Named Among the Best Plastic Surgeons in Boston
Dr. Taylor & Dr. Sullivan, board-certified aesthetic, plastic and reconstructive surgeons and leading craniofacial surgeons in Boston, Massachusetts
Jaw surgery can have a more powerful effect on facial balance than almost any other kind of surgery. A weak lower chin leads to facial disharmony and can exacerbate redundant skin in the neck, and prematurely age a face. Chin augmentation, or genioplasty can add strength, enhance facial harmony and provide a more attractive balanced appearance. An overly prominent chin can be corrected with a reduction genioplasty. The goal is to have a chin that is proportionate with other facial features, and appropriate for the soft tissue envelope.
Chin surgery, also called genioplasty, falls into two broad categories, augmentation and reduction. Augmentation genioplasty, to make the chin larger, can be done with movement of the bone, also known as autologous genioplasty, or with implants.
While silicone implants were used in the past, they have largely been replaced by porous polyethylene implants which can be secured to the bone and behave more predictably. Chin implants can improve the contour, width and projection of your chin. Similary An autologous genioplasty, using the patient’s own bone secured with small titanium plates, can advance, recede, and or straighten a chin. We typically perform autologous genioplasty through incisions within the mouth, and implants through an incision underneath the chin.
As plastic surgeons with a particular interest in craniofacial surgery, Dr Taylor and Dr Sullivan are comfortable performing both autologous and implant based genioplasty. The practice works hard to fit the procedure to the patient, rather than performing the same procedure on all patients.. Dr. Taylor and Dr. Sullivan will discuss the pros and cons of each approach, and what might be best suited to your individual situation.
A genioplasty can provide significant and durable changes in facial balance. The bony movements are typically stable over time, and it is rare that a porous polyethylene implant needs to be removed or revised.
Autologous genioplasty is typically performed with intraoral incisions which cannot be seen.
A chin implant is most commonly placed through a small incision hidden under the chin crease, which is typically well concealed.
Genioplasty is ideally performed in patients whose upper and lower jaws are generally in good position, but in whom the chin alone is disproportionate. If there is significant malocclusion, meaning the teeth do not meet properly, then moving the jaws with orthognathic surgery may be more appropriate than moving just the chin point. If the area for bony correction is confined to the chin point then genioplasty should be considered. Patients should be nonsmokers, and generally healthy. As the mandible is the last bone of the face to mature, patients should have reached skeletal maturity, which is typically 16-18 years old for girls, and 17-19 years old for boys.
Dr. Taylor and Dr. Sullivan will follow up on your recovery ensuring you have the best and most effective rehabilitation from your surgery.
We will continue to be closely involved in your care following your procedure to ensure you have the best and fastest recovery. Every patient recuperates differently. Most patients take about a week to recover from their chin surgery. Genioplasty is typically performed as a day surgery procedure, and patients go home after surgery.
Pain is typically well controlled with non narcotic pain medication with supplemental opioids if needed. If an incision is made within the mouth we recommend a liquid diet for 24 hours, followed by soft foods for several days. Mouth rinses are prescribed, and you may brush your teeth. The area can be swollen for several days, and there may be some bruising but you are typically quite presentable within a few days. Contact sports should be avoided for a few weeks.
In almost all plastic surgical procedures we are trading shape for scar. With genioplasty the scars are typically well concealed, though scarring is different from person to person.
While genioplasty is often performed to correct asymmetry there are always subtle differences between the right and the left. Numbness of the lower lip is a dreaded risk of chin surgery, as the mental nerve lies within the surgical field. We work hard to identify, protect and preserve the nerves to minimize the chance of longstanding changes in sensation. Some tightness and temporary numbness is not uncommon however.
If you would like to discuss your options for chin surgery, please contact us to set up your consultation with Dr. Taylor and Dr. Sullivan. While one doctor will be your primary surgeon, they often operate together as a team to optimize your care and safety.
Dr. Taylor and Dr. Sullivan have a special interest, and additional training in craniofacial surgery, and have been named among the best board-certified plastic surgeons in Boston by Boston Magazine yearly since they began practicing in the Boston area. They strive to provide honest and informative consultations and perform surgery with precision and care with an emphasis on safety. Excellence with compassion is the motto of Mount Auburn Hospital, and Dr. Taylor and Dr. Sullivan aspire to meet that goal each and every day.
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To schedule a private consultation with Dr. Taylor or Dr. Sullivan, please call the office or request an appointment using our form. We welcome your visit and your questions.
300 Mount Auburn St. Ste 304, Cambridge, MA 02138