Chin Surgery
Patient 1
More visible chin projection, less neck fullness, slimmer face
Sliding genioplasty with submental/neck liposuction and buccal lipectomies
More visible chin projection, less neck fullness, slimmer face
Sliding genioplasty with submental/neck liposuction and buccal lipectomies
Patient 2
Had a prior chin implant which left her still with horizontal chin deficiency and submental fullness
Removal of mersilene mesh chin implant with sliding genioplasty replacement
Had a prior chin implant which left her still with horizontal chin deficiency and submental fullness
Removal of mersilene mesh chin implant with sliding genioplasty replacement
Patient 3
Improved shot chin and get rid of the neck fulness
Submental placement of chin implant combined with a submentoplasty (liposuction with deep fat removal and platysma muscle tightening.
Improved shot chin and get rid of the neck fulness
Submental placement of chin implant combined with a submentoplasty (liposuction with deep fat removal and platysma muscle tightening.
Patient 4
Desire for modest increase in chin projection but still keep a feminine appearance.
Submental placement of small chin implant through a 1cm long skin incision.
Desire for modest increase in chin projection but still keep a feminine appearance.
Submental placement of small chin implant through a 1cm long skin incision.
Patient 5
Wanted a more substantial chin augmentation that projected out to at least the lips if not more.
Submental placement of large chin implant with double screw fixation.
Wanted a more substantial chin augmentation that projected out to at least the lips if not more.
Submental placement of large chin implant with double screw fixation.
Patient 6
Reduce the excessive chin projection
Submental bony chin reduction through burring and soft tissue chin pad excision.
Reduce the excessive chin projection
Submental bony chin reduction through burring and soft tissue chin pad excision.
Patient 7
Desire for vertical chin reduction.
Vertical chin lengthening with intraoral opening wedge bony genioplasty with interposition graft and plate fixation.
Desire for vertical chin reduction.
Vertical chin lengthening with intraoral opening wedge bony genioplasty with interposition graft and plate fixation.
Patient 8
Desire for vertical chin reduction.
Submental bony chin reduction thorough horizontal osteotomy and geniohyoid resuspension.
Desire for vertical chin reduction.
Submental bony chin reduction thorough horizontal osteotomy and geniohyoid resuspension.
Patient 9
Desire for increased chin projection and correction of chin asymmetry.
Sliding geniopasty for horizontal advancement and differential bone movement for asymmetry correction.
Desire for increased chin projection and correction of chin asymmetry.
Sliding geniopasty for horizontal advancement and differential bone movement for asymmetry correction.
Patient 10
To create the appearance of at least some chin and separate the chin from the neck.
Large sliding genioplasty combined with an overlay chin implant for maximal chin projection given the very short anatomy.
To create the appearance of at least some chin and separate the chin from the neck.
Large sliding genioplasty combined with an overlay chin implant for maximal chin projection given the very short anatomy.
Patient 11
Improved chin asymmetry due to soft tissue atrophy.
Intraoral placement of dermal-fat graft for correction of left chin soft tissue deficiency.
Improved chin asymmetry due to soft tissue atrophy.
Intraoral placement of dermal-fat graft for correction of left chin soft tissue deficiency.
Patient 12
Desire for more prominent chin and less neck fullness.
Submental placement of small chin implant wit submental liposuction.
Desire for more prominent chin and less neck fullness.
Submental placement of small chin implant wit submental liposuction.
Patient 13
To have a more feminine shaped chin from the front view
Intraoral chin narrowing by removal of lateral bony tubercles.
To have a more feminine shaped chin from the front view
Intraoral chin narrowing by removal of lateral bony tubercles.
Patient 14
A chin augmentation that provides both increased projection and vertical height.
Intraoral sliding genioplasty to being the chin bone forward and down.
A chin augmentation that provides both increased projection and vertical height.
Intraoral sliding genioplasty to being the chin bone forward and down.
Patient 15
To have a more prominent chin.
Sliding genioplasty of 8mms increased projection.
To have a more prominent chin.
Sliding genioplasty of 8mms increased projection.
Patient 16
To reduce the overlying projecting chin and make it appear more feminine.
Submental chin reduction by horizontal bony projection reduction by burring.
To reduce the overlying projecting chin and make it appear more feminine.
Submental chin reduction by horizontal bony projection reduction by burring.
Patient 17
To have a more prominent chin and improve facial balance
Intraoral sliding genioplasty of 6mms horizontal and 2mms of vertical projection.
To have a more prominent chin and improve facial balance
Intraoral sliding genioplasty of 6mms horizontal and 2mms of vertical projection.
Patient 18
To have a more prominent chin and less neck fullness.
Sliding genioplasty of 12mms horizontal and 6mms of vertical bone movement with neck liposuction.
To have a more prominent chin and less neck fullness.
Sliding genioplasty of 12mms horizontal and 6mms of vertical bone movement with neck liposuction.
Patient 19
Desire for a chin augmentation that looks vertically short.
Sliding genioplasty for vertical lengthening of her short chin.
Desire for a chin augmentation that looks vertically short.
Sliding genioplasty for vertical lengthening of her short chin.
Patient 20
Desire for improved chin projection and more defined neck shape.
Chin implant with submental liposuction.
Desire for improved chin projection and more defined neck shape.
Chin implant with submental liposuction.
Patient 21
Desire for correction of chin/facial asymmetry.
Intraoral bony genioplasty to straighten the chin for better alignment with the nose and upper face.
Desire for correction of chin/facial asymmetry.
Intraoral bony genioplasty to straighten the chin for better alignment with the nose and upper face.
Patient 22
Improved chin projection and to get rid of submental fullness.
Chin implant with submental liposuction.
Improved chin projection and to get rid of submental fullness.
Chin implant with submental liposuction.
Patient 23
Improve chin projection for congenitally shorter jaw and chin.
Jumping sliding genioplasty for maximal bony chin augmentation
Improve chin projection for congenitally shorter jaw and chin.
Jumping sliding genioplasty for maximal bony chin augmentation
Patient 24
To improve chin projection with the primary goal of treating his obstructive sleep apnea.
Sliding genioplasty of 12mms of horizontal projection.
