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If the bite is affected, a dental opinion should be sought prior to cosmetic correction.
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This operation is sometimes combined with a rhinoplasty to achieve more balance.
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I don’t use drains routinely. The wounds are repaired with sutures under the skin which don’t require removal and dissolve within four months. Soft food and mouth wash are advisable for one week after sliding genioplasty.
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Scars
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Inner lower lip for bone surgery. Underneath the chin for implants
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Operation time
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1.5 hours
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Anaesthesia
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General
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Hospital Stay
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Day Surgery > (Overnight)
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Benefits
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Cosmetic, Psychological
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Risks
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Bleeding, Infection, Scar problems (stretched, thick, abnormal pigmentation, red, retracted etc.), Skin discoloration, Wound separation, Slough, Necrosis, Pain, Nerve injury (Numbness, weakness, paralysis, abnormal chin & lip muscle movements), Bruising, Swelling, Overcorrection, Undercorrection, Asymmetry, Chin ptosis, Contour irregularities, Cosmetic imperfections, Seroma, Need for further surgery (including implant removal), Allergic reaction, Chest infection, Heart attack, Stroke, Blood clots in legs & lungs
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Bone Surgery: Tooth injury, Non–union, Malunion, Fixation failure, Palpable metalwork / bone fragment, Metalwork extrusion.
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Implant Surgery: Implant extrusion / displacement, Palpable implant, Capsular contracture, Bone erosion
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N.B. Most complications are unlikely and serious risks are rare
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Risk factors
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Smoking / contraception / flights within 6 weeks of surgery, overweight, high blood pressure, bleeding tendency, diabetes
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Optimising factors
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Diet rich in Vitamin C and protein, plenty of fluids, fresh air, scar massage, sun protection
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Discomfort
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1 – 2 weeks
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Bruising
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2 – 3 weeks
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Recovery
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Light activities 2 weeks, Driving 3 weeks, Physical work & sports 6 weeks
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Acceptable appearance
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2 – 4 weeks for most patients (This is subjective)
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Final result
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6 – 18 months
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Alternatives
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No Surgery, Make–up, Fillers, Fat transfer, dental or maxillofacial treatment if the bite is affected
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