Chin Implant (Genioplasty) at www.PearsonFaces.com

David C. Pearson, M.D. explains genioplasty (cosmetic plastic surgery of the chin) in this illustrated video of the procedure. ©2007 Pearson Facial Plastic Surgery (www.pearsonfaces.com)

Category:

Film & Animation

Tags:

• chin
• implant
• genioplasty
• pearson
• facial
• plastic
• surgery
• cosmetic
• before
• after
• jacksonville
• florida

[Battery9876]

Dr Pearson, you say that height cannot be obtained with a chin implant. Why wouldn't it be possible to carve an implant with a U-shape, place it under the chin and fix it with screws?

[fpsurgeon]

@Battery9876 It would be possible, but it would make the underside of the chin and neck look bizarre since the floor of mouth musculature--specifically the geniohyoid and genioglossus--would not be moved downward. The result would be a strange crescenteric depression of the submentum behind the implant. Height is achieved instead with vertical sliding genioplasty surgery which moves a wedge of bone at the chin along with its attached muscles.

[FreeBlago1]

Good vid. I had mento 10 years ago. My hairline has slightly receded since, making my chin area appear smaller again. Also, the implant has slightly shifted so it feels "cock-eyed". One side angles up, the other dips below the jawline. I am considering a new implant, slightly larger and definately more square (I was not offered a more square implant back then, just a rounded one). Is this difficult as scar tissue is formed around this implant in the cockeyed position? Thanks.

[fpsurgeon]

@FreeBlago1 Depending on the implant material, the scar capsule may or may not be much of an issue. Solid silicone implants (i.e., Silastic) are relatively easy to remove. But I usually like to remove the implant and then wait for the chin to heal before placing a new one. That makes it a lot more reliable when choosing a new size/shape.

[CryBearARiver]

I understand that a genioplasty can add some projection from the profile but how can the chin implant add the length to the chin? The chin implant has to be adhered to the bone. Am I not clear???

[fpsurgeon]

@CryBearARiver "Length" and projection are the same dimension, i.e., the distance the chin extends anteriorly. This is as opposed to width and height. The implant can also add width, but it cannot add height. Adding height is rarely required, but when it is needed, a different surgical approach is required (osteotomies and plating, specifically) and is beyond the scope of this video. I think that's what you're asking, isn't it?

[Battery9876]

@fpsurgeon Is the genioplasty a dangerous surgery? What happens if the surgeon inadvertently damages the geniohyoid or the genioglossus?

[andoverpunx]

I have a very round chin that isn't very height deficient but is recessed about 1cm from my lower lip line. I also have very narrow lips; is it possible to carve a narrow implant that would make my chin more square with a flat bottom?

[fpsurgeon]

@CryBearARiver "Length" and projection are the same dimension, i.e., the distance the chin extends anteriorly. This is as opposed to width and height. The implant can also add width, but it cannot add height. Adding height is rarely required, but when it is needed, a different surgical approach is required (osteotomies and plating, specifically) and is beyond the scope of this video. I think that's what you're asking, isn't it?

[elect100]

very informative,i am plastic surgeon ,but we most of the times deals with trauma and burn,in Lahore ,pakistan