I am looking into a sliding genioplasty and jaw implants. How high is the risk of infection with this procedure?

Question

Are there factors that increase the risk of infection? What can happen as a result of infection? Thanks

Larry S. Nichter, MD, MS, FACS · Answer

Without an exam your question cannot be answered. However, your photos are helpful and you are probably a good candidate for a Chin Augmentation. You will need to see an Oral/Maxillofacial surgeon to see if othognathic surgery, genioplasty or using an implant is best for your specific case. It should be noted that patients with severely weak jaws or abnormally functioning jaws may be better treated with other facial surgery (orthognathic surgery), although a chin augmentation may be an option at a later time. These patients should seek the advice of a plastic surgeon to determine which course is right for them. Here is some information to help you make this decision: Candidates for Chin Augmentation - Patients whose chin profiles are weak but have normally functioning jaws are candidates for Chin Augmentation. Many of these candidates have used injectable fillers in the past to strengthen the protrusion of their chins, but are looking for a permanent solution. If you are one of these patients, then you are a likely candidate for chin augmentation

Zoran Potparic, MD · Answer

There is no significant infection risk with any of these procedures, 1% at most. Infected implant can be removed without any consequences and infection treated with antibiotics. Infection after sliding genioplasty would be treated with antibiotics; no need to redo sliding-augmentation. Good luck.

Barry L. Eppley, MD, DMD · Answer

I have never seen an infection from a sliding genioplasty. The risk of infection from jawline and jaw angle implants is very low and is between 1% to 2%. Infected implants are treated by either removal or cleaninjg out the pocket, re-sterilizing the implant and doing immediate re-insertion.

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

Hi, I have performed many Chin Augmentations using chin implants for over 30 years.   A weak chin creates an imbalance making the nose appear larger, the mid face top heavy and the lower face look short that de-emphasizes the lips and allows early formation of a double chin.  Chin augmentation using a chin implant will add projection to the chin creating harmony and balance to the lower face.  I 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.  I perform chin implant surgery in 30 minutes or less, often using a local anesthetic alone.   Non smiling photos, of your face from the front and side, would help in the evaluation.  Following the beauty principles outlined in my book on face and body beauty, women look the most feminine, youthful and attractive with heart shaped faces. Heart shaped faces have cheeks that are full and round in the front. Cheek augmentation with a dermal filler or using cheek implants for a permanent enhancement will create full, round cheeks that will feminize the entire face.  Women typically would want to avoid making the jaw line prominent and masculine with either dermal fillers of jaw implants (that have numerous unwanted side effects).Hope this helps.

I am looking into a sliding genioplasty and jaw implants. How high is the risk of infection with this procedure?

Answers (4)

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