How stable is sliding genioplasty?

Question

Hello, I am planing on getting a sliding genioplasty next month. The surgeon will be advancing my chin horizontally, vertically, and also making it wider by means of titanium plates and screws fixation method. What I am wondering is how stable is this procedure, especially the first few days after surgery. Do I need to be extra careful not to cause a shift in the bone during the first days? Is laughing, sneezing, etc putting me at risk? And lastly, how stable is this long term? Thanks

Timothy Osborn, MD · Answer

Right after the surgery, the chin segment is pretty stable. Nothing like sneezing or laughing will move anything. It would take a decent punch to the face, or to fall directly on your chin to displace it. However I would not recommend putting any extra pressure on the chin (it would not feel great either.). The bone is fully healed after 6 weeks. The bone will actually be slightly stronger than it was before. It would take even more effort to break it. Overall, this is a stable procedure with minimal probability of displacement.

Randal Haworth, MD, FACS · Answer

Sliding genioplasty is a surgical procedure that involves moving the chin bone forward, backward, or both, to improve the projection and symmetry of the chin. The procedure is typically safe and has a high success rate, but as with any surgical procedure, there are potential risks and considerations.

In the immediate postoperative period, it's important to avoid any activities that could put pressure on the chin, such as eating hard or crunchy foods, yawning, or laughing too vigorously. It's also important to avoid blowing your nose or sneezing too hard, as this can create pressure in the nasal passages that can impact the stability of the chin bone.

Your surgeon will provide you with specific instructions on how to care for your chin after surgery, including how to keep it clean and how to manage any discomfort. It's important to follow these instructions closely to ensure the best possible outcome.

In the long term, sliding genioplasty is a stable and permanent solution for improving the projection and symmetry of the chin. The titanium plates and screws used to fixate the bone typically remain in place permanently and provide strong support for the bone. However, it's important to note that bone healing is a gradual process, and it may take several weeks or months for the bone to fully heal and fuse with the plates and screws.

Overall, sliding genioplasty is a safe and effective procedure for improving the appearance of the chin. With proper care and follow-up, the procedure is typically stable and provides long-lasting results.

Best of luck !

Bianca Knoll, MD · Answer

thank you for your question. A sliding genioplasty is pretty stable. After the osteotomies have been performed and the chin is brought into the desired position little titanium plates and screws will hold everything in position. Similiar to other bone fractures in your body, the chin  is healed around 6 weeks postop. The plates and screws usually are staying. They do not have to be removed.

Michael P. Morrissette, DDS, FACS · Answer

The use of titanium plates and screws makes this a very stable procedure. There is no need to be extra careful the first few days. There is no long term concerns following this procedure.

How stable is sliding genioplasty?

Answers (4)

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