I often prefer to do a sliding or “jumping” genioplasty to correct this. A jumping or oblique sliding genioplasty can decrease the vertical height and increase the. Osseous genioplasty, the alteration of the chin through skeletal modification, can . the requirement—advancement (sliding/jumping), pushback, sideways—and. Additional degrees of freedom can be obtained by using a jumping genioplasty. • Reduction genioplasty is every bit as difficult as augmentation genioplasty.
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Osseous genioplasty: A case series
A sliding genioplasty is the most well known of all the facial osteotomies and also the most commonly performed. It is done for various chin augmentation gemioplasty reshaping purposes.
It if often compared to a chin implant and doctors often tout one versus the other for aesthetic chin augmentation. But the reality is that both have their place and their benefits vs liabilities must be evaluated on an individual basis. The advantage of a sliding genioplasty is that it is very versatile in terms of dimensional changes of the chin.
The bone cuts can be devised to bring the chin forward, make it genioplasy longer, widen or narrow it or almost any combination thereof.
Dr. Alejandro Nogueira’s Case #IFJA79PQ
In a sliding genioplasty the amount of forward movement of the chin is limited to the anteroposterior thickness of the mandibular symphysis. In order to maintain bone contact between the upper and lower chin segments, the back edge of the downfractured and mobilized chin segment should stay in contact genioplast the front edge of the stable upper bone segment.
In doing so, the amount of horizontal advancement as well as the ability to vertically shorten the chin has its limitations. This 15 year-old petite female was born with a congenital condition that caused her lower jaw to be severely underdeveloped.
Even though she was a teenager her dental condition did not permit her lower jaw to be brought forward as would be the ideal surgical treatment. Under general anesthesia, an intraoral approach was made to the chin.
A low level horizontal bone jupming as made below the mental foramens.
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In bringing the chin bone forward in a traditional sliding genioplasty, the small size of the chin did not make as much horizontal advancement as desired nor did it shorten the chin enough. Her six month result showed a noticeable horizontal advancement as well as a vertical shortening. The amount of genioplasth chin advancement is still less than desired btu an improvement nonetheless.
Hopefully she will be able to undergo a mandibular advancement in the juumping. A jumping genioplasty is an older form of the traditional sliding genioplasty. It is rarely used today since the introduction of rigid plate and screw fixation. But in very small chins that need significant horizontal advancement and vertical shortening it can still be used.
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Barry Eppley is an extensively trained plastic and cosmetic surgeon with more than 20 years of surgical experience.
He is both a licensed physician and dentist as well as double board-certified in both Plastic and Reconstructive Surgery and Oral and Maxillofacial Surgery. This training allows him to perform the most complex surgical procedures from cosmetic changes to the face and body to craniofacial surgery. Eppley has made extensive gemioplasty to plastic surgery starting with the development of several advanced surgical techniques.
He is a revered author, lecturer and educator in the field of plastic and cosmetic surgery. Find Out Your Benefits. The information contained genioplaty this website should not be construed as medical advice. Case Study — Jumping Genioplasty Background: Barry Eppley Indianapolis, Indiana Tags: The Look Link – Get your custom facial imaging.