When we talk of ‘normal’ facial appearance, we imply that there is a ‘normal’ balance to the features of the face – particularly the nose, chin and cheek bones. If one of these features is out of proportion with the others, a face can look out unusual especially to someone who is aesthetically sensitive. It is understandable that a person can feel self-conscious if a feature of his or her face is out of proportion; either too large or too small. The information here on ‘genioplasty’ deals with chins which either jut out too much or are too recessive and cheek-bones which are too flat. For other patients, the problem is a dislike of the angle of the jaw at the back on each side – this can be reduced (genioplasty). For example, is a common component of females looking to ‘soften’ the jawline and, less commonly, male to female transgender surgery.
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A jutting chin can be reduced by removing some of the chin-bone (a horizontal reduction genioplasty) / sliding the chin backwards (sliding genioplasty); a recessive chin can be built out either by sliding the chin forwards (sliding genioplasty) or by inserting an implant on the bone (alloplastic implant genioplasty augmentation).
A small chin can be augmented by moving some of the chin bone downwards and inserting a bone graft to stabilise the position (an augmentaiton genioplasty with autogenous bone graft) or by inserting an implant – which can be a standard shape or may have to be custom made for this purpose (custom alloplastic chin implant augmentation). A tall chin can be reduced by removing some of the chin bone – usually by way of a wedge resection (a vertical reduction genioplasty).
A customised combination of the above procedures is often necessary given the 3 dimensional requirements for the individual case. Each of these operations is carried out through a cut made inside the mouth in the groove between the lower lip and the gum. Although, if an implant is used, the surgeon may advise that the cut is made in the natural crease underneath the chin – this position minimises any visible scarring.
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To arrange a consultation please contact Serryth Colbert on 01225 838869