Esthetic Surgery of the Chin in Cis- and Transgender Patients—Application of T-Genioplasty vs. Single-Piece Segment Lateralization
<i>Background and Objectives:</i> Correction of lower face asymmetry still remains challenging in maxillofacial surgery. This report describes techniques for the lateral transposition of the symphyseal segment to restore lower face symmetry while maintaining gender-related features in ci...
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-01-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/60/1/139 |
| _version_ | 1797343026806259712 |
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| author | Rafał Pokrowiecki Barbora Šufliarsky Maciej Jagielak |
| author_facet | Rafał Pokrowiecki Barbora Šufliarsky Maciej Jagielak |
| author_sort | Rafał Pokrowiecki |
| collection | DOAJ |
| description | <i>Background and Objectives:</i> Correction of lower face asymmetry still remains challenging in maxillofacial surgery. This report describes techniques for the lateral transposition of the symphyseal segment to restore lower face symmetry while maintaining gender-related features in cis- and transgender patients. <i>Materials and Methods:</i> A retrospective review of medical records of 31 patients who attended for esthetic corrective surgery after orthodontic camouflage or orthognathic treatment, or during facial feminization of the lower face between June 2021 and June 2023 was performed. <i>Result:</i> All patients underwent lateralization genioplasty (with or without advancement or setback), either with or without narrowing T-osteotomy supplemented with necessary procedures in order to obtain proper facial balance and desired esthetical effects, such as bichectomy, liposuction, and face and neck lift. The mean asymmetry of the chin was 5.15 mm and was surgically corrected either by single segment lateralization or T-shape narrowing genioplasty depending on the gender and esthetical requirements. No complications were reported. <i>Conclusions:</i> Lateral shift genioplasty serves as a powerful tool in primary and secondary corrective surgery for lower face asymmetry that maintains gender-specific facial features. It may serve either as an additive to orthodontic camouflage or a way to correct previous orthognathic surgery pitfalls. The surgeon performing esthetic genioplasty associated with gender-specific expectations must be trained in facelift and facial liposculpting techniques in order to provide the best results and properly choose the right procedures for the right patients. |
| first_indexed | 2024-03-08T10:41:43Z |
| format | Article |
| id | doaj.art-d8bde57bf72348f09c9ee3eaa5120242 |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-08T10:41:43Z |
| publishDate | 2024-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-d8bde57bf72348f09c9ee3eaa51202422024-01-26T17:35:34ZengMDPI AGMedicina1010-660X1648-91442024-01-0160113910.3390/medicina60010139Esthetic Surgery of the Chin in Cis- and Transgender Patients—Application of T-Genioplasty vs. Single-Piece Segment LateralizationRafał Pokrowiecki0Barbora Šufliarsky1Maciej Jagielak2Prive Esthetic and Facial Feminization Surgery Centre, 02-640 Warsaw, PolandDepartment of Oral and Maxillofacial Surgery, Faculty of Medicine, Comenius University in Bratislava and University Hospital, 81372 Bratislava, SlovakiaOrthognatic, Private Practice, 05-090 Warsaw, Poland<i>Background and Objectives:</i> Correction of lower face asymmetry still remains challenging in maxillofacial surgery. This report describes techniques for the lateral transposition of the symphyseal segment to restore lower face symmetry while maintaining gender-related features in cis- and transgender patients. <i>Materials and Methods:</i> A retrospective review of medical records of 31 patients who attended for esthetic corrective surgery after orthodontic camouflage or orthognathic treatment, or during facial feminization of the lower face between June 2021 and June 2023 was performed. <i>Result:</i> All patients underwent lateralization genioplasty (with or without advancement or setback), either with or without narrowing T-osteotomy supplemented with necessary procedures in order to obtain proper facial balance and desired esthetical effects, such as bichectomy, liposuction, and face and neck lift. The mean asymmetry of the chin was 5.15 mm and was surgically corrected either by single segment lateralization or T-shape narrowing genioplasty depending on the gender and esthetical requirements. No complications were reported. <i>Conclusions:</i> Lateral shift genioplasty serves as a powerful tool in primary and secondary corrective surgery for lower face asymmetry that maintains gender-specific facial features. It may serve either as an additive to orthodontic camouflage or a way to correct previous orthognathic surgery pitfalls. The surgeon performing esthetic genioplasty associated with gender-specific expectations must be trained in facelift and facial liposculpting techniques in order to provide the best results and properly choose the right procedures for the right patients.https://www.mdpi.com/1648-9144/60/1/139facial feminizationgender-affirmation surgerygenioplastyplastic surgerycraniofacial surgeryorthognathic surgery |
| spellingShingle | Rafał Pokrowiecki Barbora Šufliarsky Maciej Jagielak Esthetic Surgery of the Chin in Cis- and Transgender Patients—Application of T-Genioplasty vs. Single-Piece Segment Lateralization Medicina facial feminization gender-affirmation surgery genioplasty plastic surgery craniofacial surgery orthognathic surgery |
| title | Esthetic Surgery of the Chin in Cis- and Transgender Patients—Application of T-Genioplasty vs. Single-Piece Segment Lateralization |
| title_full | Esthetic Surgery of the Chin in Cis- and Transgender Patients—Application of T-Genioplasty vs. Single-Piece Segment Lateralization |
| title_fullStr | Esthetic Surgery of the Chin in Cis- and Transgender Patients—Application of T-Genioplasty vs. Single-Piece Segment Lateralization |
| title_full_unstemmed | Esthetic Surgery of the Chin in Cis- and Transgender Patients—Application of T-Genioplasty vs. Single-Piece Segment Lateralization |
| title_short | Esthetic Surgery of the Chin in Cis- and Transgender Patients—Application of T-Genioplasty vs. Single-Piece Segment Lateralization |
| title_sort | esthetic surgery of the chin in cis and transgender patients application of t genioplasty vs single piece segment lateralization |
| topic | facial feminization gender-affirmation surgery genioplasty plastic surgery craniofacial surgery orthognathic surgery |
| url | https://www.mdpi.com/1648-9144/60/1/139 |
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