Sliding Genioplasty
Sliding Genioplasty is also called “Chin Advancement”, is a plastic surgery procedure designed to change the shape of the chin to harmonize with the other facial features.
Preparation before Surgery
- Get lab testing or a medical evaluation
- Take certain medications or adjust your current medications
- Stop smoking well in advance of surgery
- Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding
Special instructions you receive will cover:
- What to do on the night before and morning of surgery
- The use of anesthesia during your brow lift
- Post-operative care and follow-up
Surgical Procedures
This procedure is performed from an incision inside the mouth below the lower lip. The sliding genioplasty is used in more severe cases or in cases where the chin needs to be lengthened or moved backward. The actual bony chin portion of the jaw is then cut and advanced or moved back. This segment is then secured with a tiny bone screw or wire.
Post-Operative Care
Redrape the skin at the level of the labiomental fold with Mastisol (Ferndale Laboratories, Ferndale, MI) and Steri-Strip tape. Advise patients to stay on a soft diet and to rinse frequently with saline solution until the first postoperative visit.
You may return to normal activities within 5-10 days.
Possible Risks and Complication
Over reduction, under reduction, nerve damage, necrosis, poor cosmetic outcomes, reaction or rejection of implants or bone filler, hematoma, infection, permanent change in sensation as with pain or tenderness, step down problems, gum recession, tooth root exposer, tooth loss, chin ptosis, blood clots, non union between the bone segments or screw and or plate misplacement.
Preparation before Surgery:
- Assessment of the medical history (any allergies, serious medical condition and all medications taken both prescribed and non-prescribed), physical examination, and laboratory tests will be performed during consultation.
- Smoking must be avoided for about 3-4 weeks prior to surgery, as nicotine interferes with circulation and will greatly affect healing process.
- You will likely to be asked to stop drinking alcohol, a week before the surgery and throughout your recovery period.
- Avoid taking any medications such as hormones, anticoagulants, anabolic steroids and supplements at least 4-6 weeks to prevent complicating medical factors prior to surgery. Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding.
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