The Art of Facial Profiloplasty by Chin Advancement Osteoplasty in Combination with Rhinoplasty

Friday, April 12, 2013
Mohsen Naraghi, MD, Otorhinolaryngology, Head & Neck Surgery/Facial Plastic Surgery, Tehran University of Medical Sciences, Tehran, Iran
Goals/Purpose:

The chin plays very important role in facial appearance. In this article, we present our experience on osteoplastic advancement of chin in patients undergoing rhinoplasty.

Methods/Technique:

68 patients underwent genioplasty as a complementary procedure to rhinoplasty. Age of patients ranged from 17 to 43. All procedures were performed under general anesthesia with intraoral incision. After exposing the mentum, horizontal osteotomy was performed for chin advancement at the extent which was estimated on preoperative evaluation. The advanced segment was fixed in place with titanium plates or screws.

Results/Complications: Patients were followed 6 months to 6 years after operation. Improvement of facial parameters was observed in all patients. No permanent complication occurred. Three had prolonged hyposthesia up to 3 and 18 months after surgery. 

Conclusion:

Genioplasty could be performed in patients with chin problems during or after rhinoplasty to make a beautiful profile. Our experience with osteoplasty showed satisfactory results with no important complication.