To improve chin projection with the primary goal of treating his obstructive sleep apnea.
Sliding genioplasty of 12mms of horizontal projection.
Patient 25
Desire to have a much better defined chin and neck.
Sliding geniopalsty for both horizontal and vertical lengthening with chin implant overlay.
Desire to have a much better defined chin and neck.
Sliding geniopalsty for both horizontal and vertical lengthening with chin implant overlay.
Patient 26
Improved lower facial shape with a normal occlusion.
Sagittal split mandibular advancement osteotomies combined with a sliding genioplasty.
Improved lower facial shape with a normal occlusion.
Sagittal split mandibular advancement osteotomies combined with a sliding genioplasty.
Patient 27
History of Medpor chin implant that gave her a large chin and changed the shape of her lower face.
Medpor chin implant removal with sliding genioplasty replacement and jaw angle implants to reshape the jawline and reduce a vertically long chin.
History of Medpor chin implant that gave her a large chin and changed the shape of her lower face.
Medpor chin implant removal with sliding genioplasty replacement and jaw angle implants to reshape the jawline and reduce a vertically long chin.
Patient 28
History of chin augmentation using a mersilene mesh chin implant giving her a broad more square-shaped chin.
Removal of mersilene mesh chin implant and placement with anatomic silicone chin implant with screw fixation.
History of chin augmentation using a mersilene mesh chin implant giving her a broad more square-shaped chin.
Removal of mersilene mesh chin implant and placement with anatomic silicone chin implant with screw fixation.
Patient 29
Desire for substantial vertical chin lengthening.
Vertical lengthening sliding genioplasty to achieve a 20mm increase. It was done in two surgeries, increasing the vertical length 10mms each time.
Desire for substantial vertical chin lengthening.
Vertical lengthening sliding genioplasty to achieve a 20mm increase. It was done in two surgeries, increasing the vertical length 10mms each time.
Patient 30
Desire for a more tapered v-shaped chin and jawline.
T-shaped bony genioplasty as part of v-line jaw reduction.
Desire for a more tapered v-shaped chin and jawline.
T-shaped bony genioplasty as part of v-line jaw reduction.
Patient 31
Desire for improvement of class II bite relationship, mentalis muscle strain and weak chin.
Sagittal split mandibular osteotomy for bite improvement and sliding genioplasty with 5mm advancement and 3mm vertical opening.
Desire for improvement of class II bite relationship, mentalis muscle strain and weak chin.
Sagittal split mandibular osteotomy for bite improvement and sliding genioplasty with 5mm advancement and 3mm vertical opening.
Patient 32
Desire for less prominent chin.
Submental horizontal and vertical chin reduction by bone burring.
Desire for less prominent chin.
Submental horizontal and vertical chin reduction by bone burring.
Patient 33
Desire for improvement of weak chin.
Sliding genioplasty with 7mms of horizontal bony movement.
Desire for improvement of weak chin.
Sliding genioplasty with 7mms of horizontal bony movement.
Patient 34
Desire for increase in vertical length of chin with placement of chin cleft.
Submental placement of small vertical lengthening chin implant with creation of vertical chin cleft though external excisional technique.
Desire for increase in vertical length of chin with placement of chin cleft.
Submental placement of small vertical lengthening chin implant with creation of vertical chin cleft though external excisional technique.
Patient 35
Desire for more square chin shape with midline vertical cleft.
Submental placement of square chin implant with creation of vertical chin cleft through internal excisional/suture technique.
Desire for more square chin shape with midline vertical cleft.
Submental placement of square chin implant with creation of vertical chin cleft through internal excisional/suture technique.
Patient 36
Desire for improvement in shape of lower face with a Class II occlusion with deep bite.
Chin implant with moderate horizontal augmentation and neck liposuction.
Desire for improvement in shape of lower face with a Class II occlusion with deep bite.
Chin implant with moderate horizontal augmentation and neck liposuction.
Patient 37
Desire for delicate chin augmentation that fits a female with sight horizontal and vertical increase ta still keeps the chin narrow in shape.
Design and placement of custom chin implant through small submental incision.
Desire for delicate chin augmentation that fits a female with sight horizontal and vertical increase ta still keeps the chin narrow in shape.
Design and placement of custom chin implant through small submental incision.
Patient 38
Desire for reduction or elimination of central chin dimple.
Chin dimple reduction by fat injections.
Desire for reduction or elimination of central chin dimple.
Chin dimple reduction by fat injections.
Patient 39
Desire for reduction of overdone sliding genioplasty from years ago.
Subtotal sliding geniopalsty reversal of 5mms setback.
Desire for reduction of overdone sliding genioplasty from years ago.
Subtotal sliding geniopalsty reversal of 5mms setback.
Patient 40
Male to female transgender chin reshaping for less prominent and more feminine appearing chin.
Intraoral bony chin reduction through lateral tubercle reductions.
Male to female transgender chin reshaping for less prominent and more feminine appearing chin.
Intraoral bony chin reduction through lateral tubercle reductions.
Patient 41
Desire for increased chin projection and less full face and neck.
Sliding genioplasty of 7mm horizontal movement combined with buccal lipectomies and neck liposuction.
Desire for increased chin projection and less full face and neck.
Sliding genioplasty of 7mm horizontal movement combined with buccal lipectomies and neck liposuction.
Patient 42
Desire for vertically longer and more defined chin shape.
Vertical opening siding geniopasty with 7mms horizontal increase and 5mms vertical opening combined with an overlay chin implant.
Desire for vertically longer and more defined chin shape.
Vertical opening siding geniopasty with 7mms horizontal increase and 5mms vertical opening combined with an overlay chin implant.
Patient 43
Desire for less square and more feminine chin appearance.
Submental chin reduction by bony reduction/reshaping.
Desire for less square and more feminine chin appearance.
Submental chin reduction by bony reduction/reshaping.
Patient 44
Desire for reduction of deep labiomental fold of chin.
Intraoral placement of dermal-fat graft for labiomental fold reduction.
Desire for reduction of deep labiomental fold of chin.
Intraoral placement of dermal-fat graft for labiomental fold reduction.
Patient 45
Desie for improved chin shape proportions. Chin was centrally too vertically long with deficiencies on the sides.
