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Simultaneous osseous genioplasty and meloplasty
T M Wider1, S A Spiro, S A Wolfe
1Division of Plastic and Reconstructive Surgery, University of Miami School of Medicine, Fla, USA.
Plastic and Reconstructive Surgery
|April 1, 1997
Summary
Osseous genioplasty combined with facelift and submental lipectomy offers versatile aesthetic improvements. Careful advancement is key, as overly strong chins were the most common patient complaint.
Area of Science:
- Plastic Surgery
- Aesthetic Surgery
- Maxillofacial Surgery
Background:
- Osseous genioplasty is a surgical technique to reshape the chin bone.
- It is often performed concurrently with other facial rejuvenation procedures.
- Understanding its safety and outcomes with adjunctive surgeries is crucial.
Purpose of the Study:
- To review outcomes of osseous genioplasty performed with facelift and submental lipectomy.
- To evaluate the safety, efficacy, and patient satisfaction of this combined approach.
- To identify common complications and aesthetic concerns.
Main Methods:
- Retrospective review of 50 patients undergoing osseous genioplasty with facelift and/or submental lipectomy over 20 years.
- Analysis of genioplasty types (sliding advancement, lengthening, reduction) and associated procedures.
- Documentation of complications, revisions, and patient complaints.
Main Results:
- Osseous genioplasty demonstrated versatility, allowing greater chin projection and submental muscle tightening.
- Complications occurred in 10 patients, including hematomas, nerve weakness, and wound infection.
- The most frequent complaint (8 patients) was an overly strong chin, requiring reduction in 6 cases.
Conclusions:
- Osseous genioplasty can be safely performed with facelift and submental lipectomy.
- Aesthetic outcomes are generally favorable, with high patient satisfaction when chin advancement is appropriate.
- Careful planning of chin projection is essential to avoid aesthetic dissatisfaction.