Re: Questions on genioplasty techniques

[Guest guest]

Yes has talked about the box-cut method where the cut is a box

shape with horizontal cuts. Think like a drawer that you open and

move forward. My surgeon needed to do that but also I had a vertical

deficiency (not just horizontal) so he moved forward the drawer but

also down to gain some vertical height. They will look at the Xrays

and take measurements on what you need. Most oral surgeons are

trained to do both diagonal and horizontal but you do mention that to

your doctor to make sure he has that in mind or something else.

According to , they can move even 1 cm with the box-cut method.

I needed actually about 5 mm forward and 2-3 mm down to get the

proper shape. Still receovering after a month so not sure yet mine

was successful. But I hope it will heal well.

>

> I've seen the genioplasty technique on various websites where the

> chin bone is cut diagonally, however, it seems to me that this

> technique involves shortening the vertical length as well, since

the

> cut was made on an angle. It also makes sense that the farther the

> projection forward, the more the chin's length is reduced

> vertically. For someone who desires an advancement of 8mm

> horizontally this doesn't seem like a good technique if the person

> is satisfied with the vertical length of their chin.

>

> Are techniques that move the bone only horizontally well known to

> most oral-maxillofacial surgeons?

>

> I appreciate any advice or experience.

>

> Thanks.

[Guest guest]

I'm a seven weeks post op now and must say that things are

looking very good. My " box cut " actually moved me 5/8 " which is

around 15mm and I needed all of it. In my case, mine was

moved somewhat upward as well since my chin was long. Every

passing day it is looking better.

> >

> > I've seen the genioplasty technique on various websites

where the

> > chin bone is cut diagonally, however, it seems to me that this

> > technique involves shortening the vertical length as well,

since

> the

> > cut was made on an angle. It also makes sense that the

farther the

> > projection forward, the more the chin's length is reduced

> > vertically. For someone who desires an advancement of

8mm

> > horizontally this doesn't seem like a good technique if the

person

> > is satisfied with the vertical length of their chin.

> >

> > Are techniques that move the bone only horizontally well

known to

> > most oral-maxillofacial surgeons?

> >

> > I appreciate any advice or experience.

> >

> > Thanks.

[Guest guest]

Hi and others,

we have a very similar case I repeatedly said since we both just did

genio this time around (my ortho messed up and couldnt move the jaw

anywahere). Anyway, after about 1 month, which is about your time as

well, I still have significant scaring from bucuspid to bicuspid. I

have been massaging it and putting salt water and gly oxide (used for

cancer sores I guess) in the hope to reduce the ridge type scarring

forming. Do you have any other suggestions to help the area smooth

out without huge scars?

Thanks

> > >

> > > I've seen the genioplasty technique on various websites

> where the

> > > chin bone is cut diagonally, however, it seems to me that this

> > > technique involves shortening the vertical length as well,

> since

> > the

> > > cut was made on an angle. It also makes sense that the

> farther the

> > > projection forward, the more the chin's length is reduced

> > > vertically. For someone who desires an advancement of

> 8mm

> > > horizontally this doesn't seem like a good technique if the

> person

> > > is satisfied with the vertical length of their chin.

> > >

> > > Are techniques that move the bone only horizontally well

> known to

> > > most oral-maxillofacial surgeons?

> > >

> > > I appreciate any advice or experience.

> > >

> > > Thanks.

[Guest guest]

I had no significant scars from this. But a surgeon who did my

carpal tunnel procedures recommended vitamin e oil, and it surely

seemed to work.

Later, I talked with a cardiovascular surgeon who's also trained as

a plastic surgeon about a different procedure, and he pooh-poohed

it. Maybe it depends in how much you believe in it!

Cammie

> > > >

> > > > I've seen the genioplasty technique on various websites

> > where the

> > > > chin bone is cut diagonally, however, it seems to me that

this

> > > > technique involves shortening the vertical length as well,

> > since

> > > the

> > > > cut was made on an angle. It also makes sense that the

> > farther the

> > > > projection forward, the more the chin's length is reduced

> > > > vertically. For someone who desires an advancement of

> > 8mm

> > > > horizontally this doesn't seem like a good technique if the

> > person

> > > > is satisfied with the vertical length of their chin.

> > > >

> > > > Are techniques that move the bone only horizontally well

> > known to

> > > > most oral-maxillofacial surgeons?

> > > >

> > > > I appreciate any advice or experience.

> > > >

> > > > Thanks.

[Guest guest]

I'm sorry to hear about your scar troubles, my incision was of the

same length apparently as yours and was sore for awhile, but

now that the sutures have dissolved the incision area is almost

completely smooth with only a couple very small bumps.

Sounds like you're doing about the best things you can do. I

certainly hope it starts getting better.

> > > >

> > > > I've seen the genioplasty technique on various websites

> > where the

> > > > chin bone is cut diagonally, however, it seems to me that

this

> > > > technique involves shortening the vertical length as well,

> > since

> > > the

> > > > cut was made on an angle. It also makes sense that the

> > farther the

> > > > projection forward, the more the chin's length is reduced

> > > > vertically. For someone who desires an advancement of

> > 8mm

> > > > horizontally this doesn't seem like a good technique if the

> > person

> > > > is satisfied with the vertical length of their chin.

> > > >

> > > > Are techniques that move the bone only horizontally well

> > known to

> > > > most oral-maxillofacial surgeons?

> > > >

> > > > I appreciate any advice or experience.

> > > >

> > > > Thanks.