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Aesthetic Chin Surgery: Mentoplasty

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The chin is another part of the face that plays an essential role in the balance of the facial profile and its treatment affects the lower lip’s position. In the case of the patient at the top, we have solved the problem of vertical chin excess performing an osteotomy or resection of a bone fragment. In the case of the patient at the bottom, we compensate lack of development of the bone by placing a solid silicone implant.

Mentoplasty is the surgical procedure to change the shape, size or position of the chin.

A receding chin is called retrognathism and a prominent one, prognathism. Chin dimensions are vertically and horizontally evaluated and mandible, teeth positioning, upper jaw, forehead, etc. must also be taken into account.

It is frequent to find the lower lip hanging due to lack of bone development in receding chins or retrognathism.

In such cases we recur to a solid silicone prosthesis or Gor-tex implant which adapts in size and shape to each patient’s needs.

An implant will be placed through a small incision in the mucous or in the natural crease line just under the chin, under local anesthesia and in an ambulatory regime. It can cause temporal lip sensibility and movement alterations.

In cases of prognathism, we recur to osteotomy or resection of a bone fragment. malarplastia

bibliografia

  • González-Ulloa; Stevens, E.: The role of chin correction in profileplasty. “Plast.Reconstr.Surg.” 41:477 (1968).
  • González-Ulloa, M.: Ptosis of the chin. “Plast. & Reconstr. Surgery”. 50. 1: 54.
  • Pitanguy,I.: Augmentation mentoplasty. “Plast. & Reconstr. Surg.”, 42. 5: 460 (1968).