Which kind of surgeon should I find for sliding genioplasty? I have a weak chin.

Question

Hello, I don't want to have implant place on my chin, so I would like to have sliding genioplasty, which I heard has a more natural result than chin implant, but I am not sure which kind of surgeon should I consult with, should I find Oral & Maxillofacial Surgeon or Plastic Surgeon? I think Plastic surgeon more about cosmetic cases and Oral & Maxillofacial Surgeon more about functional cases. But I don't know which of them specialize in sliding genioplastic.

Michael P. Morrissette, DDS, FACS · Answer

Today, a sliding genioplasty can be performed in the office with intravenous sedation and does not require hospitalization. The amount of advancement or reduction is pre-determined and a small bone plate is used to achieve the desired results. I find that a genioplasty tends to provide a truly natural result. However, silicone chin implants are an acceptable alternative.

Sutton Graham II, MD · Answer

As a plastic surgeon I can tell you that the plastic surgeons in my area do not commonly perform sliding genioplasty.  In this area that would be done by an Oral-Maxillofacial Surgeon (dental sub-specialist).  Before you undergo that procedure, I would recommend you also consider consultation with an experienced board-certified plastic surgeon in your area to discuss the option of chin implant (augmentation genioplasty).  You may learn important information that allows you to consider chin implant as a preferred option.  The consult would't obligate you to have any procedure, but would provide you the opportunity for in-person examination and experienced advice, to assist you in your final decision.

P. Craig Hobar, MD(retired) · Answer

This is an excellent question, and one that is commonly asked by my patients. It really depends on the individual surgeon's training and experience. For example, in my area several other plastic surgeons refer to my office for sliding genioplasties simply because they do not perform them and it is one of the most common procedures I do on a weekly basis. I would suggest going to two or three consultations and determine which surgeon you feel the most comfortable with!

J. Michael Morrissey, MD (in memoriam) · Answer

Great question. If I were having this surgery, or my kids or family members, I would recommend an oral and maxillofacial surgeon. These surgeons tend to have the most experience in these types of surgeries. A good place to start may be a nearby medical school at USC or UCLA. There should be no shortage of experienced surgeons in LA to do this type of surgery expertly. In fact, there are a number of surgeons that are both DMD, and MD and have done residency training in both oral and maxillofacial surgery AND Plastic Surgery. . That would be your best bet.Good Luck, and best wishes, Dr. Morrissey

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