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Aesthetic Genioplasty Based on Strategic Categorization.

Chang Heon Hwang1, Young Su Na2, Myung Chul Lee2

  • 1From the Ilumi Plastic Surgery Clinic.

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Genioplasty effectively corrects lower facial contours using strategic osteotomies. This study shows high patient satisfaction and predictable aesthetic outcomes with precise surgical techniques.

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Area of Science:

  • Plastic Surgery
  • Oral and Maxillofacial Surgery
  • Aesthetic Surgery

Background:

  • Genioplasty is a common surgical procedure for lower facial contour correction.
  • Various osteotomy techniques are available for advancement, setback, reduction, or narrowing of the chin.
  • Computed tomography (CT) aids in detailed preoperative planning.

Purpose of the Study:

  • To evaluate the outcomes of genioplasty procedures using a novel strategic planning method.
  • To assess patient satisfaction and aesthetic improvements following genioplasty.
  • To analyze the effectiveness of different osteotomy techniques in correcting facial asymmetries.

Main Methods:

  • Retrospective review of 208 patients undergoing genioplasty from October 2015 to April 2020.
  • Procedures included horizontal segment osteotomy, vertical and horizontal segment osteotomy, or bone graft after repositioning.
  • Rigid fixation with titanium plates and screws, with follow-up ranging from 8 to 24 months.

Main Results:

  • High overall patient satisfaction with improved lower facial contour and balance.
  • Chin point deviations occurred in 176 cases, with left-side deviation being more common.
  • Strategic osteotomies corrected asymmetries, and temporary sensory losses resolved within 6 months.

Conclusions:

  • Careful evaluation of patient complaints and bony structures is crucial before genioplasty.
  • Meticulous osteotomy, precise movement, and rigid fixation are essential for successful outcomes.
  • The strategic genioplasty process leads to aesthetic balance and predictable results.