Abstract

BackgroundTo introduce a novel technique for advancement genioplasty helping surgeons to avoid soft tissue difficulties especially in short-faced patients with deep mentolabial fold and everted lower lip.Case presentationIn a trapezius-shaped, osteotomy was performed in the chin region. The mobilized segment was advanced, and the existing gap was grafted using interpositional allograft materials. Each side had been fixated by three-hole plates and two screws. The outcomes revealed no change in lower anterior teeth vitality. The patients did not report any changes of sensation in lower lip and chin either. The measurements indicated no increase in depth of mentolabial fold in patients undergoing this surgical technique. The postoperative evaluation showed a successful esthetic outcome for the patient and the surgeon concurrently.ConclusionBased on our experience, the authors concluded that the Balcony technique is a simple and reliable procedure for patients with a deep mentolabial fold.

Highlights

  • To introduce a novel technique for advancement genioplasty helping surgeons to avoid soft tissue difficulties especially in short-faced patients with deep mentolabial fold and everted lower lip.Case presentation: In a trapezius-shaped, osteotomy was performed in the chin region

  • The goal of this article includes introducing a novel technique for genioplasty (Balcony genioplasty) which can help surgeons avoid soft tissue esthetic difficulties especially in short-faced patients with deep mentolabial fold and everted lower lip

  • Keyhan et al Maxillofacial Plastic and Reconstructive Surgery local anesthesia was infiltrated by lidocaine 2% and epinephrine 1:100,000

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Summary

Background

Multiple anatomic characteristics contribute to creating an esthetically pleasing and youthful appearing face, including skin, soft tissue, and facial bony contours [1]. The major architectural promontories of the facial skeleton, including the malar-midface region, nose, and chin, provide the base upon which the soft tissues of the face drape. By altering these promontories, dramatic changes can be made in the esthetic appearance of the face far more than by merely changing the soft tissue and skin alone [2]. Several surgical techniques are available for correcting and giving harmony to the lower third of the face [3, 4]. The goal of this article includes introducing a novel technique for genioplasty (Balcony genioplasty) which can help surgeons avoid soft tissue esthetic difficulties especially in short-faced patients with deep mentolabial fold and everted lower lip

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