Dentofacial Considerations in Genioplasty

Chin augmentation, particularly with implants, has become popular in recent years. For the most part, the focus is on the position of the pogonion. The rest of the mid-face, including the maxilla and mandible, are usually ignored. In this article, different scenarios and deformities in the maxillofacial complex that can affect the chin position and shape of its overlying soft tissue are illustrated. It is the author’s view that a number of genioplasty augmentation procedures should be deferred. Discussion of alternative treatments should take place with patients regarding their underlying skeletal issues.