Open AccessIntraoral Approach to Chin Augmentation
Author(s) -
Aynehchi Behrad B.,
Parhiscar Afshin,
Burstein David H.
Publication year - 2011
Publication title -
otolaryngology–head and neck surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.232
H-Index - 121
eISSN - 1097-6817
pISSN - 0194-5998
DOI - 10.1177/0194599811416318a25
Subject(s) - chin , medicine , silicone , fibrous joint , genioplasty , patient satisfaction , surgery , dentistry , displacement (psychology) , mental nerve , psychology , chemistry , organic chemistry , psychotherapist , anatomy
Objective Silicone augmentation mentoplasty is a common procedure with consistent results in properly selected patients. While many plastic surgeons employ external approachs, the intraoral method affords acceptable aesthetic outcomes while avoiding an external scar. To date, a series of this magnitude involving the intraoral route has yet to be reported. Method A total of 125 patients underwent chin augmentation with silicone implants between 2004 and 2010. Among these implants, 105 were placed transorally. 85 patients were followed for at least one year. Demographic information, indications, patient satisfaction questionnaire results, and complications were recorded. Results All implants yielded satisfactory results with no displacement, infection, tissue reaction, lower lip incompetence, or mental nerve injury. In addition, no intraoral contamination of implants occured. Two cases of superficial mucosal irritation at suture sites were observed and resolved without consequence. Symmetry, projection, and overall balance of facial components were excellent as well. Although all patients were satisfied with the functional and aesthetic results, 20% stated they would like further augmentation. Patients were extremely satisfied with the lack of an external scar. Conclusion Silicone augmentation mentoplasty is a relatively simple, reliable, and aesthetically pleasing procedure associated with minimal morbidity. Based on our series, with the avoidance of excessively large implants, the intraoral technique is recommended for its lack of complications and circumvention of an external scar.