Follow-up: What are the risks of a genioplasty?

Question

Also doctor Palmer you said that you have: “found that placement of a silastic chin implant, through a small curved incision under the chin (also allows excess skin removal) to be very safe, quick, highly effective and far less invasive than a sliding genioplasty”. you recommend removing the excess skin at the time if implant removal. Could this same procedure be done at a different time? Is it as effective and long term as a genioplasty? What are the risks of a genioplasty? Thanks Jeannnn

Michael P. Morrissette, DDS, FACS · Answer

The most significant risk from genioplasty surgery is sensory nerve dysfunction. Loss of feeling in the chin. This can be mostly avoided with an experienced surgeon and protection of the nerve bundle during surgery. The advantage to this procedure is that the chin can be advanced 10mm and increased height can be achieved as well. I perform both procedures (chin implants and genioplasty) and find that genioplasty tends to achieve a more natural result. It has to do with the muscles that attach to the chin.

Francis R. Palmer, III, MD (retired) · Answer

Hi, I have used silastic chin implants to correct weak chins for over 30 years.  Using a small, curved incision under the chin to place the implant is minimally invasive, quick, safe and very effective at properly augmenting the chin.   In comparison a sliding genioplasty requires: far more tissue dissection in order to expose the mental bone; bone cuts to mobilize and move a segment of the bone; metal screws and plates to secure the move bone segment; risk of bone infection; increased risk of mental nerve injury; increased risk of marginal mandibular nerve injury; increased bruising/swelling/recovery time; requires general anesthesia and finally this procedure is far more difficult to "undo" should you ever decide to do so.  Which is better, chin implant or sliding genioplasty?  We place silastic chin implants through a small, curved incision under the chin using local anesthetic in 30 minutes or less.  This is "far" less invasive than a sliding genioplasty that requires cuts in the bone with plates or screws.  For that reason and because the aesthetic results are so good with a properly placed silastic chin implant of the correct shape and size...in my humble opinion there's no comparison.  The chin implant is quicker, easier, with far less surgery and healing, less unwanted side effects with results that are highly effective and reliable.Hope this helps.

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