Is 1.5mm augment Gineoplasty enough? (photo)

Question

My plastic surgeon (one of the best Portuguese surgeon), told me that a 1.5 mm surgery would be enough to augment my chin and make my jaw line way stronger, what do you (docs) think? I think it isn't enough, 1.5 mm it's nothing. Thank you for the help

Alejandro Nogueira, MD · Answer

You have an underdeveloped chin in need of bone grafting and 
multidimensional augmentation in vertical, horizontal and anterior axes 
(not just a sliding genioplasty at all).
It is true the vast majority of surgeons use the implants instead of 
the osseous surgery to adjust the chin, but this is a matter just of 
lack of experience and comfort ease; implants play no role when there is
 an autologous alternative which, actually, has plenty of superior 
advantages.
Being an option, chin implants have serious disadvantages, especially
 in the mid and long term, patients are rarely happy with them after 5-6
 years, all are out sooner or later. A quick research just on this 
website sheds light on the common, frequent and serious complications 
and side effects chin implants entail, like dislocation, malpositioning,
 infection, over or under corrections, visibility, fake looks, nerve 
damage, chronic pain, poor aesthetic results and in general patients' 
dissatisfaction; not to forget chin implants are not versatile, they are
 unable to provide vertical increase, horizontal axis modifications and 
in most cases sufficient anterior projection; as obvious as it sounds 
but we have to bear in mind chin implants play absolutely no role when 
the chin needs reduction of one of the spatial axes; actually it is very
 common receiving patients who seek chin implant removal and replacement
 by an osseous genioplasty in the same procedure.
Fillers, another tempting resource, are a very dangerous option in 
chin reshaping, potentially destructive, unable to reshape and enhance 
respecting the basic principles of anatomical beauty, leading to mid and
 long term serious complications (granulomas, deformities, fistulae, 
etc) and the worst is they can't be removed in most cases.
Burring the chin is, strictly said, osseous chin surgery but should 
neither be performed, ever, since just flattens the chin by destroying 
the natural dome of the jaw, deletes the labiomental crease and due to 
the detachment of the mentalis tendon this technique commonly leads to a
 droopy double chin, a serious aesthetic complication.
A multidimensional sliding genioplasty allows to a versatile surgeon 
full customization for augmenting, reducing and leveling the chin in any
 of its spatial axes, leading to a myriad of combinations to suit every 
individual's chin anatomy and facial balance requirements; you can 
masculinize, feminize, round or make square, increase, decrease, supply 
bone graft, remove bone portions, slide fragments, etc. This absolutely 
impossible with other method than multidimensional sliding geniplasty, a
 technique providing a series of advantages among which worth 
mentioning:
-lifetime procedure, no more revision or renewal procedures, unlike implants
-more natural than implants, the procedure is totally undetectable 
-no visibility of implant edges during gestures, expression is even improved, nicer smile
-improves
 the double chin effect at the sub-mental muscles (floor of mouth) 
hammock caused by lack of tension there; also improves the shape and 
tension of perioral muscles and tightens up the jowls, creating a 
beneficial side effect in form of an indirect facelift and neck lift, 
all patients see their face indirectly rejuvenated; implants do not 
offer this feature
-no future displacements or neuritis of mental nerves
-no droopy double chin (the mentalis tendon is not detached) 
-way lower rate of postoperative complications if compared with implants, like infections, displacements, neuritis, etc
-no
 need for complex plates and screws or teeth braces that may need future
 removal; just steel wires synthesis may suffice, they stay buried into 
bone callus producing no disturbance
The cons for the patient are essentially the costs associated with 
osseous genioplasties, however it sounds cheap if you consider the 
lifetime benefits; obviously the main disadvantage happens on surgeon's 
side, since it is more technically demanding than chin implants, few 
surgeons are experienced or comfortable with multidimensional osseous 
genioplasties (though I personally perform 100% of the chin procedures 
by this osseous method); patients have difficulty in finding surgeons 
experienced and comfortable in osseous genioplasties able to freely 
modify the chin shape and size based on their aesthetic and gender 
goals.
You'll find in this website hundreds of negative experiences with 
chin implants in the short and mid term, do read my profile's Q&A 
and you'll find them too. I am doing osseous genioplasties for more than
 15 years with the highest success and no one patient sought afterwards 
switching to chin implants, totally the opposite, I did many chin 
implant removals and one-staged osseous genioplasties to replace the 
implant and enhance the result.
See the link below to find few cases of my own practice very similar 
to yours which I had the opportunity to operate successfully on, sharing
 a lot of common features with the technical problem you have posted.
If you wish better grounded opinion well lit, focused and standard 
images have to be assessed: frontal, both lateral and both oblique 
views, also from underneath.
Feel free to request any additional information from me.

Regina Rodman, MD · Answer

I think you should revisit that conversation with him.  Perhaps he meant 1.5 cm?  1.5mm is not worth doing a surgery. The amount the bone is advanced only shows about 70%.   I would probably advance you 8-10 mm which would look like 6-7 mm of movementA genioplasty will not change your jawline, except for the chinBest of luckDr Rodman

Matthew S. Epstein, DDS · Answer

Most studies evaluating surgical outcomes state that greater than 2mm of boney or implant augmentation are needing to see any clinical changes. I believe you would need much more than a 1.5mm chin augmentation to improve your profile.

Barry L. Eppley, MD, DMD · Answer

I assume he meant 1.5 cms not mms for your chin augmentation. While this will bring your chin forward it will not make your jawline 'way stronger' and chin augmentation does not affect any part of the jawline behind the chin.

Is 1.5mm augment Gineoplasty enough? (photo)

Answers (4)

Answer: Chin Augmentation

Answer: Chin Augmentation

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Is 1.5mm augment Gineoplasty enough? (photo)

Answers (4)

Answer: Chin Augmentation

Answer: Chin Augmentation

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Recommended reading

Everything you need to know about Genioplasty

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