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Article

Esthetic Surgery of the Chin in Cis- and Transgender Patients—Application of T-Genioplasty vs. Single-Piece Segment Lateralization

by
Rafał Pokrowiecki
1,*,
Barbora Šufliarsky
2 and
Maciej Jagielak
3
1
Prive Esthetic and Facial Feminization Surgery Centre, 02-640 Warsaw, Poland
2
Department of Oral and Maxillofacial Surgery, Faculty of Medicine, Comenius University in Bratislava and University Hospital, 81372 Bratislava, Slovakia
3
Orthognatic, Private Practice, 05-090 Warsaw, Poland
*
Author to whom correspondence should be addressed.
Medicina 2024, 60(1), 139; https://doi.org/10.3390/medicina60010139
Submission received: 12 November 2023 / Revised: 16 December 2023 / Accepted: 21 December 2023 / Published: 11 January 2024

Abstract

Background and Objectives: Correction of lower face asymmetry still remains challenging in maxillofacial surgery. This report describes techniques for the lateral transposition of the symphyseal segment to restore lower face symmetry while maintaining gender-related features in cis- and transgender patients. Materials and Methods: A retrospective review of medical records of 31 patients who attended for esthetic corrective surgery after orthodontic camouflage or orthognathic treatment, or during facial feminization of the lower face between June 2021 and June 2023 was performed. Result: All patients underwent lateralization genioplasty (with or without advancement or setback), either with or without narrowing T-osteotomy supplemented with necessary procedures in order to obtain proper facial balance and desired esthetical effects, such as bichectomy, liposuction, and face and neck lift. The mean asymmetry of the chin was 5.15 mm and was surgically corrected either by single segment lateralization or T-shape narrowing genioplasty depending on the gender and esthetical requirements. No complications were reported. Conclusions: Lateral shift genioplasty serves as a powerful tool in primary and secondary corrective surgery for lower face asymmetry that maintains gender-specific facial features. It may serve either as an additive to orthodontic camouflage or a way to correct previous orthognathic surgery pitfalls. The surgeon performing esthetic genioplasty associated with gender-specific expectations must be trained in facelift and facial liposculpting techniques in order to provide the best results and properly choose the right procedures for the right patients.
Keywords: facial feminization; gender-affirmation surgery; genioplasty; plastic surgery; craniofacial surgery; orthognathic surgery facial feminization; gender-affirmation surgery; genioplasty; plastic surgery; craniofacial surgery; orthognathic surgery

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MDPI and ACS Style

Pokrowiecki, R.; Šufliarsky, B.; Jagielak, M. Esthetic Surgery of the Chin in Cis- and Transgender Patients—Application of T-Genioplasty vs. Single-Piece Segment Lateralization. Medicina 2024, 60, 139. https://doi.org/10.3390/medicina60010139

AMA Style

Pokrowiecki R, Šufliarsky B, Jagielak M. Esthetic Surgery of the Chin in Cis- and Transgender Patients—Application of T-Genioplasty vs. Single-Piece Segment Lateralization. Medicina. 2024; 60(1):139. https://doi.org/10.3390/medicina60010139

Chicago/Turabian Style

Pokrowiecki, Rafał, Barbora Šufliarsky, and Maciej Jagielak. 2024. "Esthetic Surgery of the Chin in Cis- and Transgender Patients—Application of T-Genioplasty vs. Single-Piece Segment Lateralization" Medicina 60, no. 1: 139. https://doi.org/10.3390/medicina60010139

APA Style

Pokrowiecki, R., Šufliarsky, B., & Jagielak, M. (2024). Esthetic Surgery of the Chin in Cis- and Transgender Patients—Application of T-Genioplasty vs. Single-Piece Segment Lateralization. Medicina, 60(1), 139. https://doi.org/10.3390/medicina60010139

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