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Counterclockwise Rotational Genioplasty Under Local Anesthesia Alone Using Dual-Block Approcah.

Bojan Obradovic1

  • 1Dental/Medical Center of Maxillofacial Surgery "Aleja-Centar", Banja Luka, Bosnia and Herzegovina.

The Journal of Craniofacial Surgery
|March 30, 2026
PubMed
Summary
This summary is machine-generated.

Genioplasty, a chin surgery, can be effectively performed under local anesthesia. This fast-track approach minimizes inconvenience, cost, and recovery time for patients seeking lower facial enhancement.

Keywords:
Fast-trackgenioplastylocal anesthesia

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Plastic Surgery
  • Anesthesiology

Background:

  • Genioplasty enhances lower face and chin appearance.
  • Surgical chin advancement via horizontal mandibular osteotomy is established.
  • General anesthesia poses challenges: inconvenience, cost, and morbidity.

Purpose of the Study:

  • To present a clinical case of genioplasty under local anesthesia.
  • To evaluate the feasibility of a fast-track genioplasty procedure.

Main Methods:

  • Genioplasty performed under local anesthesia with a dual-block approach.
  • Procedure conducted in an outpatient setting.
  • Adherence to fast-track surgical principles: early ambulation and discharge.

Main Results:

  • Successful genioplasty achieved under local anesthesia.
  • The procedure demonstrated characteristics of a fast-track surgery.
  • Patient experienced early ambulation and discharge post-operation.

Conclusions:

  • Genioplasty under local anesthesia is a viable and effective alternative.
  • This approach offers a fast-track option, reducing patient burden.
  • Outpatient genioplasty with local anesthesia enhances patient convenience and safety.