Genioplasty or mentoplasty is a cosmetic surgical procedure to improve the appearance of the chin. This surgical procedure can be done either by augmenting the chin with an implant or repositioning the chin bone, or reducing prominence or height of the chin by osteotomy. Genioplasty can be performed through an incision inside the lower lip or below the chin. In some cases, genioplasty may be performed with other facial plastic surgical procedures such as rhinoplasty in order to achieve desirable facial proportion.

Ideal candidates for genioplasty

An ideal candidate would be:

  • Having a positive outlook and specific goals in mind for improvement of facial appearance.
  • Physically healthy with no active or serious pre-existing medical conditions

Preoperative evaluation for genioplasty

Communication is vital in order to achieve the patient’s goals. During the initial consultation, patients will have the opportunity to discuss their goals and desirable results with the plastic surgeon. The plastic surgeon will work closely with the patients to reach an agreement about the expectations from the surgical procedures involved and their long term benefits.  Every patient is different, therefore a specific treatment regimen is planned to suit an individual’s need.

  • Discussion about patients’ expectations and desired outcome
  • Medical conditions, drug allergies and previous medical or surgical treatment
  • Use of current medications, vitamins, herbal supplements, alcohol, tobacco and drugs
  • Previous surgeries
  • Examination of the face and oral cavity
  • Radiological assessment
  • Discussion of types of anaesthesia
  • Photography for preoperative and postoperative evaluation

Preparation for genioplasty

  • Get lab testing or a medical evaluation
  • Take certain medications or adjust your current medications
  • Stop smoking and alcohol 2-3 weeks prior to the surgery
  • Avoid taking aspirin and certain anti-inflammatory drugs and herbal supplements as they can increase bleeding

The risks and safety information on genioplasty

It is important for patients to understand that every surgical procedure has its own complications and risks. However, if a patient is assessed properly before the surgery and postoperative care is given adequately these risks can be eliminated or reduced. Some of the risks involved in genioplasty are:

  • Bleeding
  • Hematoma
  • Infection
  • Bruises and swelling
  • Poor wound healing
  • Injury to the surrounding nerves or blood vessels
  • Changes in the lower lip and chin sensation
  • Skin or bony contour irregularity
  • Problems associated with implants
  • Asymmetry
  • Anaesthesia risks
  • Possibility of revision surgery

Postoperative expectations

During the initial healing phase, patient may experience discomfort, numbness, bruises and swelling around the chin. These symptoms are transient, usually last about 2-3 weeks. Most of the genioplasty are preformed through incision in the lower lip. Hence there is no need for stitch removal. However, if this surgery is done through incision made below the chin, the stitches are removed on the 7-10 days after the surgery. Oral antibiotics and analgesics will be prescribed to reduce the risk of infection and postoperative pain respectively.

Postoperative care

  • Follow the postoperative instructions given carefully
  • Head elevation especially when sleeping for 1-2 weeks
  • Take the prescribed medications as instructed
  • Chin sling or support might be used for 3-5 days
  • Regular mouth wash or gargle after every meal if there is any oral wounds
  • Regular wound cleaning (if external wound below the chin is present)
  • Soft diet for 2-3 weeks
  • Avoid strenuous physical activities for 3-4 weeks

How much will a genioplasty cost?

Cost is always a consideration in elective surgery. The cost of genioplasty can vary widely. Cost may include:

  • Surgeon’s fee
  • Hospital or surgical facility costs
  • Medical tests (blood and radiological investigations)
  • Anaesthesia fees
  • Implant cost
  • Prescriptions for medication
  • Post-surgery garment (chin sling or support)

Genioplasty is a cosmetic surgical procedure. Therefore, most of the health insurance companies do not cover cosmetic surgeries or their complications.