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Case Study: Sliding Genioplasty and Chin Narrowing

Background: The sliding genioplasty is a powerful changer of chin shape that dates back to its first description in the early 1940s. It is not used nearly as often as a chin implant due to being a more invasive procedure that requires greater technical expertise and experience to perform. But it historically offers the advantages Read More…

Management of the Step-Off in a Sliding Genioplasty

A sliding genioplasty is a well known method of chin augmentation. It is often compared to a chin implant when considering aesthetic changes to the chin as a more natural alternative. But the reality is that its indications for use are somewhat different than an onlay bony augmentation. It is often only used when the Read More…

Case Study: Sliding Genioplasty for Obstructive Sleep Apnea

Background: Sleep apnea is a well known nocturnal disorder in which one’s breathing is either very shallow or actually pauses during sleep. It is the length of these breathing pauses that are significant as they result in a drop of one’s oxygen levels due to decreased air intake. This creates a variety of medical problems Read More…

Chin Narrowing and Lengthening for Slenderizing the Wide Lower Face

  Jaw angle reduction, also known as angloplasty, is one of the most commonly performed procedures for lower facial width reduction particularly in Asians. While it has been touted for years as a mainstay facial bone reduction procedure, it has both aesthetic advantages and disadvantages. When done aggressively through a bicortical amputation technique, it will Read More…

The Role of the Chin in Profileplasty

It is very common that multiple procedures are done on the face at the same time. Whether it be for anti-aging effects or for reshaping a face, combinations of procedures produce more profound changes. This is because the face is made up of many different parts and making significant changes often requires altering more than Read More…

The Three-Dimensional Assessment of the Chin in Rhinoplasty

  An important part of any rhinoplasty evaluation is that of the chin. Patients who pursue rhinoplasty to make their nose smaller should not be surprised that they may have a comparatively smaller chin by facial proportion assessment. This is because a ‘weak’ chin can make a nose appear more prominent. In patients that come Read More…

Case Study: Combined Vertical and Horizontal Chin Lengthening in Men

  Background: The chin is one of the facial prominences and the most noticeable part of the lower jaw. Horizontal chin shortness has been recognized for many decades and has largely been improved through the use of synthetic implants. Placing an implant on the front edge of the bone is a simple and relatively uncomplicated Read More…

Case Study: Chin Implant Removal and Osteotomy Replacement

  Background: Like all surgical implants used in the body, chin implants do have some long-term effects. This is particularly true when they are used improperly or are inadequately positioned. Long-term effects could be underlying bone resorption and loss of horizontal projection. This is most commonly seen with the chin implant is positioned too high Read More…

Chin Augmentation – Implant vs. Osteotomy

  Chin augmentation is a popular procedure for bringing out the prominence of the lower third of the face. It can have a powerful effect on the facial profile, particularly in men. Most commonly, the chin is brought forward in a horizontal direction elongating the jawline and improving the look of the neck angle which Read More…

Vertical Chin Lengthening by Osteotomy and Downgrafting

  When one thinks of a short or small chin, most are envisioning it deficient in the horizontal dimension. (profile view) While this does make up the majority of cases of chin augmentation, there are other dimensions in which a chin can also be ‘short’. The second most common cause of chin deficiency is in Read More…

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