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While there is some blood loss during this procedure, it should not be anywhere near needing a transfusion. We have performed hundreds of "genios" and never once needed to transfuse anyone with blood. That being said, we specialize in this procedure and are able to complete the surgery in about 45 min - 1 hour. For surgeons who do not perform this surgery as frequently, it will take them more time, thus extending the time a person will be bleeding. Still, there should be no need for a transfusion if the surgery is done correctly. If you have found a surgeon who says a transfusion is necessary, I would look elsewhere for another consult.
Unless you have a bleeding disorder, you should not need a blood transfusion for sliding genioplasty.I suggest having a few in person, consultations with both plastic surgeons and oral surgeons in your community Best,Mats Hagstrom, MD
Making an assessment regarding augmenting the mandible can be a little tricky, and sometimes more complex than people think. The mandible can be lacking in size and projection in different parts of the bone. The chin is only one part of the mandible and many people who have it and insufficient...
Based on your pictures, I think that you would benefit from a 3D/OOS lip lift, a lower V-Y and maybe a corner lip lift as well as a facial liposuccion and a rhinoplasty. About the chin, I would do Botox first (to relax the mentalis muscle) as it offers really good results in that situation.
I don’t blame you for being confused when it comes to understanding facial aesthetics. Even providers with a decade of medical training sometimes don’t get facial aesthetics correct either. Plastic surgeons tend to be soft tissue oriented while oral surgeons tend to see things more from my fac...