'Rotational' Genioplasty to correct jaw (face) asymmetry ? What is it ?

Question

Hi all, Having visited a surgeon recently about my facial asymmetry he conclude my mandible is off 'one incisor' to the left giving my mandible an asymmetric appearance . He gave me 2 options: 1. Mandibular osteotomy following 12 months of braces . 2. A rotational genioplasty which would correct 90% of my asymmetry. He said given my good bite he would personally go for the genioplasty. Can anyone tell me what a 'rotational genioplasty' is ? Apparently very few surgeons perform it. Thanks!

Barry L. Eppley, MD, DMD · Answer

A rotational genioplasty is just one of the many ways a bony genioplasty can be done to produce an improved chin shape. It is usually done to correct chin/jaw asymmetry by making the chin longer on one side or a 'rotational' or opening wedge genioplasty. It is not really rare at all.

Gerald Wittenberg, MSc, DMD (retired) · Answer

Actually the type of genioplasty suggested is quite common for persons with asymmetry for various reasons. The surgeon comments that the 'bite is fine' is important, since it means that your main decision is whether you want a cosmetic change. A genioplasty of that type also means that the surgeon should consider how to 'handle' the area behind the genioplasty bone edges since they will not match up evenly when you 'shift' the chin side to side. He can discuss that with you. But feel comfortable about the idea - not uncommon

'Rotational' Genioplasty to correct jaw (face) asymmetry ? What is it ?

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