Sliding Genioplasty without plates and screws. Is there any Dr. who knows about this method? Is it available in the U.S.?

Question

On RealSelf a Dr. in Spain says he does sliding genioplasties without plates or screws but instead uses "very thin steel wires to fix the piece, 2 or 3 anchors suffice and the remain buried under the osseous callus formed around the area". In his "vast experience" he says he's never had a problem of any kind. However, after years "a majority of plates and screws produce pain, irritation, may migrate or need removal". Is there any Dr. who knows about this method? Is it available in the U.S.?

Earl Stephenson, Jr., MD, DDS, MBA · Answer

The use of wires is appropriate.  I was trained in the era of wires and the beginning of the use of plates.  I still use wires from time to time.  Plates and screws are perfectly safe and produce more stability to the chin duriin the healing phase. The use of wires is an older technology but still effective.

Jeffrey H. Spiegel, MD · Answer

Wires were used prior to the invention of the far superior (in most cases) plates / screws.However, there are many ways to change your chin without any metal at all and we do this regularly.It's necessary to see where you are starting and to have a discussion of where you are going...Note the video below!

Barry L. Eppley, MD, DMD · Answer

For some types of sliding genioplasties, wire fixation can be effectively used. But that would depend on the type of bony movement needed and how stable the bone segments are once wired together. It is the historic way to do sliding genioplasty surgery that has been replaced by plate and screw technology...but history can be repeated.

Dennis Barek, MD (retired) · Answer

To me sliding genioplasty is unnecessary surgery when a simple silicone rubber implant will do the job in nearly all cases of receding chins.

Gerald Wittenberg, MSc, DMD (retired) · Answer

The use of any 'wires' is an original 'old style' approach and can work well. However, the stability of a wire holding bone segments; compared to a screw, is limited. If the movement you desire is 'basic' advancement without notable 3D changes, then wires can work fine. As to problems with screws etc, the statement is very much dramatized - many thousands of surgeries demonstrate no issue with the very small screws eg

Sliding Genioplasty without plates and screws. Is there any Dr. who knows about this method? Is it available in the U.S.?

Answers (5)

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