RealSurgerymax
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A genioplasty pulls the muscles behind the chin and is your own bone just with a thin titanium plate and 4-6 screws. In this case six screws were used for maximal stability.How is this different to a normal chin implant? Which surgeon did this
A custom cutting guide and plate works like a jig and makes sure bones are only moved where they were planned in the 3D planning and predictions. It’s easy for users here to think it’s not needed because users here imagine surgery to be easy (which shows how ignorant they are) but the fact or the matter is you have a tight envelope of skin and muscles covering and contracting everything and it’s hard to put things where you plannned to through a small hole and with osteotomized bones pulling back in the opposite direction you want. I have endless results of bad freehand genioplasty for anyone who thinks it’s hard to mess up, it’s very easy to get an asymmetric result or worse.
Performed by a Canadian board certified OMS:
Another sloppy freehand genioplasty:
Freehand can never be exactly like the plan. Only close, if you’re lucky.
Genioplasty doesn’t need custom plate but it helps. Something like a cosmetic orbital box osteotomy custom plates are great.
Anyone who has been around long enough to see a few bimaxes knows their freehand bimax was always different than the plan. It’s really the norm. Surgeon agrees to say 11mm BSSO advancement and then you wake up with 6mm advancement.. all the time!