Intraoral vertical chin height reduction by osteotomy with lateral implants for improved chin shape.
Desie for improved chin shape proportions. Chin was centrally too vertically long with deficiencies on the sides.
Intraoral vertical chin height reduction by osteotomy with lateral implants for improved chin shape.
Patent 46
Desire for small and better shaped chin.
Submental approach for horizontal and lateral bony reductions with submental tuck done in two stages.
Desire for small and better shaped chin.
Submental approach for horizontal and lateral bony reductions with submental tuck done in two stages.
Patient 47
Severe horizontal chin recession of 20mms.
Sliding genioplasty of 14mms combined with a 5mm chin implant overlay.
Severe horizontal chin recession of 20mms.
Sliding genioplasty of 14mms combined with a 5mm chin implant overlay.
Patient 48
Desire for horizontal chin reduction after prior sliding genioplasty.
Submental approach for horizontal chin reduction/reshaping by shaving. (bone burring)
Desire for horizontal chin reduction after prior sliding genioplasty.
Submental approach for horizontal chin reduction/reshaping by shaving. (bone burring)
Patient 49
Desire for a less deep labiomental fold.
Intraoral placement of dermal-fat graft for labiomental fold reduction.
Desire for a less deep labiomental fold.
Intraoral placement of dermal-fat graft for labiomental fold reduction.
Patient 50
Desire for a more shallow labiomental fold.
Percutaneous placement of labiomental fold implant.
Desire for a more shallow labiomental fold.
Percutaneous placement of labiomental fold implant.
Patient 51
Desire for removal of large congenital chin nevus.
Vertical elliptical excision of large chin nevus.
Desire for removal of large congenital chin nevus.
Vertical elliptical excision of large chin nevus.
Patient 52
Desire for more prominent but v-shaped chin in a female.
Sliding genioplasty for combined horizontal and vertical lengthening with interpostional graft.
Desire for more prominent but v-shaped chin in a female.
Sliding genioplasty for combined horizontal and vertical lengthening with interpostional graft.
Patient 53
Desire for less horizontal chin projection.
Submental chin reduction by combination of bony projection reduction and submental soft tissue tuck.
Desire for less horizontal chin projection.
Submental chin reduction by combination of bony projection reduction and submental soft tissue tuck.
Patient 54
Desire for less deep labiomental fold below lower lip.
Initial trial of injectable fillers for labiomental augmentation in which the result demonstrates that fat injections may be a good more permanent treatment.
Desire for less deep labiomental fold below lower lip.
Initial trial of injectable fillers for labiomental augmentation in which the result demonstrates that fat injections may be a good more permanent treatment.
Patient 55
Congenital hemifacial microsome with severe chin/jaw recession.(orthognathic surgery was not an option)
Composite chin augmentation combining a sliding genioplasty with a chin implant overlay for an 18mm advancement.
Congenital hemifacial microsome with severe chin/jaw recession.(orthognathic surgery was not an option)
Composite chin augmentation combining a sliding genioplasty with a chin implant overlay for an 18mm advancement.
Patient 56
In need of bimaxillary advancements for sleep apnea.
Sliding genioplasty done in conjunction with bimaxillary surgery.
In need of bimaxillary advancements for sleep apnea.
Sliding genioplasty done in conjunction with bimaxillary surgery.
Patient 57
Desire for improvement in chin projection.
Submental placement of chin implant.
Desire for improvement in chin projection.
Submental placement of chin implant.
Patient 58
Desier for more chin projection.
Sliding genioplasty of 6mms for increased horizontal chin projection.
Patient 59
Stretched out soft tissue chin pad from chin implant removal.
Chin reshaping with mentalis muscle resuspension and submental tuck.
Stretched out soft tissue chin pad from chin implant removal.
Chin reshaping with mentalis muscle resuspension and submental tuck.
Patient 60
Desire for improved shape and look to lower third of the face.
Chin implant augmentation with lower face tuckup.
Desire for improved shape and look to lower third of the face.
Chin implant augmentation with lower face tuckup.
Patient 61
Desire for less recessed chin.
Submental placement of chin implant.
Desire for less recessed chin.
Submental placement of chin implant.
Patient 622
Desire for improved chin projection.
Placement of chin implant through a small submental skin incision.
Desire for improved chin projection.
Placement of chin implant through a small submental skin incision.
Patient 633
Desire to reduce prominence of prominent soft tissue chin pad.
Immediate result from submental excision/tuck up done under local anesthesia.
Desire to reduce prominence of prominent soft tissue chin pad.
Immediate result from submental excision/tuck up done under local anesthesia.
Patient 64
Desire to reduce long chin.
Two stages of vertical chin reduction needed to obtain maximal vertical chin reduction.
Desire to reduce long chin.
Two stages of vertical chin reduction needed to obtain maximal vertical chin reduction.
Patient 65
Desire for reduction of horizontal chin prominence and central chin dimple.
Submental reduction of bony horizontal chin prominence with fat injections to dimple.
Desire for reduction of horizontal chin prominence and central chin dimple.
Submental reduction of bony horizontal chin prominence with fat injections to dimple.
Patient 66
Desire for reduction of longer asymmetric side of chin.
Submental inferior border shave of longer chin side.
Desire for reduction of longer asymmetric side of chin.
Submental inferior border shave of longer chin side.
Patient 67
Desire for combined horizontal and vertical chn reshaping by injectable filler.
Chin augmentation with a v-shape using injectable filler.
Desire for combined horizontal and vertical chn reshaping by injectable filler.
Chin augmentation with a v-shape using injectable filler.
Patient 68
Desire for improved neck and jawline.
Full lower facelift combined with chin implant augmentation.
Desire for improved neck and jawline.
Full lower facelift combined with chin implant augmentation.
Patient 69
Desire for vertically longer chin.
Placement of vertical lengthening chin implant.
Desire for vertically longer chin.
Placement of vertical lengthening chin implant.
Patient 60
Significant chin deficiency from underdeveloped lower jaw from Treacher Collins syndrome.
15mm sliding genioplasty with allogeneic bone graft for step.
Significant chin deficiency from underdeveloped lower jaw from Treacher Collins syndrome.
