A Plastic Surgeon Explains the Changes in the Front and Side Views After Reduction Genioplasty and Advancement Genioplasty. (Feat. Rhinoplasty)

After reduction genioplasty and

advancement genioplasty,

the changes in the front and side views

are explained by a plastic surgeon.

(Feat. Rhinoplasty)

Profile improvement by

Reduction genioplasty &

Advancement genioplasty

(feat. Rhinoplasty)

Midline Plastic Surgery _ Director Kim Jun-hyun

There are many inquiries from people who are concerned because their lower face is long.

The surgery that can be done when the lower face is long is

reduction genioplasty.

But surgery that reduces length leaves

the reduced amount of skin behind,

which can create a double chin. ㅠㅠ

The patient below

shows the side-view change after reducing the chin width by 10 mm and the height by 3 mm.

Left: before surgery / Right: after surgery

Left: before surgery / Right: after surgery. A double chin is visible because of the extra skin.

To help prevent a double chin like this to some extent,

a lower-face lift should be performed

together during surgery.

However, even if the length is reduced,

if the chin is advanced,

a double chin may not form.

This time, I will talk about a case in which the chin was long but recessed,

so the length was reduced while also advancing it

to improve both the chin length and the retruded chin.

From the front, the nose and philtrum are misaligned,

and the lower face below the nose is long.

Because the lower face is long, when closing the lips,

there is a lot of tension in the mentalis muscle,

which lifts the lower lip upward.

The mentalis muscle creates walnut-shell- or pebble-like wrinkles

on the chin.

So the botulinum toxin used for this area

is called cobblestone chin Botox.

I will briefly write a post about cobblestone chin Botox later.

For patients with a long chin, reduction surgery usually lowers the height of the chin by about 3 mm.

In the case of the man above, it was reduced by 6 mm

while also advancing it.

Rhinoplasty was also performed

to achieve an ideal profile.

Left: before reduction genioplasty, advancement, and rhinoplasty / Right: after surgery

Surgery name: reduction genioplasty, advancement, rhinoplasty

Left: before surgery / Right: after surgery

The feeling that the facial axis was misaligned from the front has improved,

and as the height of the lower jaw became shorter,

the long lower face also appears improved.

Left: before reduction genioplasty, advancement, and rhinoplasty / Right: after surgery

Left: before reduction genioplasty, advancement, and rhinoplasty / Right: after surgery

From the side, the drooping arrow-shaped nose tip was lifted.

With chin advancement, a double chin did not form,

while the long lower face became shorter in height,

and the profile from the nose to the mouth and chin improved.

Cases where reduction is combined with advancement like this

are not common.

In most cases where chin reduction is needed,

the chin tip also needs to be moved backward,

which is the case in many patients.

I am explaining that the diagnosis can differ depending on each individual case.

This was a case that showed how much the side profile can be improved

by reducing a long lower face,

not forming a double chin through advancement,

and performing rhinoplasty at the same time.

<If you have any additional questions, leave a private comment,

and I will kindly answer them. Thank you.>

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Chin surgery can be divided into length and width, or advancement and setback.

Today, I explained length reduction and advancement.

And one more thing!

In cases of a retruded chin, snoring and sleep apnea symptoms

can also occur!!!!

Snoring