Dr. F. Ouakil, aesthetic surgeon in Paris, information, prices, photos on genioplasty. Surgery for a receding chin using implants, surgery for double chin. Breast lifting through mastopexy can be associated with the placement of breast implants and/or fat injection. Aesthetic intervention performed by an aesthetic surgeon in Paris, an expert specialist trained by the best French and Brazilian aesthetic surgeons, with over 25 years of experience in the field of aesthetic chin surgery.

Genioplasty Information

Genioplasty is the aesthetic surgery of the chin. Its goal is to modify its contour to recreate a harmonious face from both the front and profile views, particularly by increasing its projection from the side. We will also relate this to double chin surgery, which involves submental liposuction.
In a broader vision of the face (profiloplasty), we can also correct the lips or nose, for example.
We will not discuss genioplasties in the context of orthognathic surgery, which involves osteotomies (sectioning and repositioning of the maxillary and mandibular bone structures) to radically correct a poor position of the entire jaw. This heavy and complex surgery is performed in close collaboration with an orthodontist and requires a very long preparation and rehabilitation time.

We can group the following:

• Chin augmentation surgery using implants
• Double chin surgery
• Chin injection
• Submental liposuction

Who is Genioplasty For and Why?

It is aimed at receding chins (retrognathia, retrogenia, microgenia, class 2 occlusion) or simply those that are too small: the chin is insufficiently developed and not advanced enough from the side, creating an imbalance with other facial structures.
In men, genioplasty can also be performed to enhance masculinity and the masculine expression of the face, even on a chin "considered normal in size." Chin augmentation using implants is the aesthetic surgery offered in these cases.

Double Chin: Clarifications.

Several factors contribute to this:

• An underdeveloped chin with a short neck that does not adequately support the skin of the neck
• Skin laxity related to aging
• A fatty accumulation under the chin sometimes related to overall overweight
• A marked relief of the muscles and submandibular glands

Liposuction or submental cryolipolysis will be used alone or in combination with chin advancement through genioplasty to eliminate this double chin. In some cases, particularly related to age, a facelift may be necessary. Unauthorized local injections in France can dissolve the submental fat without surgery.

What Implants are Used for Genioplasty?

There are two main types of chin prostheses:

• Anatomical implants that cover the entire anterior part of the mandible, with a central body at the tip of the chin and lateral wings to widen a chin that is too narrow from the front. This is the preferred implant for masculinizing the mandible in men.
• Tip implants that do not enhance the width from the front and primarily serve to project the tip of the chin from the side. This is the preferred implant for women with a receding chin or for double chin.

The prostheses are most often made of polymerized hard silicone, others in Medpor®. They are very well tolerated and do not require replacement.

What Type of Anesthesia is Used During Genioplasty?

Genioplasty is easily performed under simple local anesthesia, but may sometimes benefit from deep sedation (neuroleptanalgesia) for better comfort in the case of anatomical prosthesis placement or for anxious patients.
In all cases, genioplasty will be performed on an outpatient basis (no overnight stay at the clinic).

Where are the Scars Located During Genioplasty?

The incision is most often hidden inside the mouth at the back of the mucous part of the lower lip (invisible scar) or very discreetly under the chin.
A custom pocket is created, in contact with the mandibular bone, avoiding detaching the muscles of the chin too low and respecting the mandibular nerves.
The incision is closed with absorbable stitches.
The procedure lasts 30 minutes to 1 hour depending on the type of implant.

What are the Aftereffects of Genioplasty with Chin Prosthesis?

A compression dressing is kept for 5 days to prevent any displacement of the prosthesis.
A blended diet for 48 hours, antiseptic mouth rinses 3 to 4 times/day for 8 days. Avoid hot foods for the first 48 hours.
The result is immediate but slightly over-corrected by swelling for a few days. The prosthesis is invisible, thanks to the thickness of the muscles and fat of the chin.
Sensitivity disturbances of the lower lip are possible but almost always reversible. Infection is rare.
As with any implant procedure, poor positioning may require revision. The face and thus the bony chin are inevitably asymmetrical before and after.
Smoking is a relative contraindication as it weakens the mucosa and can cause infection.

What Happens to a Chin Implant?

The solid silicone implant is permanent and does not need to be replaced.
Sometimes a slight erosion of the mandibular bone at the contact with the implant is noted. This occurs slowly and progressively, without long-term consequences.

Medical Genioplasty Without Surgery

It has become my reference technique for chin remodeling.
Performed in the office by injection of hyaluronic acid (Juvederm, Volux, Stylage XXL, Neauvia intense) or collagen-inducing agents, medical genioplasty without surgery allows for progressive and effective projection and remodeling of the chin.
Customized modification with no risk.
The injection of cohesive hyaluronic acid allows for treatment of the entire area between the lip and the submandibular zone.
The duration of the very well-tolerated products is 18 to 24 months.

Genioplasty in Practice:

“Before” Genioplasty

1. 2 preoperative consultations and a possible anesthesia consultation
2. 15-day reflection period respected
3. Preoperative photos with simulation on paper
4. Maxillofacial and radiological assessment if necessary
5. Choice of implant
6. Signing of legal documents (information, estimate, consent)

“During” Genioplasty

1. Local or combined anesthesia
2. Outpatient hospitalization
3. Compression dressing on the chin for 8 days
4. Absorbable stitches present
5. Minimal pain, simple analgesics
6. Temporary numbness of the lower lip, speech discomfort

“After” Genioplasty

1. Rest for a few days
2. Detailed prescription
3. Swelling and bruising for 48 hours
4. Follow-up at 8 days
5. Not presentable for a few days
6. Liquid and blended diet
7. Surgeon available 24/7

“At a Distance” from Genioplasty

1. Adjustment period to the new face
2. Progressive result over 3 weeks, complete at 3 months
3. Flexibility and sensitivity returning slowly
4. Repeated check-ups in the first year
5. Possible bone imprint without consequence

In Conclusion:

Genioplasty with chin implant, sometimes combined with liposuction or a facelift, allows for harmonious shaping of the face's oval.
It balances the profile (nose, lips) and optimizes the triangular and dynamic appearance from the front (profiloplasty).
It tightens the skin under the chin in cases of double chin or neck laxity.
A relatively simple operation, an alternative to heavy orthognathic genioplasty.
Volumetric injections of the chin now have a prominent place in a customized and non-surgical version.
The effects of hyaluronic acid are lasting longer and regular maintenance optimizes the result.
It has become the preferred indication for remodeling and enhancing the chin area.