Chin Implants - Advantages and Disadvantages in Comparison with Classical Genioplasty

Abstract

The chin plays a significant role in facial aesthetics as well as it contributes to our social identity, therefor in this literature review a comparison between chin implants and classical genioplasty has been discussed and clarified. This scientific paper describes surgical and non-surgical methods on how to correct facial discrepances, depending on the patients individual needs. These include classical genioplasty, chin augmentation with chin implants, and chin augmentation with general fillers or fat grafting to camouflage minor chin deformities. This study was performed to give a greater knowledge about treatment options of microgenia and aid in understanding the factors that influence the choice of treatment, for premier outcome. It informs the practitioner about how to make a proper evaluation and management . For minor deformities, a non-surgical procedure with fillers can be injected to enhance the chin and give a more symmetrical and attractive appearance, however its longevity is temporary. Chin augmentation with implants using Computer-aided design/computer-aided manufacturing technology, which is designed and manufactured individually for the patient, is alternative to enhance the chin, however there are risks of the implant to migrate and causing assymetry and resorption of the bone. Chin implants with screws will keep the implant in place however it carries risks as well including bleeding, scarring and pain. Classical genioplasty is a very aggressive procedure but which gives the opportunity to perform a stable three-dimensional correction of the chin, however it also comes with advantages and disadvantages such as chin wig, bleeding and infections. Due to its complexity and to the reason that it has to be extremely precise to achieve a fine aesthetic result. Complications of both chin implants and classical genioplasty has been compared and these include for example infections, nerve damage, labial hypoaesthesia, malposition, secondary displacement, chin ptosis and neoplastic transformation. An additional complication is bone resorption which is common for both chin implants and osseous genioplasty, however for osseous genioplasty the impact is very limited and minimal. For chin implants, this type of complication can be problematic and the patient may need to undergo explantation. However there are ways to prevent this complication by using modern implants such as solid silicone implants or performing classical genioplasty in patients with labial incompetence and hypertonicity of the mentalis muscle. Furthermore, according to the findings that has been revealed in this literature review it can be concluded that classical genioplasty is favorable in more situations, however chin implants is still an option to be used by all surgeons.

The chin plays a significant role in facial aesthetics as well as it contributes to our social identity, therefor in this literature review a comparison between chin implants and classical genioplasty has been discussed and clarified. This scientific paper describes surgical and non-surgical methods on how to correct facial discrepances, depending on the patients individual needs. These include classical genioplasty, chin augmentation with chin implants, and chin augmentation with general fillers or fat grafting to camouflage minor chin deformities. This study was performed to give a greater knowledge about treatment options of microgenia and aid in understanding the factors that influence the choice of treatment, for premier outcome. It informs the practitioner about how to make a proper evaluation and management . For minor deformities, a non-surgical procedure with fillers can be injected to enhance the chin and give a more symmetrical and attractive appearance, however its longevity is temporary. Chin augmentation with implants using Computer-aided design/computer-aided manufacturing technology, which is designed and manufactured individually for the patient, is alternative to enhance the chin, however there are risks of the implant to migrate and causing assymetry and resorption of the bone. Chin implants with screws will keep the implant in place however it carries risks as well including bleeding, scarring and pain. Classical genioplasty is a very aggressive procedure but which gives the opportunity to perform a stable three-dimensional correction of the chin, however it also comes with advantages and disadvantages such as chin wig, bleeding and infections. Due to its complexity and to the reason that it has to be extremely precise to achieve a fine aesthetic result. Complications of both chin implants and classical genioplasty has been compared and these include for example infections, nerve damage, labial hypoaesthesia, malposition, secondary displacement, chin ptosis and neoplastic transformation. An additional complication is bone resorption which is common for both chin implants and osseous genioplasty, however for osseous genioplasty the impact is very limited and minimal. For chin implants, this type of complication can be problematic and the patient may need to undergo explantation. However there are ways to prevent this complication by using modern implants such as solid silicone implants or performing classical genioplasty in patients with labial incompetence and hypertonicity of the mentalis muscle. Furthermore, according to the findings that has been revealed in this literature review it can be concluded that classical genioplasty is favorable in more situations, however chin implants is still an option to be used by all surgeons.