15mm sliding genioplasty with allogeneic bone graft for step.
Patient 71
Desire for shorter chin and lower jaw angles.
Vertical chin reduction combined with vertical lengthening jaw angle implants.
Desire for shorter chin and lower jaw angles.
Vertical chin reduction combined with vertical lengthening jaw angle implants.
Patient 72
Desire for improvement of tight lower lip, deep and fixed labiomental sulcus and verticall y short chin after sliding genioplasty.
Intraorla release of labiomental sulcus contacture and placement of interpositional dermal fat graft.
Desire for improvement of tight lower lip, deep and fixed labiomental sulcus and verticall y short chin after sliding genioplasty.
Intraorla release of labiomental sulcus contacture and placement of interpositional dermal fat graft.
Patient 73
Desire for reduction of horizontally prominent soft tissue chin pad.
Chin reduction using a submental resection of excessive soft tissue chin pad.
Desire for reduction of horizontally prominent soft tissue chin pad.
Chin reduction using a submental resection of excessive soft tissue chin pad.
Patient 74
Had horizontal chin implant placed when the major part of the chin deficiency was a vertical shortness
Chin implant removal and replacement with a vertical lengthening bony genioplasty.
Had horizontal chin implant placed when the major part of the chin deficiency was a vertical shortness
Chin implant removal and replacement with a vertical lengthening bony genioplasty.
Patient 755
Desire for reduction of fleshy protruding chin
Submental excision of excess soft tissue chin pad.
Desire for reduction of fleshy protruding chin
Submental excision of excess soft tissue chin pad.
Patient 76
Desire for improvement of severe chin deficiency
Large 16mm sliding genioplasty with interpositional allogeneic bone block and corticocancellous chip grafting
Desire for improvement of severe chin deficiency
Large 16mm sliding genioplasty with interpositional allogeneic bone block and corticocancellous chip grafting
Patient 77
Desire for chin augmentation and correction of soft tissue overhang.
Placement of modified vertical lengthening chin implant.
Desire for chin augmentation and correction of soft tissue overhang.
Placement of modified vertical lengthening chin implant.
78
Desire for vertical chin shortening of his very long chin.
Intraoral vertical chin reduction of 10mms by double osteotomy cuts and interpositional bone removal.
Desire for vertical chin shortening of his very long chin.
Intraoral vertical chin reduction of 10mms by double osteotomy cuts and interpositional bone removal.
Patient 79
Desire for a vertically shorter and more narrow chin shape.
Intraoral t-shaped bony genioplasty.
Desire for a vertically shorter and more narrow chin shape.
Intraoral t-shaped bony genioplasty.
Patient 80
Desire for a sliding genioplasty result for horizontal advancement that was not overdone.
Two separate sliding genioplastigs performed, the first one 6mms and the second one out to 12mms.
Desire for a sliding genioplasty result for horizontal advancement that was not overdone.
Two separate sliding genioplastigs performed, the first one 6mms and the second one out to 12mms.
Patient 81
Desire for chin augmentation with congenitally short lower jaw and obtuse cervicomental angle.
Sliding genioplasty with submentoplasty.
Desire for chin augmentation with congenitally short lower jaw and obtuse cervicomental angle.
Sliding genioplasty with submentoplasty.
Patient 82
Vertically short chin with deep labiomental fold.
Submental placement of vertical lengthening chin implant.
Vertically short chin with deep labiomental fold.
Submental placement of vertical lengthening chin implant.
Patient 83
Desire for reduction of a Medpor chin implant that was too long and wide.
Submental chin reduction removing the part of the implant that hung below the bone as well as trimming the sides.
Desire for reduction of a Medpor chin implant that was too long and wide.
Submental chin reduction removing the part of the implant that hung below the bone as well as trimming the sides.
Patient 84
Desire for improvement in very short chin and obtuse neck angle.
Combined sliding genioplasty with submentoplasty for maximum profile improvement.
Desire for improvement in very short chin and obtuse neck angle.
Combined sliding genioplasty with submentoplasty for maximum profile improvement.
Patient 85
Desire for improvement in short lower third of the face due to vertical chin deficiency.
Vertical chin lengthening by intraoral osteotomy with interpositional allogeneic bone block and plate fixation.
Desire for improvement in short lower third of the face due to vertical chin deficiency.
Vertical chin lengthening by intraoral osteotomy with interpositional allogeneic bone block and plate fixation.
Patient 86
Desire for additional horizontal chin augmentation after a prior sliding genioplasty
Placement of overly chin implant through a submental incision after a prior sliding genioplasty.
Desire for additional horizontal chin augmentation after a prior sliding genioplasty
Placement of overly chin implant through a submental incision after a prior sliding genioplasty.
Patient 87
Desiring a stronger more visible chin prominence.
Placement of standard chin implant through a submental incision with 3D CT scan assessment of implant placement.
Desiring a stronger more visible chin prominence.
Placement of standard chin implant through a submental incision with 3D CT scan assessment of implant placement.
Patient 88
Desire to improve soft tissue chin pad ptosis and lower lip incompetence after intraoral chin implant removal.
Chin ptosis and lower lip incompetence correction using a five level technique from a sliding genioplasty, three levels of soft tissue fixation and a shortening vestibuloplasty.
Desire to improve soft tissue chin pad ptosis and lower lip incompetence after intraoral chin implant removal.
Chin ptosis and lower lip incompetence correction using a five level technique from a sliding genioplasty, three levels of soft tissue fixation and a shortening vestibuloplasty.
Patient 89
A chin implant result that has inadequate horizontal projection and excessive vertical length with a double bubble appearance
Submental chin implant modification of an anatomic style implant with superior repositioning on the bone.
A chin implant result that has inadequate horizontal projection and excessive vertical length with a double bubble appearance
Submental chin implant modification of an anatomic style implant with superior repositioning on the bone.
Patient 90
Desire for longer and more projecting chin.
Chin augmentation with vertical lengthening genioplasty and chin implant overlay.
Desire for longer and more projecting chin.
Chin augmentation with vertical lengthening genioplasty and chin implant overlay.
Patient 91
Desire for secondary chin implant augmentation and primary neck liposuction.
Intraoral chin implant replacement with submental and neck liposuction.
