genioplasty is usually performed when there is a significant amount of advancement of the mandible a must be performed, and the teeth did not fit appropriately. Sometimes the upper jaw and the lower jaw are broken and reset. This is performed as an inpatient procedure in the hospital by an oral surgeon.
A chin implant is done for cosmetic purposes under local anesthesia as an outpatient surgical procedure. Chin implants are manufactured in a variety of sizes and shapes, they are placed through a sub mental approach by a plastic or facial plastic surgeon, and can be removed if ever necessary.

William Portuese, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 58 reviews

Chin implant vs genioplasty

+1
A chin implant will only increase chin projection in the anterior direction. You can lengthing, shorten, advance, decrease, or move sideways the chin with a genioplasty. Donald R. Nunn MD Atlanta Plastic Surgeon

Donald Nunn, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 5 reviews

Are there cases where chin implants are more appropriate than a sliding genioplasty and vice versa?

+1
Yes, there is a difference.  A chin implant will project the chin forward by making an incision under the chin to place a stylastic implant.  A genioplasty is cutting the bone.  Chin implant is reversable. 

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 12 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.