What is a sliding genioplasty?
A sliding genioplasty is a procedure that is done in the office or in the hospital. The chin is cut and moved based on the planning and is held by titanium screws and plates.
How is sliding genioplasty different from chin implants?
A sliding genioplasty is different from a chin implant in many ways. It allows the surgeon to move the chin wherever they want based on the planning. If the chin is short, it can be lengthened. If it's crooked, it can be straightened to some degree. As you bring it forward, it augments and tightens the neck as well. Chin implants are usually done from outside the face with an incision made on the skin. An implant, typically silicone, is placed under the skin and held there. It can be done under local anesthesia or IV sedation, taking a shorter time, but it cannot move the chin like a sliding genioplasty can.
What are the benefits of sliding genioplasty?
The benefits of sliding genioplasty include tightening of the neck and allowing the surgeon to move the chin according to the plan. It can shape the labial-mental fold properly if done correctly, and it's a natural procedure using your own bone. It usually heals after three or four months and looks very natural.
Who is an ideal candidate for sliding genioplasty?
An ideal candidate for sliding genioplasty is someone with a proper position of the lower and upper jaw who wants chin augmentation. Often, these individuals have had orthodontic treatment to mask skeletal problems, and as they mature, they realize they don't have a prominent chin. Chin surgery can be done for these patients, and they are usually satisfied with the results.
How do I prepare for sliding genioplasty?
To prepare for sliding genioplasty, first contact our office to set up an appointment. We take x-rays and conduct consultations. After going over my drawings and the risks, benefits, and costs, you will fly in or come in town on the day of surgery. It's important to have nothing to eat or drink before the procedure, which is done under general anesthesia.
What are the risks associated with sliding genioplasty?
Risks with genioplasty include numbness to the lip and chin, which is rare in my practice, and liptosis if the muscle isn't closed properly. Damage to the lower teeth is possible, but we take x-rays to avoid this. Numbness to lower teeth is common for about six months but resolves completely. These are some of the common, albeit rare, risks associated with genioplasty.
How long is a recovery period after sliding genioplasty?
The recovery period after sliding genioplasty is relatively short compared to jaw surgery, about 10 days. After 10 days, the public usually cannot tell you've had surgery, though bruising may last up to two weeks. Swelling typically subsides 90% after a month, with final results visible in five to six months. A liquid diet is necessary for 10 days.
What kind of anesthesia is used in sliding genioplasty?
Sliding genioplasty is performed under general anesthesia. While some surgeons use IV sedation and local anesthesia, it's not recommended. General anesthesia allows the surgeon to work calmly and comfortably, despite being slightly more expensive. It's worthwhile for optimal results.
How much does sliding genioplasty cost?
The cost of sliding genioplasty in my practice ranges from $16,000 to $18,000, including all hardware and screws and general anesthesia.
What should I expect during the sliding genioplasty procedure?
During the sliding genioplasty procedure, you should expect to be asleep under general anesthesia. You will be very comfortable and experience no pain during or after the procedure. Numbness will last for about three to four hours, and we ensure you remain pain-free. If done with IV sedation or while awake, your experience may differ.
Thank you for listening. I hope I have answered some of the questions about sliding genioplasty and chin implants. If you have any other questions, please contact us at our office.
What Is A Sliding Genioplasty?
A sliding genioplasty is a less-invasive surgical procedure designed to correct a retrusive or misaligned chin and achieve a more aesthetically pleasing facial appearance. Most surgeons will recommend chin implants before a sliding genioplasty, however, Dr. Jamali highly disagrees that implants are an easier solution. There are certain risks with the placement of implants, which include nerve damage, movement of the implant, scarring, and bone resorption. Large implants result in an unnatural look. Different from other types of chin augmentation, the sliding genioplasty procedure involves making a cut (osteotomy) through the chin bone. By freeing up the malposition bone, Dr. Jamali can reposition the area to an ideal orientation. Typically, only 2 screws are placed to secure the chin. This simple procedure can dramatically improve the balance, proportion, and harmony of facial features. The restored alignment of the forehead, mouth, nose, and chin will be long-lasting.
