To gain the best possible results from aesthetic surgery requires careful patient selection. Not all procedures are suitable for all patients, therefore it is impossible to offer anything other than very general advice before seeing a patient. It is certainly better to have no procedure than an inappropriate one. To undergo aesthetic surgery is a major decision requiring appropriate discussion and thought.
Cosmetic Procedures

The word genioplasty refers to altering the shape or position of the chin. Most commonly, the procedure is that of chin augmentation to give a stronger profile, but it is possible to reduce the chin both in its profile, contour and also in its vertical height as well as augmenting it and correcting asymmetries.

The object of a procedure such as this is to improve the harmony or balance of the facial contour. The nose and the chin have a very close relationship and are of equal importance in producing a harmonious appearance to the face both in terms of facial height and projection. It is not uncommon for patients to complain that their nose is too prominent when, although this may be true, the situation is exacerbated by a relatively small chin.

There are two main approaches to augmentation genioplasty: either using a prosthetic (artificial material) to make the chin more prominent and/or longer, or adjusting the position of the patient's own bony chin to change the contour.

Although the use of artificial materials has the attraction of being relatively simple, their long-term behaviour is never assured and most of them have a tendency to erode the normal bone beneath over time. It is possible for them to shift position if they are not firmly fixed. Artificial materials always have a much higher infection risk than use of the patient's own tissue - this is usually put at approximately 8% for prosthetic genioplasty.

Adjustments to the patient's own bone may sound a relatively drastic procedure but in fact it is not. All of this surgery is carried out beneath the tooth roots and therefore does not affect the tooth bearing part of the lower jaw. An x-ray (lateral cephalogram) is needed before surgery is carried out both to measure the degree of bony movement necessary and to see exactly where the tooth roots lie. There are no visible scars externally since the procedure is carried out through the inside of the mouth. There is no need to radically adjust diet during the recovery phase and the dentition is not interfered with in any way.

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