Can sliding genioplasty provide 3D chin augmentation: forward projection, vertical length & width?

Question

My natural chin is small, in terms of its forward projection, its vertical length, and its width. I had a chin implant a year ago with a reasonably satisfactory result. However, I worry about bone resorption over time. Also, although a relatively large implant was used, I wouldn't have minded going slightly bigger. I'm wondering if a sliding genioplasty can give me a more dramatic, 3D augmentation with fewer long-term concerns, like bone resorption. Possible?

Timothy Osborn, MD · Answer

We almost always recommend a genioplasty over an implant for several reasons. A genioplasty can typically provide more projection and definitely more height than an implant. An added benefit of a genioplasty is it adds length and definition to the jawline while tightening the skin under the skin. It is very common to remove implants in exchange for a genioplasty. Having an implant last 60+ years without issues is asking a lot. Unfortunately when you have issues with an implant and it needs to come out, you are back at square one. After a genioplasty, the bone heals after 6 weeks, and if the hardware needed to be removed, it would not undo the surgery. Our office provides in-person and virtual consultations if you would like to discuss options further!

Michael P. Morrissette, DDS, FACS · Answer

Indeed, the sliding genioplasty allows for the correction of projection, width, and height in one surgery. This cannot be accomplished with a chin implant. I use chin implants when horizontal correction is needed without a change in other dimensions. The surgery is performed in the office with sedation anesthesia and takes about an hour. It will not affect your teeth or bite. In your case, the implant would be removed and the chin would be repositioned with the genioplasty at the same time.

Mats Hagstrom, MD (license on probation) · Answer

It makes a little sense to add a slight in genioplasty after you’ve had chin augmentation using implants.
A sliding genioplasty can give vertical and horizontal augmentation or both, but does not allow for adding width. 
Best,
Mats Hagstrom, MD

Can sliding genioplasty provide 3D chin augmentation: forward projection, vertical length & width?

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