Surgeon said sliding genioplasty will give me same results as chin implant?

Question

I was wondering if you could explain to me exactly what it means when the surgeon says that I will not have enough bone support to extend the chin forward enough to where it would be more prominent than with my chin implant. Would it be worth it to get a second opinion from another oral surgeon?Thank you for your time, Julia

Larry S. Nichter, MD, MS, FACS · Answer

Without an exam your question cannot be answered.  You will need to see an Oral/Maxillofacial surgeon to see if othognathic surgery, genioplasty or using an implant is best for your specific case. It should be noted that patients with severely weak jaws or abnormally functioning jaws may be better treated with other facial surgery (orthognathic surgery), although a chin augmentation may be an option at a later time. These patients should seek the advice of a plastic surgeon to determine which course is right for them. Here is some information to help you make this decision: Candidates for Chin Augmentation - Patients whose chin profiles are weak but have normally functioning jaws are candidates for Chin Augmentation. Many of these candidates have used injectable fillers in the past to strengthen the protrusion of their chins, but are looking for a permanent solution. If you are one of these patients, then you are a likely candidate for chin augmentation

Barry L. Eppley, MD, DMD · Answer

It would be very uncommon that the chin bone could not be advanced or provide as much projection as that of a chin implant. I would recommend a second opinion. It would be helpful to see pictures of your profile as well as a cephalometric x-ray to determine your bone thickness.

William Portuese, MD · Answer

A chin implant is three-dimensional augmentation of the chin gives not only forward projection, lateral width and small amount of  vertical height.  A chin implant  will not help fix the way the teeth come together.  Chin implants are performed under local  anesthesia as an outpatient procedure which takes approximately 30 minutes. A sliding genioplasty is performed by an oral surgeon  under general anesthesia in a hospital with an overnight stay, since the mandible is being cut, slid forward, and plated into the new forward projection. For more information, diagrams of chin the implants and many before-and-after examples, please see the link and video below

Majid Jamali, DMD · Answer

Hi Julia, If your surgeon says this then most likely they are correct. You can not advance the chin too much. The bone healing would not occur properly. If you need your chin advanced so much you may need jaw surgery instead to begin with.

Gerald Wittenberg, MSc, DMD (retired) · Answer

There is a way to actually 'see' what the surgeon means; the cephalometric xray/side view xray does show the 'thickness' of the chin bone area. Therefore you can calculate the 'amount' of advancement that is possible. However, even if the amount is'less than what you want', the surgeon can add 'implant strips' in front of the advancing bone; so you get a fuller effect. Quite common for some of us when approaching large advancements. The genioplasty is a better option to control the position and height of the chin and the 'stretching' of the muscles under the chin to give a flatter look

Surgeon said sliding genioplasty will give me same results as chin implant?

Answers (6)

Answer: Chin surgery

Answer: Chin surgery

Answer: Genioplasty

Answer: Genioplasty

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Everything you need to know about Chin Implant

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Surgeon said sliding genioplasty will give me same results as chin implant?

Answers (6)

Answer: Chin surgery

Answer: Chin surgery

Answer: Genioplasty

Answer: Genioplasty

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Recommended reading

Everything you need to know about Chin Implant

Our mission is to create a world where every investment in modern beauty is Worth It.