SLIDING GENIOPLASTY Sliding genioplasty is a surgical procedure specifically designed to modify the position and shape of the chin by repositioning a section of the lower jawbone (mandible). It’s a versatile procedure that can address various chin concerns, including retrusion (recessed chin), protrusion (prominent chin), vertical height discrepancies, and asymmetry. Here’s an overview of the sliding genioplasty procedure: PREOPERATIVE ASSESSMENT CONSULTATION Patients meet with the surgeon to discuss the desired outcome and the feasibility of the procedure. IMAGING X-rays or 3D CT scan imaging techniques are used to plan the surgery by assessing the bone structure and the degree of chin augmentation or reduction needed. PRE-OPERATIVE PHOTOGRAPHS Purpose: They are taken from multiple angles to provide a clear understanding of the patient’s current anatomy and discuss their aesthetic concerns. Comparison: These photos are used as a baseline to compare with post-operative results. PRE-OPERATIVE PREPARATION You may be asked to undergo certain lab tests as preparation for surgery. Medications might be adjusted, and certain drugs, like aspirin, and certain herbal medications and health supplements may be stopped to reduce the risk of bleeding. Smoking should be stopped well in advance of the surgery as it can impair healing. Instructions will be given regarding eating and drinking on the day of the surgery. ANAESTHESIA General Anaesthesia: The procedure is typically performed under general anaesthesia, meaning the patient is asleep during the surgery. SURGICAL PROCEDURE INCISION The procedure is typically performed intraorally, meaning the incision is made inside the mouth along the lower gum, which avoids visible external scars. BONE CUT A horizontal osteotomy (bone cut) is made across the chin region of the mandible. This allows Dr Sandeep to mobilize the lower portion of the chin. REPOSITIONING Depending on the desired outcome, the mobilized segment of the chin can be: Moved forward (for a recessed chin). Moved backward (for a protruding chin). Moved upward or downward to adjust vertical height. Rotated to correct asymmetry. FIXATION Once the bone segment is in the desired position, it’s secured using titanium plates and screws. CLOSURE The intraoral incision is then sutured closed with sutures which dissolve over the next few weeks and do not need removal. RECOVERY There will be some swelling, bruising, and discomfort after the surgery. A chin bandage may be applied to reduce the swelling. Cold compresses is recommended for a few days to help reduce swelling. Pain medication and antibiotics may be prescribed. It’s essential to maintain good oral hygiene to prevent infection at the surgical site. Our team will prescribe antiseptic mouth wash to help prevent infection. It’s advised to keep the head elevated and avoid vigorous physical activity for a few days after surgery. Most clients can return to work within a week, but strenuous activities should be avoided for several weeks. If the incision was made inside the mouth, a soft diet might be recommended for a few days. FOLLOW-UP Dr Sandeep will schedule follow-up visits to monitor the healing process and ensure the healing of tissues and the aesthetic results are as planned. As a client, you can further mitigate surgical risks by strictly adhering to pre-surgery and post-surgery guidelines. It’s also vital to attend all subsequent check-ups to monitor healing and promptly discuss any issues. Dr Sandeep and his team often discuss the various pros and cons of different surgical procedures with their clients. When it comes to sliding genioplasty, the team acknowledges that there are both advantages and disadvantages to consider. They highlight the following advantages and disadvantages. ADVANTAGES OF SLIDING GENIOPLASTY HARMONIOUS FACIAL PROPORTIONS Sliding genioplasty allows for precise modifications to the chin’s position, leading to improved facial balance and aesthetics. VERSATILITY The procedure can either advance or retract the chin, making it versatile for various aesthetic needs. NATURAL RESULTS Since the client’s own bone is repositioned, the results tend to look and feel natural. PERMANENT The results of a sliding genioplasty are typically permanent. FUNCTIONAL IMPROVEMENTS In some instances, sliding genioplasty may help open the airway, potentially improving issues like sleep apnoea. BOOSTED SELF-CONFIDENCE With an enhanced facial profile, many clients experience a significant boost in self-confidence and self-esteem. SOCIAL AND PROFESSIONAL GAINS A more balanced and attractive facial appearance can positively affect social interactions and even open doors professionally. PERSONALISED RESULTS The procedure can be tailored to meet the unique anatomical and aesthetic needs of the individual client, ensuring that the results align with their goals. BONE PRESERVATION Unlike implant-based methods, sliding genioplasty utilises