Category: chin reduction | OR snapshots

OR Snapshots – Submental Approach to Chin Reduction

The chin is the projecting feature of the lower face and consists of combined bone and soft tissue. While the chin may be more commonly recognized for treatment of deficiencies in its size and projection, it is also prone to the opposite issues of excess and sagging. Chin bony overgrowths (hyperplasia), chin pad sagging (ptosis) Read More…

Plastic Surgery Case Study – Submental Technique for Bony Chin and Jawline Asymmetry Correction

Background: Lower facial asymmetry is most commonly associated with the shape of the jawline. While patients often present with chin asymmetry, closer inspection often reveals that it extends back along the jawline as well. With the chin asymmetry the jawline on the longer chin side is lower and conversely it is higher on the shorter Read More…

Correction of Hyperdynamic Chin Ptosis

The chin has many potential deformities that occur to it as the most projecting structure of the lower face. It is most common to think of chin deformities as bony in origin and that augmentation or reduction of its projection is the aesthetic objective. But the overlying soft tissues of the chin are also prone Read More…

OR Snapshots – Liimting the Incision Length in Submental Chin Reduction

Chin reduction is a far more challenging operation in many ways than chin augmentation. Unlike chin augmentation, which rarely has to consider the overlying soft tissue because it stretches it out, this is a major consideration when making the chin smaller. While the chin bone can be reduced in all of its dimensions (height, width Read More…

Technical Strategies – T-Shaped Osteotomy for Chin Width Reduction

The traditional chin bone procedure for aesthetic enhancement is that of a sliding genioplasty. Cutting the chin bone and moving it forward has been a facial bone reshaping procedure that has been done for over half a century. It is mainly used as a bony alternative to a synthetic chin implant for chin augmentation. It Read More…

Plastic Surgery Case Study – Female Submental Chin Reduction

Background: Chin augmentation is one of the most common facial reshaping procedures both historically and to the present day. While augmenting the chin is a straightforward procedure using a variety of implant shapes, management of the large chin (macrotia) is a completely different story. Not only is it less commonly needed but the procedure to Read More…

Preoperative X-Ray Planning in Submental Chin Reduction

Chin reduction surgery is sought for those patinets afflicted with a chin that is too strong or protrusive. A large chin can exist in numerous dimensions, albeit being vertically too long, too horizontally forward or too wide. In many cases the chin protrusion is caused by at least two and sometimes all three dimensional excesses. Read More…

The Submental Chin Reduction Technique

The treatment of macrogenia (large chin) is much different than that of microgenia (small chin) and is also more challenging. Expanding the chin (chin augmentation) can done very reliably and in a straightforward manner through an implant or sliding genioplasty as it pushes out the overlying skin and soft tissue. While a prominent chin bone Read More…

Submental Jawline Shave for Inferior Border Irregularities after Chin Reduction

Shaping of the jawline is done for many different reasons. The most common reason worldwide is tapering a wide jawline through a combination of a chin reduction osteotomies and jaw angle shaves or ostectomies. In other patients with just a large or long chin, a chin reduction osteotomy is used. When the chin is vertically Read More…

Technical Strategies – Muscle Resuspension in Vertical Chin Reduction

While a short chin is both common and easily treated by an implant or bony in most cases, the long or big chin is a much more challenging aesthetic issue. The tissue excess over the front end of the lower jaw makes its reduction fraught with problems of redundancy and potential tissue sag. Where does Read More…