Feminization of the Chin: Genioplasty Using Osteotomies

Chin reshaping can provide a more identifiable female appearance for transitioning male to female patients undergoing facial feminization. The "sliding" genioplasty has the most potential for dramatically reshaping the chin, while also avoiding many of the issues that may occur with implants. A chin should be evaluated radiologically and by physical examination to determine what changes should be made to any particular chin. When performing osseous genioplasty, the mental nerve can be protected by performing any osteotomies at least 6 mm below the inferior border of the mental nerve canal.