Special Considerations for Chin Augmentation in the Professional Violinist

The extensive training and unique positioning of a stringed instrument (eg, professional violinist) may subject the mandible to compressive forces that may lead to asymmetric micrognathia. Prior cephalometric studies have shown a right-sided facial dominance with an underdeveloped left mandible. Surgical correction must account for occupational demands, as the chin is uniquely load-bearing in violinists. The use of three-dimensional planning with a customized implant facilitates the correction of asymmetries and allows shared decision-making for optimal implant fit. Our case outlines important considerations for alloplastic chin augmentation in violinists.