What is the difference between mentoplasty and genioplasty

What is the difference between mentoplasty and genioplasty

The lower third of the face plays an important role in appearance and harmony. Disharmonies of the chin produce a disorder between the lower third and the rest of the face and have a relative impact on the attractiveness and harmony of the face. The changes with chin surgery in its position, proportion and contour have a great impact on the balance and harmony of the face. Chin surgery will be treated in this article as a means to restore harmony and restore congruence to the lower face. Genioplasty is an excellent complement to camouflage procedures for class II orthodontic treatment. Many patients who require orthognathic surgery of the jaws and/or rhinoplasty also require chin alteration to obtain an optimal balance for their face. Many patients are not aware of the importance of the chin in their profile and the influence it has on the soft tissues, especially the jowls of the neck.

Genioplasty is used, above all, for the treatment of a chin that is poorly projected anteroposteriorly, but it is very useful for vertical alterations, both decreased and increased, and for slight asymmetries. Chin surgery is performed through prostheses or through osteotomies. The sliding osteotomy is the procedure that we use almost exclusively, since it influences the soft tissues and the bone contour in a versatile and predictable way, obtaining a more natural aesthetic profile and with fewer complications.

Consultation-Assessment-Preoperative

The first consultation of the patient affected by an alteration of the chin includes:

Complete medical history
Complete dental history with special emphasis on orthodontic treatment
Complete facial and dental photographs
Lateral teleradiography
Orthopantomography.

The functional and aesthetic objectives are determined according to the physical examination and complementary tests. If there are associated dental or skeletal anomalies, plaster models will be taken. This information is used to advise the patient on surgical, orthodontic or combined possibilities. Recommendations will be made taking into account dental or facial alterations and/or severity of the deformity. It will also be explained to patients who only want cosmetic correction of the chin and do not want treatment, or have been adequately orthodontically treated.

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