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Stealth incision: A Novel Incision Design For Large Advancement Genioplasty.

Ria Raghavan1, Pushkar Waknis1, Sakshi Gaikwad1

  • 1Department of Oral & Maxillofacial Surgery, Dr. D. Y. Patil Dental College and Hospital, Dr. D. Y. Patil Vidyapeeth Pimpri, Pune, Maharashtra India.

Journal of Maxillofacial and Oral Surgery
|November 27, 2025
PubMed
Summary

A novel V-shaped incision technique simplifies large advancement genioplasty. This method ensures excellent healing and avoids complications like chin ptosis or scarring, making the procedure easier.

Keywords:
GenioplastyHealingIncisionModification

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Plastic Surgery

Background:

  • Genioplasty is a surgical procedure to alter the chin.
  • Large advancements in genioplasty present unique surgical challenges.

Purpose of the Study:

  • To introduce a novel V-shaped incision design for large advancement genioplasty.
  • To detail a technique that facilitates the surgical process and improves outcomes.

Main Methods:

  • A V-shaped incision is designed from premolar to premolar, maintaining a 5 mm distance from root apices and vestibular sulcus.
  • The mental nerve is carefully dissected and mobilized using a V-shaped haemostat dissection.
  • Tunnelling is performed to free the nerve's insertion into the muscle.

Main Results:

  • The technique allows for large advancements in genioplasty with ease.
  • Excellent healing was observed in all cases.
  • No incidence of chin ptosis or hypertrophic scarring was noted.

Conclusions:

  • This novel incision technique is effective for large advancement genioplasty.
  • The described method promotes good healing and avoids common complications.
  • The technique simplifies the surgical procedure, enhancing patient outcomes.