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Techniques in Sliding Genioplasty – Plate vs Lag Screw Fixation

The sliding genioplasty is a well known chin reshaping procedure that has its origins in the weak chin were advancement of the bone was needed. In this more straightforward application wire ligatures were originally used to hold the cut bone into its new position. Such wire ligature fixation was replaced with more rigid forms using Read More…

Technical Strategies – Opening Wedge Genioplasty with Custom Jawline Implant For The Vertically Short Chin and Jawline

Vertical lengthening of the chin is an interesting procedure that entails different considerations than traditional horizontal chin augmentation. It differs because the techniques to elongate the chin are not well known or used as the diagnosis of vertical chin deficiency is frequently overlooked. From a traditional standpoint vertical chin lengthening was perceived as only being Read More…

Plastic Surgery Case Study – Sliding Genioplasty Incorporating An Indwelling Chin Implant As Part Of The Advancement

Background: When a chin implant fails to provide satisfactory horizontal projection, the initial question is always why. Most of the time the surgeon has inadequately estimated the patient’s aesthetic needs or chosen an implant size they thought looked adequate. More times than not there has been no preoperative imaging prediction work done to determine what Read More…

New Concepts in Chin Narrowing by Modified Osteotomy Design

Augmentation by an oblique sliding genioplasty is a highly successful procedure as it stretches out the overlying soft tissue chin pad. However when trying to do the same in reverse, or in any form of intraoral bony genioplasty where bony support is lessened (shaving, t-shaped genioplasty, reverse oblique osteotomy) the risk of soft tissue problems Read More…

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