Desire for secondary chin implant augmentation and primary neck liposuction.
Intraoral chin implant replacement with submental and neck liposuction.
Patient 92
Desires treatment for chronic exposde Medpor chin implant.
Removal of all chin implant material and hardware with immediate en bloc inlay fa grafting. One year later he will be ready for secondary chin/jawline augmentation efforts.
Desires treatment for chronic exposde Medpor chin implant.
Removal of all chin implant material and hardware with immediate en bloc inlay fa grafting. One year later he will be ready for secondary chin/jawline augmentation efforts.
Patient 93
Desire for just a bit more chin augmentation effect after a previous sliding genioplasty.
Submental placement of 5mm extended anatomic chin implant in front of previous sliding genioplasty.
Desire for just a bit more chin augmentation effect after a previous sliding genioplasty.
Submental placement of 5mm extended anatomic chin implant in front of previous sliding genioplasty.
Patient 94
Desires further chin reduction efforts after two prior unsatisfactory chin reduction surgeries.
Submental chin reduction technique for v-shaped chin bone reduction and soft tissue chin pad tightening around the reduced bone.
Desires further chin reduction efforts after two prior unsatisfactory chin reduction surgeries.
Submental chin reduction technique for v-shaped chin bone reduction and soft tissue chin pad tightening around the reduced bone.
Patient 95
Desire for correction of short chin, full neck and round face.
8mm sliding genioplasty with submental liposuction.
Desire for correction of short chin, full neck and round face.
8mm sliding genioplasty with submental liposuction.
Patient 96
Desire for chin augmentation using a sliding genioplasty technique. Preoperative imaging was done and having the chin projection be less than a vertical line dropped down from the lower lip was desired.
An intraoral 8mm sldiing genioplasty wsa done for horizontal advancement.
Desire for chin augmentation using a sliding genioplasty technique. Preoperative imaging was done and having the chin projection be less than a vertical line dropped down from the lower lip was desired.
An intraoral 8mm sldiing genioplasty wsa done for horizontal advancement.
Patient 97
Had an extended wing chin implant placed previously through an intraoral approach that made her chin too wide and her chin chronically felt tight. Desired a chin implant removal with sliding genioplasty replacement.
Underwent an intraoral chin implant removal (5mms projection) and replaced with an 8mm sliding genioplasty.
Had an extended wing chin implant placed previously through an intraoral approach that made her chin too wide and her chin chronically felt tight. Desired a chin implant removal with sliding genioplasty replacement.
Underwent an intraoral chin implant removal (5mms projection) and replaced with an 8mm sliding genioplasty.
Patient 98
Desire for correction of dynamic chin ptosis in a female with a short chin.
Submental placement of a small anatomic chin implant with submental excision/chin tuck.
Desire for correction of dynamic chin ptosis in a female with a short chin.
Submental placement of a small anatomic chin implant with submental excision/chin tuck.
Patient 99
Desire for smaller and less square chin shape
Submental chin reduction technique which includes bone and soft tissue removal.
Desire for smaller and less square chin shape
Submental chin reduction technique which includes bone and soft tissue removal.
Patient 100
Desire for horizontal chin augmentation combined with vertical chin length shortening.
6mm sliding genioplasty with 5mm vertical reduction by wedge bone removal.
Desire for horizontal chin augmentation combined with vertical chin length shortening.
6mm sliding genioplasty with 5mm vertical reduction by wedge bone removal.
Patient 101
Desire for a less deficiency chin/lower facial appearance.
Intraoral 10mm sliding genioplasty at one week after surgery.
Desire for a less deficiency chin/lower facial appearance.
Intraoral 10mm sliding genioplasty at one week after surgery.
Patient 102
Desire for an autologous chin augmentation result.
Intraoral sliding genioplasty done for a 10mm bone advancement. The result is taken 8 years after the surgery. The 3D CT scan, however, was taken just months after the surgery.
Desire for an autologous chin augmentation result.
Intraoral sliding genioplasty done for a 10mm bone advancement. The result is taken 8 years after the surgery. The 3D CT scan, however, was taken just months after the surgery.
Patient 103
Desire for removal of Medpor chin implant and replacement with a sliding genioplasty.
Intraoral removal of a 5mm Medpor chin implant and replacement with an 8mm horizontal advancement sliding genioplasty.
Desire for removal of Medpor chin implant and replacement with a sliding genioplasty.
Intraoral removal of a 5mm Medpor chin implant and replacement with an 8mm horizontal advancement sliding genioplasty.
Patient 104
Desire for vertical lengthening of the chin and improvement in chin asymmetry.
Modified vertical lengthening chin implant placed through an intraoral approach.
Desire for vertical lengthening of the chin and improvement in chin asymmetry.
Modified vertical lengthening chin implant placed through an intraoral approach.
Patient 105
Desire for improved chin augmentation result.
Replacement of small anatomic chin implant with small vertical lengthening chin implant.
Desire for improved chin augmentation result.
Replacement of small anatomic chin implant with small vertical lengthening chin implant.
Patient 106
Desire for a vertically longer chin to improve his lower facial aesthetics as well as soften the deep labiomental fold and the bunched up soft tissue chin pad.
An intraoral 12mm vertical lengthening bony genioplasty with interpositonal graft was done to improve his chin symptoms. Even at one day after surgery with swelling the improvements are seen.
Desire for a vertically longer chin to improve his lower facial aesthetics as well as soften the deep labiomental fold and the bunched up soft tissue chin pad.
An intraoral 12mm vertical lengthening bony genioplasty with interpositonal graft was done to improve his chin symptoms. Even at one day after surgery with swelling the improvements are seen.
Patient 107
Desire for chin augmentation of a very short chin.
Chin augmentation with a 10mm sliding genioplasty with significant improvement in the shape of her neck.
Desire for chin augmentation of a very short chin.
Chin augmentation with a 10mm sliding genioplasty with significant improvement in the shape of her neck.
Patient 108
Desire for reduction of overly projecting chin
Submental technque for horizontal chin reduction by bone burring and redundant soft tissue chin pad excision.
Desire for reduction of overly projecting chin
Submental technque for horizontal chin reduction by bone burring and redundant soft tissue chin pad excision.