the client’s own bone, reducing the risks of rejection or infection. STABILITY Because the bone is fixed in its new position, the results are generally stable over the long term. REDUCED SCARRING The incisions are usually made inside the mouth, resulting in no visible scars. DISADVANTAGES OF SLIDING GENIOPLASTY SURGICAL RISKS Like any surgical procedure, sliding genioplasty comes with the general risks of anaesthesia, infection, and bleeding. LONGER RECOVERY TIME Compared to less invasive options like chin implants, sliding genioplasty usually requires a longer period of recovery. COMPLEXITY Sliding genioplasty is a technically demanding procedure that requires a skilled surgeon like Dr Sandeep to ensure that the bone heals in the proper alignment. COST The procedure can be quite expensive, especially when factoring in hospital stays and any additional treatments that may be needed. LIMITATIONS IN AESTHETIC OUTCOMES While sliding genioplasty is versatile, it may not be suitable for all types of chin augmentations. The range of achievable aesthetic outcomes may be limited based on the client’s existing anatomy. PSYCHOLOGICAL IMPACT As with any cosmetic procedure, there’s a psychological aspect to consider. Clients must have realistic expectations and be prepared for the emotional impact of undergoing surgery and the recovery process. POTENTIAL RISKS AND COMPLICATIONS OF SLIDING GENIOPLASTY Like all surgical procedures, sliding genioplasty comes with potential risks and complications. Here are some of the most common and significant ones: Infection: As with any surgical procedure, there’s a risk of infection at the surgical site. Proper post-operative care and antibiotics can help minimize this risk. Nerve Damage:

CHIN REDUCTION SURGERY (REDUCTION GENIOPLASTY) Chin reduction surgery, also known as reduction genioplasty or mentoplasty, is a surgical procedure designed to reduce the size of the chin to achieve a more balanced facial appearance. This procedure can be performed for both aesthetic and functional reasons. Here’s a more detailed breakdown of the chin reduction genioplasty procedure: PROCEDURE CONSULTATION Before the procedure you will have an in-depth scheduled consultation with Dr Sandeep. This will include discussing your aesthetic goals, taking medical history, and performing a physical examination. Imaging studies, like X-rays or CT scans, might be taken to evaluate the chin’s bone structure. Preoperative photographs will be taken for discussion and computer simulation to demonstrate the potential results of proposed surgery. ANAESTHESIA The procedure is typically performed under general anaesthesia, so the client is asleep and feels no pain. INCISION Dr Sandeep will make an incision inside the mouth (intraoral approach). The intraoral approach has the advantage of leaving no visible scars, but there’s a slightly increased risk of infection. BONE WORK Dr Sandeep will use specialized instruments to cut and remove a portion of the chin bone (mandible) or reposition the bone in a more posterior and superior position. The amount of bone removed and moved depends on the desired reduction. After bony work, the chin’s tip will be repositioned and fixed in place using titanium plates and screws. CLOSURE The incisions are sutured closed using sutures which will dissolve on their own over time. RECOVERY The client might have a dressing or bandage applied to the chin area. Swelling, bruising, and discomfort are common post-operatively. These symptoms usually improve over a week or two. Pain can be managed with prescribed medications. If the intraoral approach was used, oral hygiene is crucial to prevent infections. Rinsing with an antiseptic mouthwash might be recommended. A soft or liquid diet might be advised for a few days to a week. Most clients can return to work and regular activities within a week or two. However, strenuous activities and exercises should be avoided for about 4-6 weeks. FOLLOW-UP Dr Sandeep will schedule follow-up appointments to monitor the healing process, remove non-absorbable sutures (if used), and address any concerns. ADVANTAGES OF REDUCTION GENIOPLASTY IMPROVED FACIAL PROPORTIONS One of the primary reasons people opt for reduction genioplasty is to achieve a more balanced and harmonious facial appearance. A chin that is too prominent can overshadow other facial features. ENHANCED PROFILE The procedure can improve the side profile of an individual, making the chin align better with the rest of the facial features. CORRECTION OF DEFORMITIES OR ASYMMETRY For individuals who have chin deformities or asymmetry due to congenital conditions, trauma, or other reasons, reduction genioplasty can provide a corrective solution. COMPLEMENTARY TO OTHER PROCEDURES Reduction genioplasty can be combined with other facial surgeries, such as rhinoplasty, to achieve a comprehensive facial rejuvenation or balance. BOOSTED SELF-CONFIDENCE For many, having a chin that