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Related Experiment Videos

Augmentation genioplasty: when bone is not enough.

A Sclaroff1, C Williams

  • 1Department of Otolaryngology, Washington University, St Louis, MO.

American Journal of Otolaryngology
|March 1, 1992
PubMed
Summary
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Sliding genioplasty combined with a silicone implant effectively corrects severe microgenia, offering an excellent cosmetic outcome. This approach avoids donor-site complications associated with bone grafting.

Area of Science:

  • Plastic Surgery
  • Oral and Maxillofacial Surgery
  • Aesthetic Surgery

Background:

  • Microgenia, a condition characterized by a deficient chin, often requires surgical correction for aesthetic balance.
  • Augmentation genioplasty is a common procedure to address microgenia.
  • Severe cases may necessitate more extensive augmentation beyond standard techniques.

Observation:

  • A 22-year-old patient presented with significant microgenia requiring a 15-mm chin advancement.
  • Initial sliding genioplasty achieved an 8-mm correction.
  • A subperiosteal silicone gel-filled implant was used to supplement the genioplasty.

Findings:

  • The combined surgical approach resulted in an outstanding cosmetic outcome.
  • The use of a soft alloplastic implant successfully augmented the deficient chin.

Related Experiment Videos

  • This technique provided a significant improvement in chin contour.

    • Implications:

    • Combining sliding genioplasty with alloplastic implants is a viable option for severe microgenia.
    • This method offers an alternative to autogenous bone grafting, avoiding donor-site morbidity.
    • The procedure enhances facial aesthetics by improving chin projection and contour.