Genioplasty or "Chin Surgery" is commonly referred to as repositioning of chin. This surgical process is done correctly with chin implants or sliding Genioplasty. Abnormalities of the chin may occur due to deformities, misalignment or excess projection. The surgery enables reshaping of the chin in correct order by increasing or decreasing the size of the chin to enhance correct symmetry.
A thorough diagnosis is conducted prior to surgery under the guidance of our well-experienced Surgeon. We are specialized in giving the best treatment for patients undergoing Genioplasty Surgery in London UK with well-equipped and advanced techniques.
At Wentworth Clinic we have developed an innovative technique called ‘Box Genioplasty’. Here only the symphasis of the lower jaw is cut as the genial problem always affects this area. Also this procedure causes zero chance of numb lip. We have analysed our results for the last 10 years and this procedure provides a stable long term outcome.
The dimension of the frontal facial profile is dictated by the height of the nose and chin.Chin asymmetry in height, width and projection can occur alone or in conjunction with jaw asymmetry. The chin dimension can be small (microgenia), large (macrogenia), prominent (progenia), receding (retrogenia) and width asymmetry. If you are concerned about the chin aesthetics you should arrange for a consultation.
During the initial consultation your surgeon will examine and diagnose where your problem is. If it is only localized to the chin then chin surgery is adequate. However if the deformity is part of a jaw problem then detailed treatment will be discussed.
After obtaining anaesthesia an incision is made intraorally along the sulcus of the lower teeth. The symphasis part of the jaw bone will be exposed. The bone cut is marked and the surgery is usually carried out using a burr. The cut chin will be re-positioned to the planned position and held by micro titanium plates and screws. After ensuring that there is no bleeding the muscle and the gum will be repaired. A support dressing will be placed.
Following Genioplasty Surgery
The support dressing should remain for the first twenty four hours if at all possible. You should expect a swollen face and neck and sometimes pins and needles on your lower lip. Blood stained saliva is a definite possibility for the first two to three days. After the first twenty four hours normal brushing and gargling with warm salty water three times a day should be maintained until you have your first post operative consultation.
Risks of Genioplasty
Each surgical procedure involves a certain amount of risk and it is important that you understand the risks involved. An individual′s choice to undergo a surgical procedure is based on the comparison of the risk to potential benefit. Although the majority of patients do not experience the following complications, you should discuss each of them with Professor Ilankovan if you have any concerns.
It is possible at the time of bone cut that blood vessels can be traumatized. The surgeon will do everything possible to ensure that bleeding is stopped prior to completing the surgery. Post surgery you will have blood-stained saliva for a few days but this is a normal event.
Numbness of the lip
Every precaution will be taken to protect the nerve which gives sensation to the lip. Any traction on the nerve can cause temporary pins and needles or numbness. However permanent damage to the nerve is an extremely rare complication but is a known occurrence. With box genioplasty we have so far had zero numbness.
This is a rare occurrence but if it happens further treatment is necessary.
The aim is to produce a symmetrical outcome however there is no guaranteed process to obtain 100% symmetry.
Immediate pain and discomfort for a few days after surgery is normal. Severe pain after one week of surgery is unusual. However some patients feel uncomfortable biting for two to three months after a genioplasty. Although it is a rare occurrence it is nevertheless a possibility.
If a wound breakdown occurs the healing will be protracted. You will need to attend the outpatient clinic on a regular basis for irrigation and other necessary procedures.