I am very unhappy with my facial side profile and I am finding myself constantly jutting my jaw forward to compensate for my weak chin, which in turn is causing jaw ache. I am aware I have an over projecting nose with slight dorsal hump, but in photos I have edited with a larger chin, this is much less obvious. I don't have an overbite, so would sliding genioplasty or chin implant benefit me more? Thanks, Matt.
February 9, 2015
Answer: Chin implant Dear MattpI think both procedures are good options. You have good vertical height to your chin. That makes you a great candidate for a chin implant. Implant placement is a simpler and more straight forward procedure. Less downtime and less cost. Implants generally do well in this position unless they are too large. You do have risks of infection and extrusion with implant (very low).A sliding genioplasty is a larger and generally more invasive and more expensive procedure. We use it primarily for patients with vertical deficiency. Once it heals, you have a lower risk of infection or extrusion.You would do well seeking consultation from a well trained and experienced surgeon that is board certified by the American board of plastic surgery. Seek more than one consult so you have good information prior to your decision.
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February 9, 2015
Answer: Chin implant Dear MattpI think both procedures are good options. You have good vertical height to your chin. That makes you a great candidate for a chin implant. Implant placement is a simpler and more straight forward procedure. Less downtime and less cost. Implants generally do well in this position unless they are too large. You do have risks of infection and extrusion with implant (very low).A sliding genioplasty is a larger and generally more invasive and more expensive procedure. We use it primarily for patients with vertical deficiency. Once it heals, you have a lower risk of infection or extrusion.You would do well seeking consultation from a well trained and experienced surgeon that is board certified by the American board of plastic surgery. Seek more than one consult so you have good information prior to your decision.
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March 26, 2015
Answer: Sliding Genioplasty vs. Chin Implant In general, a sliding genioplasty is better for a large advancement in chin position, increasing vertical height of the chin and treating an asymmetric chin. A sliding genioplasty does not affect position of the teeth. A sliding genioplasty is a more involved procedure and the chin bone must be held in position by titanium plates and screws. Chin implants are generally better for smaller advancements in chin position. Chin implants are more prone to migrating out of position and can become infected years after placement. They can also erode through the inner tissue of the lower lip. I obtain cephalometric x-rays to help determine the best approach as the chin bone position can be analyzed in a precise manner.
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March 26, 2015
Answer: Sliding Genioplasty vs. Chin Implant In general, a sliding genioplasty is better for a large advancement in chin position, increasing vertical height of the chin and treating an asymmetric chin. A sliding genioplasty does not affect position of the teeth. A sliding genioplasty is a more involved procedure and the chin bone must be held in position by titanium plates and screws. Chin implants are generally better for smaller advancements in chin position. Chin implants are more prone to migrating out of position and can become infected years after placement. They can also erode through the inner tissue of the lower lip. I obtain cephalometric x-rays to help determine the best approach as the chin bone position can be analyzed in a precise manner.
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