Choosing between custom chin implant and genioplasty for square chin profile: concerns about labiomental fold (Photo)

Question

Hello ,I'm considering enhancing my chin to achieve a more squared profile, but I'm hesitant about the impact on my labiomental fold. I've heard about both custom chin implants and genioplasty as options, but I'm unsure which would be best for my desired outcome. I'm looking to avoid increasing my labiomental fold further. Any insights or recommendations on which procedure might be most suitable for me? Thank you in advance for your expertise

Lucian Ion, FRCS · Answer

Thank you for your question and for sharing your photographs. In general, implants can slightly project the area of the labiomental fold. As a result, they are less likely to produce increased visibility of the labiomental crease following augmentation.

To achieve a reasonably square contour for the chin, implants are suitable. However, for someone with a wider chin contour, genioplasty can also produce a desirable effect. Using computer imaging and simulation can help you better understand the desired result and guide you in deciding which type of intervention may be most suitable for you.

Michael P. Morrissette, DDS, FACS · Answer

Sliding genioplasty and a custom chin implant can both achieve the desired results. I find that the depth of the mentolabial will increase more when I place a chin implant than when I perform a sliding genioplasty. If a patient has a deep mentolabial fold to start, it usually indicates a shorter chin in the vertical dimension. A sliding genioplasty can lengthen the chin as needed and therefore has more control of the mentolabial fold.

Mats Hagstrom, MD (license on probation) · Answer

Any procedure that gives you vertical advancement of your chin is going to deepen your labiomental fold. It doesn’t matter what procedure diet
That simply what happens when the chin projects further.
To avoid that don’t advance your chin vertically.
You may benefit from horizontal advancement because it won’t affect the labiomental angle.
Standard implants can be customized by carving them.
Implants anoplasty surgery have advantages and disadvantages.
Operation is not better than another period
Both procedures have advantages and disadvantages.
It seems to me that oral surgeons tend to rely more on a sliding genioplasty, while plastic surgeons tend to be more oriented to doing implants, but there iscrossover in this type of work from both specialties. In the end provider selection is probably the most important variable, so I suggest you start the process by finding the right surgeon to be working with then follow their recommendations.
Consider interviewing with both plastic surgeons and oral surgeons in your area.
During each consultation, ask each provider to open up their portfolio and show you their entire collection of before and after pictures of previous patients who had the same facial characteristics to your own.
It’s really important to understand which part of the mandible needs manipulation. If the chin is already projecting, and the problem probably isn’t in the chin.
Most likely, the deficiency is further back in the body of the mandible. To get a quality assessment providers need to look at your dental occlusion and consider x-rays and other modalities.
There is without question a subjective component to both assessments and treatment plans.
Instead of trying to make your own assessment and coming up with your own treatment plan, I suggest letting those with expertise make those decisions while you focus instead on finding the right provider.
The more consultations, you scheduled the more likely you are to find the better provider for your needs.
There’s no correct number of consultations needed to find the right surgeon.
Start by having 2-3 consultations and see how things go. Sometimes it simply a matter of luck in regards to finding the right provider, and sometimes it requires having a substantial number of consultations.
Best,
Matt Hagstrom, MD

Choosing between custom chin implant and genioplasty for square chin profile: concerns about labiomental fold (Photo)

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