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Evaluation and treatment of vertical microgenia
John L Frodel1, Jonathan M Sykes, Jerry L Jones
1Department of Otolaryngology--Head and Neck Surgery, Geisinger Health System, Danville, PA 17821-1203, USA.
Objective:
To evaluate treatment of vertical microgenia in patients with chin deformities.
Methods:
Twenty-one patients were included in this retrospective review. The 3 authors performed a lengthening genioplasty with or without interpositional grafting on each patient in either an academic or a private practice setting.
Results:
Subjective analysis suggests a substantial improvement of lower face aesthetics in all patients. The degree of subjective change depended on the type of deformity, whether there was vertical microgenia alone or in combination with a sagittal (horizontal) deficiency, and the morphologic characteristics of the labiomental sulcus. There were no significant complications.
Conclusion:
Vertical lengthening of the chin should be considered in patients with the combination of a vertically short lower facial height, deepened labiomental fold, recessive chin, and recessive and/or procumbent lower lip.