Patient 109
Desire to improve a vertically short chin with a compressed soft tissue chin pad and a deep labiomental fold.
Underwent a 12mm vertical lengthening bony genioplasty which made the chin more proportionate in shape, softened the deep labiomental fold and decompressed the soft tissue chin pad.
Desire to improve a vertically short chin with a compressed soft tissue chin pad and a deep labiomental fold.
Underwent a 12mm vertical lengthening bony genioplasty which made the chin more proportionate in shape, softened the deep labiomental fold and decompressed the soft tissue chin pad.
Patient 110
Desire for a chin that is more in proportion with his larger jaw angles and face.
Bony genioplasty with 8mms forward and 4mm vertical lengthening movements with bone chip grafting of the bony step deformity.
Desire for a chin that is more in proportion with his larger jaw angles and face.
Bony genioplasty with 8mms forward and 4mm vertical lengthening movements with bone chip grafting of the bony step deformity.
Patient 111
Desire for improvement of a dynamic (smiling) soft tissue chin pad ptosis that developed after an intraoral bony chin reduction.
Correction of exaggerated chin ptosis with submental excision/tuck with lipectomy.
Desire for improvement of a dynamic (smiling) soft tissue chin pad ptosis that developed after an intraoral bony chin reduction.
Correction of exaggerated chin ptosis with submental excision/tuck with lipectomy.
Patient 112
Desire for a longer chin that hopefully cause ''decompression' of the bunched lower lip and chin soft tissues.
Intraoral vertical chin lengthening of 15mms with interpositonal tissue bank bone grafts. Besides the better facial proportions the labiomental fold become less deep and the lower lip unfurled with less downturning of the mouth corners.
Desire for a longer chin that hopefully cause ''decompression' of the bunched lower lip and chin soft tissues.
Intraoral vertical chin lengthening of 15mms with interpositonal tissue bank bone grafts. Besides the better facial proportions the labiomental fold become less deep and the lower lip unfurled with less downturning of the mouth corners.
Patient 113
Desire to have a more narrow/tapered chin shape.
T-shaoed bony genioplasty technique for chin narrowing.
Desire to have a more narrow/tapered chin shape.
T-shaoed bony genioplasty technique for chin narrowing.
Patient 114
Chin asymmetry due to prior right parasymphyseal mandible fracture repair
Chin asymmetry correction by intraoral osteotomies and plate fixation.
Chin asymmetry due to prior right parasymphyseal mandible fracture repair
Chin asymmetry correction by intraoral osteotomies and plate fixation.
Patient 115
Desire for chin augmentation with horizontal and vertical dimensional increase needs.
Sliding genioplasty performed with 8mm horizontal advancement and 5mm vertical elongation. (7 year followup)
Desire for chin augmentation with horizontal and vertical dimensional increase needs.
Sliding genioplasty performed with 8mm horizontal advancement and 5mm vertical elongation. (7 year followup)
Patient 116
Desired an additional chin augmentation effect over an existing 8mm chin implant.
Intraoral chin imnplant removal with a 12mm sliding genioplasty replacement.
Desired an additional chin augmentation effect over an existing 8mm chin implant.
Intraoral chin imnplant removal with a 12mm sliding genioplasty replacement.
Patient 117
Desire for reduction of protruding chin.
Submental chin reduction combined with subnasal lip lift.
Desire for reduction of protruding chin.
Submental chin reduction combined with subnasal lip lift.
Patient 118
Developed a profound dynamic chin pad ptosis after chin implant removal.
Dynamic chin pad ptosis correction with submental chin pad excision and chin pad periostea suture fixation.
Developed a profound dynamic chin pad ptosis after chin implant removal.
Dynamic chin pad ptosis correction with submental chin pad excision and chin pad periostea suture fixation.
Patient 119
Male with a very ;prominent chin pad that rides high and caused a deep labiomental fold.
Transcutaneous soft tissue chin pad excision for reduction.
Male with a very ;prominent chin pad that rides high and caused a deep labiomental fold.
Transcutaneous soft tissue chin pad excision for reduction.
Patient 120
Congenitally short chin both horizontally and vertically.
Sliding genioplasty with 14mm horizontal advancement and 7mm vertical lengthening.
Congenitally short chin both horizontally and vertically.
Sliding genioplasty with 14mm horizontal advancement and 7mm vertical lengthening.
Patient 121
Desire for reduction of large horizontal chin projection.
Submental technique for combined excision of horizontal bony excess and redundant soft tissue chin pad.
Desire for reduction of large horizontal chin projection.
Submental technique for combined excision of horizontal bony excess and redundant soft tissue chin pad.
Paient 122
Desire to fully reverse a previous submental chin reduction procedure which burred off the front projection of the chin.
A custom chin implant was designed to replace what was believed to be removed from her prior bony chin reduction.
Desire to fully reverse a previous submental chin reduction procedure which burred off the front projection of the chin.
A custom chin implant was designed to replace what was believed to be removed from her prior bony chin reduction.
Patient 123
Desire to improve a prior chin implant which vertically lengthened her chin but provided no real horizontal projection.
Using the existing submental scar a small button chin implant hanging ogg of the bottom end of the chin was replaced by a new V-shaped chin implant placed one the higher pogonion bone position for a pure horizontal augmentation effect.
Desire to improve a prior chin implant which vertically lengthened her chin but provided no real horizontal projection.
Using the existing submental scar a small button chin implant hanging ogg of the bottom end of the chin was replaced by a new V-shaped chin implant placed one the higher pogonion bone position for a pure horizontal augmentation effect.
Patient 124
Desire for less horizontal chin projection.
Submental chin reduction technique with osteotomy bone removal and soft tissue chin tuck.
Desire for less horizontal chin projection.
Submental chin reduction technique with osteotomy bone removal and soft tissue chin tuck.
Patient 125
Desire for reshaping a vertically short and wide face.
A combination of a vertical lengthening chin osteotomy and anterior cheek implants was used to make for a longer face with improved cheek definition.
Desire for reshaping a vertically short and wide face.
A combination of a vertical lengthening chin osteotomy and anterior cheek implants was used to make for a longer face with improved cheek definition.
