Plastic surgery restores form and function through reconstructive procedures, cosmetic enhancements, and body contouring.
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The consultation is the foundational step where the surgical plan is architected. It begins with a thorough physical examination of the face. The surgeon palpates the chin to assess bone structure, muscle tone, and the thickness of the soft-tissue pad.
The surgeon evaluates the dental occlusion to rule out jaw misalignment. If the patient has a severe overbite or underbite, moving the chin alone may camouflage the problem rather than fixing the underlying jaw discrepancy. In such cases, a referral for orthodontic assessment or orthognathic surgery might be discussed.
Detailed measurements are taken of the face. The face is divided into thirds to determine vertical proportions. The profile is analyzed to measure the distance of the chin from the true vertical line. These metrics guide the precise millimeter movements planned for surgery.
Modern genioplasty relies heavily on advanced imaging. A Cone Beam CT (CBCT) scan is often ordered. This provides a three-dimensional view of the jawbone, tooth roots, and the path of the mental nerves.
This 3D scan allows the surgeon to visualize the exact anatomy that lies beneath the skin. It is critical for planning osteotomy cuts to avoid damaging the roots of the lower teeth or the nerves that supply sensation to the lip.
Digital simulation software is used to morph the patient’s photos. This allows the patient to see a predicted outcome of the surgery. They can visualize how a 4mm advancement looks versus an 8mm advancement.
This visual tool helps align the patient’s aesthetic desires with the surgeon’s recommendations. It manages expectations and ensures both parties agree on the target profile before entering the operating room.
A complete medical history is taken to ensure safety. The surgeon reviews a history of bleeding disorders, wound-healing issues, or reactions to anesthesia. Smoking history is a significant factor, as nicotine severely impairs bone healing and increases infection risk.
Patients are screened for gum disease or dental infections. Because the incision is often inside the mouth, active dental infections can spread to the chin bone or implant. Good oral health is a prerequisite for surgery.
Supplements and medications are reviewed. Blood thinners, anti-inflammatory drugs, and certain herbal supplements must be stopped before surgery to prevent excessive bleeding. The surgeon provides a comprehensive list of what to avoid.
Changing the face affects self-perception. The consultation includes an assessment of the patient’s psychological readiness. The surgeon looks for realistic motivations and ensures the patient is seeking surgery for themselves, not to please others.
Patients with body dysmorphic disorder (BDD) are screened. For these individuals, surgery typically does not provide relief from their distress. Ethical surgeons will decline to operate if the patient’s expectations are unachievable or rooted in dysmorphia.
If an implant is chosen, the consultation involves selecting the material, shape, and size. Sizers may be placed on the patient’s skin to estimate the volume change. The surgeon explains the pros and cons of silicone versus porous polyethylene.
The decision between an implant and bone movement is finalized. The surgeon explains why one might be better for the specific anatomy—for example, recommending bone movement for vertical changes or implants for simple horizontal projection.
Patients receive detailed instructions for the days leading up to surgery. This includes fasting protocols (NPO) usually starting the night before. They are instructed to purchase specific mouthwashes to reduce oral bacteria.
Arrangements for postoperative care are confirmed. Patients need a responsible adult to drive them home and stay with them for the first 24 hours. Dietary planning is discussed, emphasizing a liquid and soft food diet for the first week.
Routine blood work is ordered to check hemoglobin levels and clotting factors. For older patients or those with medical conditions, an EKG or clearance from a primary care physician may be required.
This physiological clearance ensures the patient can safely undergo general anesthesia or deep sedation. It is the final safety check before the surgical date is confirmed.
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It is highly recommended. You should have a dental cleaning within 6 months of the surgery. Any active cavities or gum disease near the lower front teeth must be treated first to prevent bacteria from infecting the surgical site.
No. You must stop smoking and using all nicotine products (vapes, gum, patches) for at least 4 to 6 weeks before and after surgery. Nicotine constricts blood vessels and can cause bone healing to fail or implants to become infected.
Genioplasty itself does not require braces. However, if your consultation reveals that your jaw alignment is the actual cause of your chin issue, the surgeon might refer you to an orthodontist to discuss fixing the bite instead of just masking it with chin surgery.
Eat a healthy, high-protein diet in the weeks leading up to surgery to build up your healing reserves. Do not eat or drink anything after midnight the night before surgery to prevent complications with anesthesia.
You don’t have to guess. The surgeon uses your photos and measurements to recommend a size that balances your chin with your nose and forehead. During surgery, they can also use “sizers” to confirm the look before placing the permanent implant.
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