they feel is too large can be a source of self-consciousness. By adjusting the chin to a size that feels more natural and proportionate, many clients experience a boost in self-esteem and confidence FUNCTIONAL BENEFITS In some cases, a large chin can cause functional issues, such as discomfort when lying face down or difficulty fitting into certain protective equipment like helmets. Reduction genioplasty can alleviate these issues. PERMANENT RESULTS Unlike some cosmetic procedures that might require regular maintenance or touch-ups, the results of a reduction genioplasty are permanent. MINIMAL SCARRING The incisions made during a reduction genioplasty are typically placed inside the mouth or under the chin, making any potential scars less noticeable. SAFETY When performed by a qualified and experienced surgeon, reduction genioplasty is generally safe with a low risk of complications. LIMITATIONS OF REDUCTION GENIOPLASTY Dr Sandeep and his team are always transparent about the limitations of surgical procedures, including reduction genioplasty. Here are some of the key limitations that they discuss with their clients: LIMITED CHANGE Reduction genioplasty can reduce the size and projection of the chin, but there are anatomical limits to how much change can be achieved without compromising function or aesthetics. Sometimes the overlying skin does not conform to the bony contouring due to its plasticity, thus rendering the procedure less effective. AGE RESTRICTIONS The procedure is generally not recommended for individuals whose facial bones are still growing, typically those under 18. HEALTH CONDITIONS Clients with certain medical conditions, such as diabetes or immune system disorders, may have a higher risk of complications and may not be suitable candidates. NOT A COMPREHENSIVE SOLUTION While reduction genioplasty addresses the chin, it doesn’t solve issues with other facial features. Sometimes, additional procedures like rhinoplasty or neck liposuction are needed for balanced facial aesthetics. UNREALISTIC EXPECTATIONS Sometimes, clients have expectations that are too high or misaligned with what the surgery can realistically achieve, leading to perceived failure of the procedure. VARIABLE HEALING Every client heals differently, and individual variations in scarring or bone remodelling can affect the final result. PSYCHOLOGICAL LIMITATIONS Emotional well-being is essential for a successful outcome. Clients with unrealistic expectations or underlying psychological conditions may not be satisfied with the surgery. COST The procedure can be expensive, and it’s often not covered by insurance as it’s considered cosmetic rather than medically necessary. DOWNTIME Postoperative recovery requires a period of rest and limited activity, which may not be feasible for everyone due to work or personal commitments. POSSIBILITY OF REVISION SURGERY In some cases, a second surgery may be needed to correct issues or achieve desired results, adding to the cost and recovery time. POTENTIAL RISKS AND COMPLICATIONS OF CHIN REDUCTION SURGERY Like all surgical procedures, sliding genioplasty comes with potential risks and complications. Here are some of the most common and significant ones: Infection: As with any surgical procedure, there’s a risk of infection at the surgical site. Proper post-operative care and antibiotics can help minimize this risk. Nerve Damage: The inferior alveolar and mental nerves, which provides sensation to the lower lip and chin, runs

CHIN IMPLANT SURGERY Here’s a step-by-step overview of the Chin Implant procedure: CONSULTATION During the consultation Dr Sandeep will discuss your goals and expectations. He will then evaluate your facial anatomy, skin elasticity, bone structure and dental occlusion to assess the appropriate method of chin augmentation most suitable for you. If chin implant is assessed to be the best option for you Dr Sandeep will select the appropriate size and shape of the chin implant. IMAGING X-rays or 3D CT scan imaging techniques are used to plan the surgery by assessing the bone structure and the degree of chin augmentation or reduction needed. PRE-OPERATIVE PHOTOGRAPHS Purpose: They are taken from multiple angles to provide a clear understanding of the patient’s current anatomy and discuss their aesthetic concerns. Comparison: These photos are used as a baseline to compare with post-operative results. COMPUTER SIMULATION Visualization: Utilizing advanced software, Dr Sandeep can manipulate pre-operative images to simulate potential outcomes of the surgery. Communication: This aids in ensuring that the surgeon and patient have a mutual understanding of the desired goals and realistic expectations. Customization: Computer simulations allow for adjustments and refinements to the surgical plan, tailored to the patient’s unique facial structure. Both pre-operative photographs and computer simulations are integral to the process, helping to guide the