Patient 126
Desired for improved chin shape and function after three prior chin surgeries.
The combination of a vertical shortening osteotomy, placement of a large chin implant and an interpositional dermal-fat graft was needed to treat of all of his chin problems.
Desired for improved chin shape and function after three prior chin surgeries.
The combination of a vertical shortening osteotomy, placement of a large chin implant and an interpositional dermal-fat graft was needed to treat of all of his chin problems.
Patient 127
Desire for a longer chin that points down farther than up.
Intraoral vertical chin lengthening of 12mm with interpositional cadaveric bone graft.
Desire for a longer chin that points down farther than up.
Intraoral vertical chin lengthening of 12mm with interpositional cadaveric bone graft.
Patient 128
Desire for lengthening of a vertically short chin.
12mm vertical chin lengthening by osteotomy with interopositional graft. Seen 2 days postop.
Desire for lengthening of a vertically short chin.
12mm vertical chin lengthening by osteotomy with interopositional graft. Seen 2 days postop.
Patient 129
Desire for reduction of large chin with a hyperdynamic chin pad ptosis. A previous surgeon preformed chin liposiuction...which made it worse in appearance.
Submental chin pad excision/tuck with bone reduction.
Desire for reduction of large chin with a hyperdynamic chin pad ptosis. A previous surgeon preformed chin liposiuction...which made it worse in appearance.
Submental chin pad excision/tuck with bone reduction.
Patient 130
Female with horizontal chin excess who was called big chin in high school.
Submental chin reduction technique removing both bone and soft tissue chin pad tissues.
Female with horizontal chin excess who was called big chin in high school.
Submental chin reduction technique removing both bone and soft tissue chin pad tissues.
Patient 131
Female desiring combined horizontal and vertical chin lengthening.
Bony genioplasty with 6 mm forward movement and 4mm vertical lengthening.
Female desiring combined horizontal and vertical chin lengthening.
Bony genioplasty with 6 mm forward movement and 4mm vertical lengthening.
Patient 132
Desire for improvement in lower lip incompetence from a prior genioplasty.
Vertical shortening bony genioplasty with the down fractured segment almost laid on top of the superior chin segment to drive the lower lip upward.
Desire for improvement in lower lip incompetence from a prior genioplasty.
Vertical shortening bony genioplasty with the down fractured segment almost laid on top of the superior chin segment to drive the lower lip upward.
Patient 133
Desire to reduce prominent soft tissue chin pad. failed a prior submental chin pad procedure.
10mm intraoral vertical bony chin lengthening to stretch down the soft tissue chin pad.
Desire to reduce prominent soft tissue chin pad. failed a prior submental chin pad procedure.
10mm intraoral vertical bony chin lengthening to stretch down the soft tissue chin pad.
Patient 134
Desire for a specific 45 degree chin augmentation change. (6mms forward and 6mms down)
Intraoral bony genioplasty with 6mm plate bending to achieve the dual augmentation effect. The gap was grafted with a putty of cadaveric bone chops, antibiotic powder and butadiene solution.
Desire for a specific 45 degree chin augmentation change. (6mms forward and 6mms down)
Intraoral bony genioplasty with 6mm plate bending to achieve the dual augmentation effect. The gap was grafted with a putty of cadaveric bone chops, antibiotic powder and butadiene solution.
Patient 135
Desire for a vertically longer chin due to a deep labiomental fold, upturned soft tissue chin pad, downturned mouth corners and a flat mandibular plane angle.
Intraoral chin lengthening with a horizontal osteotomy, downward positioning and interpositonal bone graft.
Desire for a vertically longer chin due to a deep labiomental fold, upturned soft tissue chin pad, downturned mouth corners and a flat mandibular plane angle.
Intraoral chin lengthening with a horizontal osteotomy, downward positioning and interpositonal bone graft.
Patient 136
Desire for chin augmentation in the vertical direction. He thought his chin was far enough forward just jot long enough
Intraoral 10mm vertical chin lengthening osteotomy with interpositional graft.
Desire for chin augmentation in the vertical direction. He thought his chin was far enough forward just jot long enough
Intraoral 10mm vertical chin lengthening osteotomy with interpositional graft.
Patient 137
Desire correction of hyperdynamic chin pad ptosis after intraoral chin bone reduction.
Submental correction with chin pad excision, inferior border tuck and submental defatting.
Desire correction of hyperdynamic chin pad ptosis after intraoral chin bone reduction.
Submental correction with chin pad excision, inferior border tuck and submental defatting.
Patient 138
Chin bone asymmetry due to previous symphyseal fracture and repair.
Submental approach to inferior border chin reshaping for improved symmetry.
Chin bone asymmetry due to previous symphyseal fracture and repair.
Submental approach to inferior border chin reshaping for improved symmetry.
Patient 139
Desire for chin augmentation to improve his weak chin.
10mm sliding genioplasty with cadaveric bone block placed in bony step off across the fixation plate.
Desire for chin augmentation to improve his weak chin.
10mm sliding genioplasty with cadaveric bone block placed in bony step off across the fixation plate.
Patient 140
Desire for a better chin augmentation result with improved neck shape. Had a prior chin implant and Kybella submental injections.
Intraoral chin implant removal with 12mm sliding genioplasty replacement. Submentoplasty neck contouring was also done through existing submental scar.
Desire for a better chin augmentation result with improved neck shape. Had a prior chin implant and Kybella submental injections.
Intraoral chin implant removal with 12mm sliding genioplasty replacement. Submentoplasty neck contouring was also done through existing submental scar.
Patient 141
Desire for a single jaw procedure that would have the best aesthetic effect for his lower face.
Intraoral opening wedge osteotomy with 10mm dropdown with cadaveric bone chip grafting.
Desire for a single jaw procedure that would have the best aesthetic effect for his lower face.
Intraoral opening wedge osteotomy with 10mm dropdown with cadaveric bone chip grafting.
Patient 142
Female who had been receiving injectable fillers for chin augmentation desired a permanent chin augmentation procedure.
Through a small submental incision a modified anatomic chin implant with an underlying central wedge was placed to. create a tapered chin augmentation effect.
Female who had been receiving injectable fillers for chin augmentation desired a permanent chin augmentation procedure.
