A patient opts for surgical creation of a more prominent chin

The patient is a 45-year-old male from Bhopal in Madhya Pradesh, India. Ever since he was a young man, he had always felt that he had a very small chin. He had always been dissatisfied with the shape of his chin. His desire was to have a prominent chin, which he felt would be more masculine looking.

Around a year ago, he finally decided to undergo chin enhancement surgery. He, therefore, got in touch with a facial cosmetic surgeon. Without any presurgical planning, the surgery had been performed on the very same day.

Dissatisfaction with the results of the surgery

A genioplasty had been performed with osteotomy of the chin. To his dismay, the patient realized that he could not close his lips fully. There was an unsightly excessive lower incisor overshow. He could not appose his lips.

Feeling distressed by this, he realized that his surgery needed to be redone. He began an exhaustive search for the best surgical facility to address his issue. His search repeatedly led him to our hospital.

Our hospital is a specialty surgical center for cosmetic resurgery. Many patients with botched cosmetic surgery elsewhere have undergone surgery with us with the optimal restoration of esthetics. Cosmetic lip surgery and redo rhinoplasty (revision rhinoplasty or nose job) are specialty procedures performed at our hospital.

Facelift surgery is routinely performed in our hospital. Facial plastic surgery procedures have helped many people lead fulfilling lives. Facial implants are used for correcting bony defects by plastic surgeons. Chin implant surgery is performed for enhancing retruded chins. This results in optimal chin augmentation.

Our hospital follows all the protocols laid down by the American Society of Plastic Surgeons. Head and neck surgery had rigorous guidelines that need to be followed for optimal results.

Treatment planning explained to the patient in detail

Dr SM Balaji, facial cosmetic surgery specialist, examined the patient and obtained imaging studies including a 3D CT scan. This revealed an enormous gap between the osteotomized chin and the mandible. It was explained to the patient that this gap needed to be closed as there was no new bone formation.

Care was taken to explain to him that the best course of treatment would be to reverse the previous surgery. The patient contemplated the findings presented to him and consented to surgery.

Successful reversal of his previous advancement genioplasty surgery

Under general anesthesia, a vestibular incision was made in the anterior mandibular region. The previous chin surgery with the titanium plates was exposed. There was extensive granulation tissue formation at the site of the bony gap in the chin.

The granulation tissue was carefully debrided. The titanium plates and screws holding the chin were removed and the chin was placed back into its original position. There was a good approximation of the osteotomized segment with the mandible. The incision was then closed and the patient was taken to the recovery room.

Patient happy with regaining previous facial dimensions after reversal of chin surgery

The patient’s chin had been placed back in its original position. Overshow of lower incisors was completely eliminated. He was extremely happy with the results of the surgery and thanked the surgical team before being discharged from the hospital.

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