surgery and set expectations for the final result. PRE-OPERATIVE PREPARATION You may be asked to undergo certain lab tests, X-rays and CT scan of the face as preparation for surgery. Medications might be adjusted, and certain drugs, like aspirin, and certain herbal medications and health supplements may be stopped to reduce the risk of bleeding. Smoking should be stopped well in advance of the surgery as it can impair healing. Instructions will be given regarding eating and drinking on the day of the surgery. ANAESTHESIA The procedure can be performed under local anaesthesia with sedation or general anaesthesia. INCISION During surgery Dr Sandeep will make a small incision either inside the mouth (intraoral approach) or under the chin (submental approach). The intraoral approach leaves no visible scar, but there might be a slightly higher risk of infection since the mouth contains bacteria. The submental approach leaves a small barely perceptible scar under the chin, but it’s usually well-hidden and offers a direct view for the surgeon. IMPLANT INSERTION A pocket is created in front of the chin bone and under the muscles. The implant, which is typically made of silicone or another biocompatible material, is then inserted into this pocket. The implant is positioned and adjusted to achieve the desired look. Dr Sandeep may fix the implant to the bone with titanium screws to reduce the risk of implant migration and consequent asymmetry after surgery. CLOSURE OF INCISION The incision is closed using sutures. If the incision is inside the mouth, absorbable sutures are typically used, which dissolve on their own. If the incision is under the chin, the sutures might need to be removed in a follow-up visit. RECOVERY There will be some swelling, bruising, and discomfort after the surgery. A chin bandage may be applied to reduce the swelling. Cold compresses can help reduce swelling. Pain medication and antibiotics may be prescribed. It’s advised to keep the head elevated and avoid vigorous physical activity for a few days after surgery. Most clients can return to work within a week, but strenuous activities should be avoided for several weeks. If the incision was made inside the mouth, a soft diet might be recommended for a few days. FOLLOW-UP Dr Sandeep will schedule follow-up visits to monitor the healing process and ensure the implant is in the correct position. Sutures will be removed on day 5 to 7. POTENTIAL RISKS AND COMPLICATIONS OF CHIN IMPLANTATION Chin implantation, like any surgical procedure, carries inherent risks and potential complications. While many people undergo chin augmentation without experiencing significant problems, it’s essential to be informed about the potential risks and complications. Infection: As with any surgical procedure, there’s a risk of infection. If the incision is made inside the mouth, the risk might be slightly higher due to the presence of oral bacteria. Implant Displacement: The implant can shift from its original position, leading to an asymmetrical or undesired appearance. This might require a revision surgery to correct. Nerve Damage: The surgery can potentially damage the nerves in the area like the mental nerve, leading to numbness or tingling in the chin or lower lip. While this is often temporary, there’s a small chance it could be permanent. Scarring: If the incision is made under the chin, there’s a risk of visible scarring. However, Dr Sandeep usually places the incision in a discreet location to minimize its visibility. Capsular Contracture: This is when the scar tissue that naturally forms around the implant tightens and compresses it. This can change the shape and feel of the implant and might require surgical intervention. Bone Resorption: In some cases, the presence of an implant can lead to the resorption or erosion of the underlying chin bone over time. Overcorrection or Under-correction: The chin might appear too prominent or not prominent enough after the surgery, leading to dissatisfaction with the results. Adverse Reaction to Anaesthesia: As with any procedure requiring anaesthesia, there’s a risk of complications such as allergic reactions or breathing difficulties. Hematoma or Seroma: A collection of blood (hematoma) or clear fluid (seroma) might form around the implant site. This might require drainage or additional procedures. Implant Extrusion: Rarely, the implant might work its way out through the skin, necessitating removal. Dissatisfaction with Cosmetic Results: Even if the procedure goes smoothly, there’s always a risk that the client might not be satisfied with the final appearance. Chronic Discomfort: Some clients might feel discomfort or a foreign body sensation in the area of the implant. To minimize these risks, it is essential to have a thorough discussion with Dr Sandeep about the potential risks and benefits of the procedure to make an informed decision regarding chin implantation. Dr Sandeep uses techniques