Through a small submental incision a modified anatomic chin implant with an underlying central wedge was placed to. create a tapered chin augmentation effect.
Patient 143
Desire for improvement in chin shape after several prior procedures including a bony genioplasty and chin implant.
Secondary sliding genioplasty with advancement and vertical shortening as well as an overlay implant for a broader chin shape. (six month result)
Desire for improvement in chin shape after several prior procedures including a bony genioplasty and chin implant.
Secondary sliding genioplasty with advancement and vertical shortening as well as an overlay implant for a broader chin shape. (six month result)
Patient 144
Unhappy with primary chin implant procedure with inferiorly positioned 5mm implant.
Removal of chin implant and replacement with 12mms advancing sliding genioplasty combined with a submentoplasty through existing sjubmental scar.
Unhappy with primary chin implant procedure with inferiorly positioned 5mm implant.
Removal of chin implant and replacement with 12mms advancing sliding genioplasty combined with a submentoplasty through existing sjubmental scar.
Patient 145
Desire for a combined vertical and horizontal chin augmentation.
Intraoral bony genioplasty for a two dimensional chin augmentation effect.
Desire for a combined vertical and horizontal chin augmentation.
Intraoral bony genioplasty for a two dimensional chin augmentation effect.
Patient 146
Male with prominent soft tissue chin pad that underwent an initial unsuccessful submental chin pad reduction by another surgeon.
The correct treatment was to length a short chin bone to stretch down the soft tissue chin pad through an intraoral bone lengthening with interpositional graft.
Male with prominent soft tissue chin pad that underwent an initial unsuccessful submental chin pad reduction by another surgeon.
The correct treatment was to length a short chin bone to stretch down the soft tissue chin pad through an intraoral bone lengthening with interpositional graft.
Patient 147
Had previous 10mm intraoral vertical chin lengthening by osteotomy and interpositional graft. Desired an additional 5mms more.
Secondary submental vertical chin lengthening by ePTFE implant placement. (5mm thickness with screw fixation)
Had previous 10mm intraoral vertical chin lengthening by osteotomy and interpositional graft. Desired an additional 5mms more.
Secondary submental vertical chin lengthening by ePTFE implant placement. (5mm thickness with screw fixation)
Patient 148
Male with prior chin implant that was placed intraorally with 3 screws with an inadequate augmentation effect.
To maximize his chin augmentation a secondary sliding genioplasty was done keeping the implant on the bone for a total 18mm advancement effect.
Male with prior chin implant that was placed intraorally with 3 screws with an inadequate augmentation effect.
To maximize his chin augmentation a secondary sliding genioplasty was done keeping the implant on the bone for a total 18mm advancement effect.
Patient 149
Desire for chin augnmentation using an autologous approach.
12mm sliding genioplasty with bone chip grafting of the step off.
Desire for chin augnmentation using an autologous approach.
12mm sliding genioplasty with bone chip grafting of the step off.
Patient 150
Desire fot improved chin augmentation result from prior procedure over 40 years ago.
Removal of existing small ruptured silicone gel chin implant with medium vertical lengthening chin implant.
Desire fot improved chin augmentation result from prior procedure over 40 years ago.
Removal of existing small ruptured silicone gel chin implant with medium vertical lengthening chin implant.
Case 151
Had an 8mm sliding genioplasty by another surgeon that she felt was too strong. She also developed dynamic chin pad ptosis. Was treated secondarily by another surgeon with intraoral plate removal and chin pad resuspension which helped somewhat with the dynamic chin pad ptosis. Now wanted a submental approach for bony chin projection reduction and management of the chin pad ptosis
A submental approach was done for 3mms of bony chin projection reduction and a chin pad tuck with excessive neck flap tissue removal.
Had an 8mm sliding genioplasty by another surgeon that she felt was too strong. She also developed dynamic chin pad ptosis. Was treated secondarily by another surgeon with intraoral plate removal and chin pad resuspension which helped somewhat with the dynamic chin pad ptosis. Now wanted a submental approach for bony chin projection reduction and management of the chin pad ptosis
A submental approach was done for 3mms of bony chin projection reduction and a chin pad tuck with excessive neck flap tissue removal.
Patient 152
Desier for string chin augmentation with the chin projection out to or even past the lower lip line.
Intraoral sliding genioplasy with 10mm bony advancement.
Desier for string chin augmentation with the chin projection out to or even past the lower lip line.
Intraoral sliding genioplasy with 10mm bony advancement.
Patient 153
Unhappy with chin implant initially placed that made her chin too wide.
Custom chin implant replacement for a more V shaped chin change. The new implant kept the same horizontal projection but eliminated the wings with a more tapered shape. The 3D CT scan shows the difference in the initial and replacement implant shapes.
Unhappy with chin implant initially placed that made her chin too wide.
Custom chin implant replacement for a more V shaped chin change. The new implant kept the same horizontal projection but eliminated the wings with a more tapered shape. The 3D CT scan shows the difference in the initial and replacement implant shapes.
Patient 154
Female with excessive chin projection and dynamic chin pad ptosis.
Submental bony chin reduction with soft tissue chin pad tuck. Her 3 month postop results show decreased chin projection and minimal chin pad ptosis when smiling.
Female with excessive chin projection and dynamic chin pad ptosis.
Submental bony chin reduction with soft tissue chin pad tuck. Her 3 month postop results show decreased chin projection and minimal chin pad ptosis when smiling.
Patient 155
Desire for improvement in recessed chin appearance.
Chin augmentation by a 10mm intraoral sliding genioplasty procedure.
Desire for improvement in recessed chin appearance.
Chin augmentation by a 10mm intraoral sliding genioplasty procedure.
Patient 156
Desire for vertical chin lengthening due to short loweer third of the face.
Intraoral open wedge bony genioplasty of 10mm length.
Desire for vertical chin lengthening due to short loweer third of the face.
Intraoral open wedge bony genioplasty of 10mm length.
A detailed description and pictures of your concerns allows for the most informed response.
North Meridian Medical Building
Address:
12188-A North Meridian St.
Suite 310
Carmel, IN 46032
Contact Us:
Phone: (317) 706-4444
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