Unlike other simpler but objectionable dimensionally limited, anatomically restricted in their effects, unpredictable and unreliable reduction genioplasty methods featured by high rates of complications, instability, deformities, asymmetries, fake looks and mid or long term revision procedures like chin burring or shaving, the safe reduction genioplasty technique allows a reliable, stable and lifetime lasting worries-free chin size diminishing with minimal risk of issues and a natural look.
The reduction genioplasty is not at all an aggressive maxillofacial orthognathic surgery of the jaw modifying the patient's bite, requiring preoperative dental braces, postoperative wire immobilization of the jaws and fix the bone fragments with the long term troublesome plates and screws to stand for the mechanical strain of the chewing, swallowing and speaking functions, with life-threatening postoperative ICU management, lots of bruising, painful postoperative and slow recovery; to the contrary the reduction genioplasty is a purely apical or marginal minimally invasive surgical modification of a non functional part of the distal mandible bearing no major mechanical loads, therefore steel wires are sufficient to stabilize the fragments at the reduction desired, steel wires which, unlike plates and screws, do not require future extraction; actually the patients are allowed to and can speak, swallow, drink, eat and chew solids immediately after surgery, with minimal pain and bruising, early hospital discharge and prompt surgical and aesthetic recovery; needless to say the reduction genioplasty is way more affordable than full jaw surgery and considering the lifetime duration and its safety is relatively way cheaper than chin burring or shaving.
The multidimensional reduction genioplasty versatility is unparalleled by other major or minor alternatives in terms of simplicity, safety and costs, and in many cases reducing de the chin is simply unfeasible unless an osseous genioplasty is applied; the chin reduction genioplasty may be performed on all the three space dimensions or, alternatively, only on one or on two space dimensions leaving the other non-reduced dimension/s unaltered or, should it be deemed indicated, apply on them a Sliding Genioplasty or an osseous Chin Augmentation, leading to huge number of versatile combinations to fit every particular chin case anatomy and patient's wishes.
Main disadvantages of chin burring shaving, a technique of medium difficulty thus tempting although not widespread among the surgical community, are the deletion of the labiomental fold, droopy chin deformity, double chin formation, artificial domeless plateau shape of the chin prominence and eventually formation of witch's chin, associated with null facelift effect on the overlying soft tissues; its repair is complex and requires custom carved grafting to restore the missing dome, eventually with some modality of osseous genioplasty.
Opposed to the former the osseous chin reduction genioplasty gathers all the technical, safety and aesthetic advantages for the patients, however it is a technique of high, very high or extremely high difficulty according to each case and goals thus very or extremely discouraging or even frightening to the vast majority of surgeons, being very few those professionals who master and regularly perform osseous genioplasty procedures and, if anyone performs them, they are not complex and multidimensional but the simplest modalities of standard sliding genioplasty.
Advantages of osseous genioplasties are they last for a lifetime and eventually can be repeated to be re-graduated, re-designed or reversed, they don't experience issues, modifications or complications in the mid and long term, they are virtually unlimited dimensionally allowing any deemed suitable combination of standard or non-standard sliding mobilization and augmentation or reduction over any space axis of the chin, they are associated with indirect soft tissue facelift effect, do not produce double chin, witch's chin or droopy chin, don't migrate or dislocate, do not produce any visibility during facial expression gestures, the complications rate is very low and the look of the chin is natural with results which are simply awesome; however, osseous genioplasties do indeed require a very well trained surgeon with excellent aesthetic judgment, a fully equipped safe hospital environment, have longer inflammation period and their price is higher yet within affordable margins.
Dr. Alejandro Nogueira is an outstanding specialist in all the modalities of simple to top difficulty multidimensional osseous genioplasties, gathering vast experience and highly developed skills in such procedures otherwise rarely practiced by any other surgeons.
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LOWCOSTMETIC'S GENERAL COMBO
By choosing and getting in the same surgical procedure more than only one any treatment (except Breast Implants Custom XL and Breast reconstruction autologous) you'll be granted a progressive per every additional treatment awesome 5% (2 treatments), 10% (3 treatments), 15% (4 treatments) and up to 20% (5 or more treatments) discount off the total quotation for such combo.
By choosing any Rhinoplasty treatment and getting in the same surgical procedure any Sliding genioplasty, Chin reduction or Chin augmentation treatment you'll be granted an awesome 15% discount off the total quotation for such combo.