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Genioplasty; sliding osteotomy, single piece
CPT4 code
Name of the Procedure:
Genioplasty; sliding osteotomy, single piece Common name(s): Chin surgery, Chin enhancement, Sliding genioplasty
Summary
Genioplasty with sliding osteotomy is a surgical procedure aimed at improving the appearance and functionality of the chin by repositioning a single piece of the lower jawbone. This method allows for the forward or backward movement of the chin to achieve a more harmonious facial balance.
Purpose
The procedure addresses:
- Receding chin (retrognathia)
- Protruding chin
- Asymmetrical chin
- Post-traumatic chin deformities Goals/Outcomes:
- Improved facial aesthetics
- Enhanced jaw function
- Increased self-confidence
Indications
Indications for the procedure include:
- Noticeable chin recession or deficiency
- Protruding or excessively prominent chin
- Chin asymmetry
- Functional issues with biting and speaking
- Previous trauma to the chin affecting aesthetics
Preparation
Pre-procedure instructions:
- Fasting for 8 hours prior to surgery
- Discontinuing certain medications (e.g., blood thinners) based on doctor's advice Diagnostic tests and assessments:
- Physical examination
- X-rays or 3D imaging of the jaw
- Medical history review
Procedure Description
- Anesthesia: General anesthesia or intravenous sedation is administered.
- Incision: A small incision is made inside the mouth, along the lower gum line.
- Osteotomy: The surgeon cuts the chin bone (mandibular symphysis) horizontally.
- Repositioning: The cut bone is then slid forward or backward to the desired location.
- Fixation: The repositioned bone is fixed in place with plates and screws.
- Closure: The incision is closed with sutures.
Tools and technology used:
- Surgical saw
- Fixation plates and screws
- Surgical retractors
Duration
The procedure typically takes 1 to 2 hours.
Setting
Performed in a hospital or specialized surgical center.
Personnel
- Maxillofacial surgeon or plastic surgeon
- Anesthesiologist
- Surgical nurses
- Operating room technicians
Risks and Complications
Common risks:
- Swelling and bruising
- Pain and discomfort
- Infection Rare complications:
- Nerve injury causing numbness
- Bone healing issues
- Asymmetry or dissatisfaction with cosmetic outcome Management:
- Antibiotics for infection
- Pain management strategies
- Follow-up surgery if necessary
Benefits
Expected benefits:
- Balanced and aesthetically pleasing facial profile
- Enhanced jaw function
- Positive impact on self-esteem Benefits are typically realized within a few weeks to months post-surgery, following initial recovery.
Recovery
Post-procedure care:
- Pain medication and antibiotics as prescribed
- Soft food diet for the initial weeks
- Oral hygiene to prevent infection Expected recovery time:
- Initial recovery: 1 to 2 weeks
- Full recovery: 4 to 6 months
- Restrictions: Avoid strenuous activities initially Follow-up appointments:
- Regular check-ups to monitor healing
Alternatives
Alternative treatments:
- Chin implants
- Dermal fillers (temporary solution) Pros and cons:
- Chin implants: More invasive, risk of implant shift
- Fillers: Non-invasive, temporary results, repeated treatments needed
Patient Experience
During the procedure:
- No pain due to anesthesia Post-procedure:
- Initial discomfort, swelling, and bruising
- Manageable pain with medications Comfort measures:
- Cold compresses for swelling
- Soft food diet
- Sleep with head elevated for the first few days