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Invited Commentary |

Osteotomy vs Augmentation Genioplasty Which Is Best?

Daniel J. Meara, MD, DMD1
[+] Author Affiliations
1Department of Oral and Maxillofacial Surgery & Hospital Dentistry, Christiana Care Health System, Wilmington, Delaware
JAMA Facial Plast Surg. 2016;18(2):118-119. doi:10.1001/jamafacial.2015.2123.
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Patients seeking improved lower facial esthetics through genioplasty are often confronted with the options of bony advancement osteotomy vs implant augmentation. The choice of one of these options vs the other is often based on surgical experience and training rather than evidence-based data.1 Implant surgery is less invasive and reversible but carries the risks of underlying bony resorption and hardware infection.25 Osteotomy is more versatile and long lasting and can provide functional improvements, if the genial tubercles are involved in the design, but is more invasive and technically more challenging.6,7 Chan and Ducic suggest that advancement genioplasty should be more readily used because of the potential functional benefits that accompany its esthetic changes.8 They report it to be a safe, reliable, and effective method that is reproducible by all surgeons, regardless of whether trained in otolaryngology, plastic surgery, or oral and maxillofacial surgery.

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