Genioplasty is a chin surgery that repositions, lengthens, or decreases a chin that is either receding or too prominent. In some patients, a genioplasty may be performed in addition with a lower jaw osteotomy to enhance aesthetic results. Genioplasty alters a patient’s profile, thus affecting the harmony of facial symmetry and enhancing the overall facial appearance. Furthermore, a genioplasty can relieve strain on the facial muscles (the mentalis, in particular). Palo Alto plastic and maxillofacial surgeon, Dr. Steven Schendel, will usually perform a sliding genioplasty, where the bone is physically cut and slid either forward or back, depending on what is being addressed. In some cases, he may prefer to do chin augmentation with the use of an implant. This will be discussed in detail during the initial consultation.
"Dr. Schendel is a wonderful doctor. He is double board certified, not only is he a plastic surgeon but he's been to dental school and is a maxillofacial surgeon as well. The only other doctor I'm aware of that has both of these qualifications is Dr. Jeffrey Posnick in Maryland. I had hemifacial microsomia & required surgery of the upper & lower jaw (maxillary osteotomy and mandibular sagittal split plus genioplasty). These are the hardest kinds of surgery to do: you not only have to think about what the person will look like but how their jaw functionally works. I interviewed four other maxillofacial guys: William Arnett, Henry Kawamoto, Jeffrey Posnick, Douglas Monasabian. Dr Schendel was the only one who was accomodating when I asked questions, didn't try and remove teeth from my mouth, and had that artistic eye/knew what would look good on my face. If you could see my before & afters, you would know I went from average to attractive even though my problem was a functional one. Email me for more information [email protected]"- Anonymous / Vitals / Apr 20, 2010
"Superb surgeon with an artist's eye - Dr. Schendel was recommended to me by another Palo Alto plastic surgeon who is himself well-regarded. He told me that Dr. Schendel was the absolute best. I had a complex problem --- revising a poorly done sliding genioplasty which itself was a revision of an old chin implant from 1969. My situation was unfortunate --- I had developed a sagging chin and all kinds of other undesirable outcomes including difficulty chewing and speaking. I had originally had a receding chin, but in 1969 the implants were primitive, made of old silicone and the implant had worn at the roots of my lower teeth. Another doctor in trying to fix that, had caused an asymmetry and weakened the chin muscles. Dr. Schendel gave me beautiful symmetry and function to my jaw, and it looks and works terrific, perfectly natural. He has a calm air of expertise, and I knew that he understood what needed to be done to set this all right. He is very friendly and informative. I can't recommend him highly enough. His office staff is also wonderfully helpful and personable. What a relief after years of bearing up with my unfortunate appearance and inability to chew or talk properly. Now I am completely satisfied."- Anonymous / Vitals / Jun 15, 2013
Genioplasty Surgical Technique
Chin surgery can be very transforming for patients and is considered a versatile procedure. Patients who undergo a chin osteotomy, otherwise known as a sliding genioplasty, will basically undergo chin lengthening. During this procedure, an incision is placed inside the lower lip in front of the gum line and the bone is advanced or shortened and then secured into a new position with a small titanium plate. Because the incisions are made within the mouth, there is minimal to no scarring. If a chin implant is used during surgery, a silicone implant will be placed through an incision made under the chin. The implant is then placed directly over the bone along the lower jaw. A pocket might be constructed to hold it, which may involve shaving the jawbone to help fit the implant in place.
Genioplasty During/After Surgery
Genioplasty is performed as an outpatient surgery in our accredited surgical facility under general anesthesia. The procedure takes between 1-3 hours. The recovery for genioplasty will take a bit longer than chin augmentation where an implant is used. The recovery should not deter a patient who wishes to have a more prominent chin. The ability to create changes to the chin in a vertical dimension using a genioplasty technique can be invaluable. Patients will have bruising and swelling in the jaw area, but over the course of 4-6 weeks the chin will take on a natural appearance.
Genioplasty Expected Cost
The average cost for a genioplasty procedure ranges between $2,000-$4,000. Insurance may be an option if a chin condition exists that is creating a medical issue.
Plan Your Procedure
- Average Cost
- $2,000 - $4,000
- Recovery Time
- 4-6 Weeks
- Average Procedure Time
- 1-3 Hours
- Procedure Recovery Location
Augmentation or Genioplasty?
This is a tough one for some patients, as not everyone wants a foreign object such as an implant inside their chin. Unfortunately, the implant approach is a more common procedure to lengthen the chin and create a wider jaw. The reason for this is because not all surgeons are trained to perform osseous genioplasties (genioplasty) and overall, chin implants are technically easier to place by surgeons who do not have the expertise. While chin implants create beautiful results, the disadvantage is that it does limit some of the options for a patient. A maxillofacial plastic surgeon will be able to determine which approach is best, and will have the technical expertise to master both surgeries.
Can I Eat?
In the days following surgery, patients will need to stick to a soft chew diet and slowly progress towards eating regular foods. The chin and jaw will be quite sore for a couple of weeks and chewing will be difficult at first.
As with any plastic surgery procedure, there maybe some complications after surgery, but in most cases, these are usually temporary. The most important complications to be aware of are potential numbness to the gums, front teeth, the lower lip and chin. Most patients find that the feeling comes back within a few months.
Whenever the face is involved in a plastic surgery procedure, patients tend to have some fears and anxieties about what they will look like. This is why it is important to choose an experienced maxillofacial plastic surgeon to perform genioplasty surgery. Patients that do their research and find an experienced surgeon usually always love their results.