Chin reshaping (Genioplasty) at Cardiff and Vale Hospitals

There are several types of genioplasty:

• Horizontal - if your chin juts out this can be reduced by removing some of the chin bone or sliding the chin bone backwards. Likewise a recessed chin can be built out by adding bone or sliding the bone forward.  
• Vertical -  removing or adding bone or an implant can decrease or increase the length of your chin.
• Combination - both horizontal and vertical changes can be made to your chin
• In addition to changes to your chin your surgeon can also improve the appearance of flat cheek bones by inserting implants.

Your consultation will include a detailed discussion about what methods of surgery are right for you. Detailed photographs and x-rays will be taken from several angles to determine the extent of correction needed. 

Custom implants or complex correction may require the use of CT scans as well.

What happens during genioplasty?

A genioplasty is usually performed under general anaesthetic. Your surgeon will access the area through an incision (cut) inside your mouth or one just under your chin. Depending on what level of correction is needed, they will use implants or remove bone to gain the desired result. Be sure and discuss what methods will be used with your surgeon.

Going home after genioplasty

This procedure is usually performed as a day case meaning you will be able to go home the day of your operation. In some cases you may need to spend one night in hospital. You should arrange for someone to drive you home.

If your surgeon accessed the area through your mouth you will need to follow a soft diet for about one week so your wounds can heal. Chewing may cause your sutures to break down leading to infection.

You may experience swelling. A special chin elastic garment will help you control this. Please remember to take any pain medication or antibiotics you are prescribed. Do not take any aspirin as this can cause bleeding.

Brush your teeth regularly with a soft toothbrush. You will also need rinse your mouth with antiseptic mouthwash four times daily.

Most patients can return to work in about two weeks. Be sure and discuss any return to work with your consultant.

What complications can occur?

Most patients make a good recovery from genioplasty. Every surgical procedure has a risk of complications:

• Bleeding
• Pain
• Infection
• Bruising

Complications specific to genioplasty may include:

• Rejection of implant
• Nerve damage.