How Do You Prepare For A Sliding Genioplasty?
Many of our patients are from out of town. You can contact our office at [email protected] or sent us a note from our website to set up a consultation via SKYPE with Dr. Jamali first. A clinical evaluation is a must. During the in-office consultation, X- rays are obtained. Dr. Jamali will then review the X-rays and offer you his advice regarding different options. Dr. Jamali will determine if the patient is a good match for the sliding genioplasty The procedure is performed under general anesthesia. Therefore, you should not have anything to eat or drink 8 hours prior to surgery. You must have an escort to take you home after surgery is done. If it is difficult for you to arrange for someone to take you home, please let us know.
Why Is A Sliding Genioplasty Performed?
Patients who have a chin that is out of proportion with the rest of their facial features may make an excellent candidate for a sliding genioplasty. Patients undergoing a rhinoplasty may be recommended to consider a chin Augmentation to give the area an appropriate relation to the nose. A gliding genioplasty can also provide assistance to patients dealing with a birth defect or damage to the chin through trauma.
Non smokers with overall good health will make the ideal candidates for a sliding Genioplasty. Patients should have realistic expectations and aesthetic goals. Depending on each individual’s anatomy, there are limits on what the surgery can and cannot achieve.
What Can You Expect During A Sliding Genioplasty?
Dr. Jamali’s sliding genioplasty is an outpatient procedure, performed either in his in-office accredited surgical suite or at the nearby day surgery center. The surgery will take only 1 hour to complete. All patients receive general anesthesia and observed at all times by a board certified anesthesiologist. Dr. Jamali will begin the procedure by making an incision inside of the mouth on the inner portion of the lower lip, directly in front of the gum line. Once the skin and tissue have been raised aside, he will cut the chin area away from the jawbone. Next, Dr. Jamali meticulously repositions the bone, creating the desired shape and size required for the individual patient. Utilizing the innovative titanium plate and screws, Dr. Jamali permanently secures the bone in place. Over time, new bone will naturally form around this area. The incision is then closed with dissolvable sutures.
What Is The Followup And Recovery Like For A Sliding Genioplasty?
The recovery period after a sliding genioplasty is NO longer than chin implant placement. Expect the recovery to take between two and three weeks. Normally, patients are able to return to work seven to ten days after surgery.
Initially, patients should expect to see some bit of swelling and bruising of the jaw. This will gradually reduce on its own over the first few weeks. There may also be tenderness and mild discomfort. Dr. Jamali will prescribe the appropriate pain medications to allow patients to rest comfortably at home. The chin area will be covered with a surgical dressing when patients are first discharged. Over the first few days, patients may find they only have a limited ability to chew, requiring a liquid or soft food diet. As the chin heals, a normal diet can be resumed. Two weeks after the surgery, patients can add light exercise to their daily schedule, but extensive exercise and strenuous lifting should be postponed for four to six weeks
Sliding genioplasty procedure at Oral & Maxillofacial Surgery of New York are considered extremely safe and efficient. This is a simple procedure. Common complications are swelling and numbness of the lip and chin for 1-2 weeks. The best way to avoid any complications will be to choose an experienced, reputable cosmetic surgeon like Dr. Jamali, who is widely considered one of the best sliding genioplasty surgeons in the country.
What Are The Potential Costs?
Price varies by type of genioplasty. Please contact our office to schedule a consultation.
What Are The Potential Risks?
Chin surgery, if done by an experienced surgeon, can have minimum risks. The main risk that can occur with any type of chin augmentation is numbness to the lower lip and chin. Thankfully, in our practice, this is extremely rare.
Are There Other Related Treatments To A Sliding Genioplasty?
Occasionally, patients require jaw advancement as well but choose to have chin surgery done alone. This can be discussed in detail during your consultation.