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J Cosmet Med 2022; 6(2): 106-109

Published online December 31, 2022

https://doi.org/10.25056/JCM.2022.6.2.106

Bow-tie genioplasty: a novel technique for sagittal reduction of chin using segmental rotation setback movement

Sang-Yoon Lee, MD, DDS, MSD1 , Hye-Min Oh, DDS2 , Hyun-Jee Chae, MD1

1Face Design Maxillofacial Plastic Surgery Clinic, Seoul, Rep. of Korea
2Department of Oral and Maxillofacial Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Rep. of Korea

Correspondence to :
Sang-Yoon Lee
E-mail: fdsurgeon@naver.com

Received: November 2, 2022; Revised: November 26, 2022; Accepted: November 28, 2022

© Korean Society of Korean Cosmetic Surgery

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Since genioplasty was first described by Hofer in 1942, various genioplasty techniques have been developed and modified. However, the literature on sagittal reduction genioplasty is scarce. Most of these are modifications of the traditional two methods—grinding and sliding setback, with potential complications. The purpose of this article is to introduce a novel technique (bow-tie genioplasty) to achieve favorable sagittal reduction of the chin without potential complications from the traditional methods. Bow-tie genioplasty is a technique that uses bilateral wedge-shaped osteotomy on the chin. This osteotomy was designed to rotate the distal segment posteriorly, as shown in the diagrams. We present an example of a patient with a protruding chin treated with bow-tie genioplasty. There were no significant adverse effects or complications that could be triggered by the traditional setback methods, and the surgeon and patients were satisfied with the esthetic results. Bow-tie genioplasty is the most innovative technique for sagittal reduction of the chin. This novel technique may optimize the chin setback effect while minimizing the complications associated with the traditional method.

Keywords: chin, esthetic surgery, genioplasty, maxillofacial surgery

Fig. 1.Lateral diagram of the osteotomy for bow-tie genioplasty.
  1. Hoffman GR, Moloney FB. The stability of facial osteotomies. Part 6. Chin setback. Aust Dent J 1996;41:178-83.
    Pubmed CrossRef
  2. Lagos OAV, Montenegro L, Colucci G, Amarista FJ. Sagittal reduction genioplasty: technical note. J Stomatol Oral Maxillofac Surg 2022;123:576-80.
    Pubmed CrossRef
  3. Keyhan SO, Cheshmi B, Fallahi HR, Asayesh MA, Fattahi T. Balcony genioplasty: a novel technique for better esthetic results in patients with deep mentolabial fold. Maxillofac Plast Reconstr Surg 2019;41:7.
    Pubmed KoreaMed CrossRef
  4. Ward JL, Garri JI, Wolfe SA. The osseous genioplasty. Clin Plast Surg 2007;34:485-500.
    Pubmed CrossRef
  5. Zide BM, Warren SM, Spector JA. Chin surgery IV: the large chin--key parameters for successful chin reduction. Plast Reconstr Surg 2007;120:530-7.
    Pubmed CrossRef
  6. Keyhan SO, Khiabani K, Hemmat S, Varedi P. Zigzag genioplasty: a new technique for 3-dimensional reduction genioplasty. Br J Oral Maxillofac Surg 2013;51:e317-8.
    Pubmed CrossRef
  7. Niechajev I. Reduction genioplasty for mandibular prognathism and long chin. Oral Maxillofac Surg 2020;24:333-41.
    Pubmed CrossRef

Article

How We Do It

J Cosmet Med 2022; 6(2): 106-109

Published online December 31, 2022 https://doi.org/10.25056/JCM.2022.6.2.106

Copyright © Korean Society of Korean Cosmetic Surgery.

Bow-tie genioplasty: a novel technique for sagittal reduction of chin using segmental rotation setback movement

Sang-Yoon Lee, MD, DDS, MSD1 , Hye-Min Oh, DDS2 , Hyun-Jee Chae, MD1

1Face Design Maxillofacial Plastic Surgery Clinic, Seoul, Rep. of Korea
2Department of Oral and Maxillofacial Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Rep. of Korea

Correspondence to:Sang-Yoon Lee
E-mail: fdsurgeon@naver.com

Received: November 2, 2022; Revised: November 26, 2022; Accepted: November 28, 2022

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Since genioplasty was first described by Hofer in 1942, various genioplasty techniques have been developed and modified. However, the literature on sagittal reduction genioplasty is scarce. Most of these are modifications of the traditional two methods—grinding and sliding setback, with potential complications. The purpose of this article is to introduce a novel technique (bow-tie genioplasty) to achieve favorable sagittal reduction of the chin without potential complications from the traditional methods. Bow-tie genioplasty is a technique that uses bilateral wedge-shaped osteotomy on the chin. This osteotomy was designed to rotate the distal segment posteriorly, as shown in the diagrams. We present an example of a patient with a protruding chin treated with bow-tie genioplasty. There were no significant adverse effects or complications that could be triggered by the traditional setback methods, and the surgeon and patients were satisfied with the esthetic results. Bow-tie genioplasty is the most innovative technique for sagittal reduction of the chin. This novel technique may optimize the chin setback effect while minimizing the complications associated with the traditional method.

Keywords: chin, esthetic surgery, genioplasty, maxillofacial surgery

Fig 1.

Figure 1.Lateral diagram of the osteotomy for bow-tie genioplasty.
Journal of Cosmetic Medicine 2022; 6: 106-109https://doi.org/10.25056/JCM.2022.6.2.106

References

  1. Hoffman GR, Moloney FB. The stability of facial osteotomies. Part 6. Chin setback. Aust Dent J 1996;41:178-83.
    Pubmed CrossRef
  2. Lagos OAV, Montenegro L, Colucci G, Amarista FJ. Sagittal reduction genioplasty: technical note. J Stomatol Oral Maxillofac Surg 2022;123:576-80.
    Pubmed CrossRef
  3. Keyhan SO, Cheshmi B, Fallahi HR, Asayesh MA, Fattahi T. Balcony genioplasty: a novel technique for better esthetic results in patients with deep mentolabial fold. Maxillofac Plast Reconstr Surg 2019;41:7.
    Pubmed KoreaMed CrossRef
  4. Ward JL, Garri JI, Wolfe SA. The osseous genioplasty. Clin Plast Surg 2007;34:485-500.
    Pubmed CrossRef
  5. Zide BM, Warren SM, Spector JA. Chin surgery IV: the large chin--key parameters for successful chin reduction. Plast Reconstr Surg 2007;120:530-7.
    Pubmed CrossRef
  6. Keyhan SO, Khiabani K, Hemmat S, Varedi P. Zigzag genioplasty: a new technique for 3-dimensional reduction genioplasty. Br J Oral Maxillofac Surg 2013;51:e317-8.
    Pubmed CrossRef
  7. Niechajev I. Reduction genioplasty for mandibular prognathism and long chin. Oral Maxillofac Surg 2020;24:333-41.
    Pubmed CrossRef

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