The chin provides a significant aesthetic quality given to the face. When the chin is proportionate to the other facial features, the appearance is pleasing; while otherwise, a malposition chin may look far less appealing. An aesthetic proportion of the chin is obtained when the lower mandible extends as far forward as the lower lip projects. The chin is vital to balance the shape of the nose, cheeks, and other facial features. Some patients experience what is considered a retrusive chin line; this occurs when the structure of the lower jaw and chin poorly project from the face. A small, receding chin can give someone a weak and timid appearance; a first impression that is not representative of the true personality.
What is Sliding Genioplasty
A Sliding Genioplasty is a less-invasive surgical procedure designed to correct a retrusive chin and achieve a more aesthetically pleasing facial structure. Most surgeons will recommend implants before a Sliding Genioplasty, however Dr. Jamali highly disagrees that implants are an easier solution. There are certain risks with placement of implants such as nerve damage, movement of the implant, scarring, bone resorption and sometimes a resulting in un-natural look. Different from other forms of Chin Augmentation, the Sliding Genioplasty procedure involves making a cut through the bone of the chin, which is called an osteotomy. By freeing up the malposition bone, Dr. Jamali is able to reposition the area to an ideal orientation. A small plate, made from titanium, is used to secure the chin in its new position on the jawbone. These plates come in varying sizes, each increasing the level of advancement. Small screws are used to permanently hold the plate in place. This simple procedure can dramatically improve the balance, proportion, and harmony of the facial features. The restored alignment of the forehead, mouth, nose, and chin will be long lasting.
Dr. Jamali’s Sliding Genioplasty is an outpatient procedure, performed either in his in-office surgical suite, or at the nearby day surgery center. The surgery will take between one and two hours to complete; all patients are fully sedated through general anesthesia. Dr. Jamali will begin the procedure by making an incision inside of the mouth, on the inner portion of the lower lip, directly in front of the gum line. Once the skin and tissue has been raised aside, he will cut the chin area away from the jawbone. Next, Dr. Jamali meticulously repositions the bone, creating the desired shape and size required for the individual patient. Utilizing the innovative titanium plate and screws, Dr. Jamali permanently secures the bone in place. Over time, new bone will naturally form around this area. The incision is then closed with dissolvable sutures.
The results from a Sliding Genioplasty will be permanent and immediately noticeable. As the swelling resolves, the final appearance of the chin can be fully appreciated.
Who is right for a Sliding Genioplasty?
Patients who have a chin that is out of proportion with the rest of their facial features may make an excellent candidate for a Sliding Genioplasty. Patients undergoing a Rhinoplasty may be recommended to consider Chin Augmentation, to give the area an appropriate relation to the nose. A Sliding Genioplasty can also provide assistance to patients dealing with a birth defect or damage to the chin through trauma.
Both men and women, in overall good health, and do not smoke will make the ideal candidates for Dr. Jamali’s Sliding Genioplasty. Patients should have realistic expectations and aesthetic goals. Depending on each individual’s anatomy, there are limits on what the surgery can and cannot achieve. Before deciding on the procedure, Dr. Jamali will schedule a consultation appointment with each patient. Here he will perform a quick physical exam of the chin, review the medical history, and discuss all of the surgical options. This provides a time for patients to better understand the Chin Augmentation process, the intended results, and any possible complications. At the consultation, Dr. Jamali will determine if the patient is a good match for the Sliding Genioplasty procedure.
Recovery for a Sliding Geniplasty
The recovery period after a Sliding Genioplasty is longer than compared with other types of chin implant techniques. With the ability to create dramatic changes to the chin, most patients feel it is well worth the added recovery time. Expect the recovery to take between two and three weeks. Normally, patients are able to return to work seven to ten days after surgery.
Initially, patients should expect to see some bit of swelling and bruising of the jaw. This will gradually reduce on its’ own, over the first few weeks. There may also be tenderness and mild discomfort. Dr. Jamali will prescribe the appropriate pain medications to allow patients to rest comfortably at home. The chin area will be covered with a surgical dressing when patients are first discharged. Over the first few days, patients may find they only have a limited ability to chew, requiring a liquid or soft food diet. As the chin heals, a normal diet can be resumed. Two weeks after the surgery, patients can add light exercise to their daily schedule, but extensive exercise and strenuous lifting should be postponed for four to six weeks.
The Sliding Genioplasty at Oral and Maxillofacial Surgery of New York is considered extremely safe and efficient. This is a simple procedure. Common complications are swelling and numbness of the lip and chin for 1-2 weeks. The best way to avoid any complications will be to choose an experienced, reputable cosmetic surgeon like Dr. Jamali, who is widely considered one of the best Sliding Genioplasty surgeons in the New York area.