The Holy Grail Surgery for the Lower Third (Not Bimax btw)

DravidianBvll

DravidianBvll

"I'd rather die on my feet, than live on my knees"
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The Mini Wing Genioplasty.

It's a variant of a genioplasty, where the cut is extended just short of the gonion, roughly just below one's wisdom tooth.

Screenshot 2025 09 15 230726


Why its superior to a traditional genioplasty:
- It will not create a 'notch' or 'step-off' which is commonly seen in large genioplasty movements.
- It is capable of much larger movements, up to 12mm safely, probably even more (It can essentially replace Bimax/ BSSO as long as your maxilla isn't too bad)
- It makes the chin AND anterior mandible appear WIDER from the front profile.
- Has much greater affect on the soft tissue of lower third.

In fact, the affect on the soft tissue is probably the most extraordinary thing about the surgery, and logically, due the nature of cut being a gigantic horseshoe shape , it can easily give the aesthetic results of BSSO + Traditional Genio (In most cases).

A quote from the scientific paper about it:
" The major advantage of the Mini Wing is its significant overall effect on the soft tissues of the lower
third of the face. The mandible being shaped like a horseshoe, its width is greater at the level of
molars than canines. Thus, the Mini Wing propulsion movement brings a larger basilar fragment
forward. (Fig 2) This bony contribution exerts a tension on all the soft tissues and particularly those
of the lateral inferior part of the face. On the contrary, classical genioplasty mobilizes only the soft
tissues of the chin region"


Insane result:
Screenshot 2025 09 15 230808


Gonna be planning the exact movements with my surgeon on Friday and hopefully I can get it done by mid October.

Seriously consider this procedure over bimax or genio if you're unhappy with your lower third. Some you might have already seen some crazy ascensions from just genio alone, now imagine what this could do...

(PLEASE DROP SOME REACTIONS CUS I DON'T WANNA BE A GREY, ALSO BTB TIER???)
 
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Impressive results. Nice thread, OP.
 
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Based username
 
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  • JFL
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ltn to ltn
 
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Sub3 to sub3
 
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Just focus on the jaw tho, you have to admit it's an insane result.
agreed

issue is his eye area appears a bit worse, eyes kinda droppy. dunno if cuz of the surgery of he simply aged

but the chin+jaw area was a huge transformation
 
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agreed

issue is his eye area appear worse. dunno if cuz of the surgery of he simply aged
I think its the lighting, but his eye area is beyond the scope of the surgery. Should've blurred the top half of his face jfl.
 
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@DravidianBvll you know any surgeons who do this? preferably some place like Italy or Turkey definitely not USA
 
@DravidianBvll you know any surgeons who do this? preferably some place like Italy or Turkey definitely not USA
Any genioplasty surgeon in France will do it since the technique was developed there, and it is the 'standard' genio technique there. Here are some of the guys I've consulted with, I'm gatekeeping my surgeon though.

https://chirurgie-du-menton.fr/



 
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Any genioplasty surgeon in France will do it since the technique was developed there, and it is the 'standard' genio technique there. Here are some of the guys I've consulted with, I'm gatekeeping my surgeon though.

https://chirurgie-du-menton.fr/



Thanks, how much does it cost? looked it up online can’t find anything to do with costs all I'm seeing is standard genioplasty prices jfl, if u could give me a range i should expect before consultation that would be appreciated
 
Looks really good, jfl at people on this forum. Talking shit about any result they see, hope they get surgery themselves and realize they wont become some chad lol
 
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Thanks, how much does it cost? looked it up online can’t find anything to do with costs all I'm seeing is standard genioplasty prices jfl, if u could give me a range i should expect before consultation that would be appreciated
I was quoted anywhere from 5-8k EUR.
 
I was quoted anywhere from 5-8k EUR.
better than what Giant would have charged me for his implant genio hybrid tbh thank you for your time and bringing this to my attention buddy boyo, May your surgery go well and you ascend Insha'Allah
 
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Nice result. Chin wings are under-rated on this forum
 
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Any genioplasty surgeon in France will do it since the technique was developed there, and it is the 'standard' genio technique there. Here are some of the guys I've consulted with, I'm gatekeeping my surgeon though.

https://chirurgie-du-menton.fr/



C’est un chir Parisien ?
Et je suis pas sûr que tous les chir français fassent ça

And OP who do you think is best candidate for this over traditional trimax ?
 
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C’est un chir Parisien ?
Et je suis pas sûr que tous les chir français fassent ça

And OP who do you think is best candidate for this over traditional trimax ?
He's not in Paris. I'm not saying all surgeons in France do it, but in all of the consultations with French surgeons, all them recommended the mini wing technique, and my surgeon says he does mini wing more often than traditional sliding genio.

As for the best candidate, I would say anyone who doesn't have a significant maxillary deficiency (They would need bimax). I myself have mild sfs, but my surgeon agreed just the mini wing can provide a satisfactory aesthetic outcome.
 
this is very cool, almost the exact same movement as BSSO but without actually changing bite. I don't know how comparable it is to bimax however given most people getting bimax will also get CCW which this genioplasty cannot replicate.

how common is this procedure? do many surgeons offer it?
 
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how common is this procedure? do many surgeons offer it?
It's quite niche, I've only seen surgeons in France and a few German and Swiss surgeons explicitly offer it. However, according the paper published about it, it isn't anymore complicated than a traditional genio, so really any genio surgeon could do, you would just have to convince them.
 
It's quite niche, I've only seen surgeons in France and a few German and Swiss surgeons explicitly offer it. However, according the paper published about it, it isn't anymore complicated than a traditional genio, so really any genio surgeon could do, you would just have to convince them.
I see. I wanted a way of projecting my chin while still maintaining its square shape (didn't want a pointy chin). Do you think this surgery could be done after a BSSO (from bimax), or would the metal plates interfere with the genioplasty cuts?

My current plan was bimax + genioplasty (1 operation) and then filler/implant for chin squareness, but if I could just do bimax+mini wing genioplasty it may be easier and aesthetically superior.
 
I see. I wanted a way of projecting my chin while still maintaining its square shape (didn't want a pointy chin). Do you think this surgery could be done after a BSSO (from bimax), or would the metal plates interfere with the genioplasty cuts?

My current plan was bimax + genioplasty (1 operation) and then filler/implant for chin squareness, but if I could just do bimax+mini wing genioplasty it may be easier and aesthetically superior.

Yes, it is explicitly stated in the paper that the mini-wing can be done with a BSSO.

"The advantage of Mini Wing over the Chin Wing lies in its ability associate any type of classical BSSO
(Epker(5) or Obwegeser osteotomy(6)), in the setting of orthodontic-surgical protocols (Fig 3). On the
contrary, the Chin Wing’s extension to the angles requires a modification of the BSSO(7) or the use of
a high oblique osteotomy as described by Kater and Paulus(8)."


In the paper below there are ct scans of a patient who had it done in conjunction with a BSSO.
 

Attachments

  • Mini Wing osteotomy_ a variant of Chin Wing osteotomy -- Cordier, G_; Sigaux, N_; Carlier, A_;...pdf
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