680 N Lake Shore Dr. #1208 Chicago, IL 60611

Direction

Telephone: 312-335-9566

Genioplasty Procedures

The genion is the anterior point of the chin.  Chin problems can include:  under-projection, over-projection, vertical excess, vertical shortness, and angular deformity (crooked chin).  Many patients with chin problems have normal dental occlusion, meaning they don’t need movement of their teeth to correct the chin.   Under-projection is the most common chin complaint.  The best correction of this problem is by surgical advancement of the bony chin, not by insertion of an artificial implant.  Correction of all other bony chin problems cannot be solved by an artificial implant.

I perform chin surgery (and all orthognathic surgery) in the hospital, usually as an outpatient procedure under general anesthesia. Genioplasty ideally should not be done before skeletal maturity.  Chin alteration is not  usually an insurance covered procedure, unless the patient suffers a syndrome or other birth defect.The procedure is done through an intra-oral incision, so that there is no visible scar.  If the chin is retrusive, the bone is advanced after separating it from the tooth bearing part of the mandible (jaw).  The bone is still attached to its major muscles and their blood supply.  The advanced bone is then reattached to the jaw, usually with tiny steel- wire sutures which do not show and are permanent.   An external supportive dressing to reduce swelling is worn for 2-3 days, then removed in the office.  The oral sutures are self-dissolving.  Patients may drink clear liquids immediately and regular food by 3-5 days.  An oral narcotic is prescribed but usually discontinued by the patient after 2-3 days.  Pain and bruising are minor to moderate in both time and severity.   Visible swelling persists for about 10 days.  Bone and final healing requires at least 2 months.  There are no physical restrictions, however,  after 6 weeks.

Genioplasty is a permanent, stable solution to almost all chin abnormalities.    The office examination and consultation involves a lengthy discussion of the precise problem, its possible solution by a surgical strategy and the techniques involved, and the risks.   Many of my genioplasty patients have been previously treated unsuccessfully with chin implants.   It is common to perform genioplasty and rhinoplasty  on a patient with combined nose and chin disharmony.  As a craniofacial and maxillofacial surgeon, genioplasty represents one of  the simplest bony operations that I perform.  But if genioplasty were truly “simple”, most plastic surgeons would offer it (most don’t due to inadequate training), especially because its results are vastly superior to a chin implant.

genioplasty+rhinoplasty (secondary)-patient-3-before-front

Before

genioplasty+rhinoplasty (secondary)-patient-3-after-front

After

LOGO
  • American Society of Plastic Surgeons
  • International Society of Craniofacial Surgery
  • Millard Society
  • I just want to thank you for your kindness and generosity. People like you give me hope for Western medicine.
  • My husband and I just wanted to let you know how grateful we are for your talents. And how much we thank you for making our little girl so beautiful and healthy.
  • I had to write you to express the gratitude, inspiration, joy, above all faith that I received from your “gift”. I say gift because only God could have given such as you have.
Information For Traveling Patients
Information For Traveling Patients

We are happy to communicate in English, Spanish, French or German. Patients coming from out of the state and U.S. are offered advice and assistance with transportation, reductions on hotels and other lodging, visa letters, foreign insurance company correspondence, and letters to sponsoring foreign governments. Children and their families are eligible to stay at the…

Read More
Office Location
680 N Lake Shore Dr, Ste 1208
Chicago, IL 60611
Get Directions

Contact