title: Secondary Genioplasties for the Treatment of Chin Deformities After Orthognathic Surgery in Asian Women: Defining the Aesthetic Importance of Managing the Chin Shape in Orthognathic Surgery.
abstract: BACKGROUND
  Achieving aesthetically favorable results in orthognathic surgery is equally as important as good postoperative occlusion and jaw function. Orthognathic surgery that only changes profile or proportion in the vertical dimension can often lead to patient's dissatisfaction and additional surgical revision. To achieve maximal aesthetic improvement and postoperative patient's satisfaction, the chin shape should be considered as important a component of orthognathic surgery as dental occlusion or jaw function.
  
  
  METHODS
  From April 2010 to January 2014, 82 female patients with aesthetic complaints after previous orthognathic surgery visited our clinic for reevaluation and management. Among those 82 patients, 54 patients who were dissatisfied with their lower facial shape from the frontal view underwent revision surgery with narrowing genioplasty and contouring of the lower border of the mandible.
  
  
  RESULTS
  Facial shapes, when viewed from the front in all patients, became more slender and balanced postoperatively, and there was no need for additional surgical revisions in this series. There were no significant complications caused by our surgical revisions.
  
  
  CONCLUSIONS
  Good aesthetic results were obtained after 54 secondary genioplasties for chin deformities after orthognathic surgery. These results suggest that surgeons should give more attention to managing chin shape when performing orthognathic surgery to meet the high aesthetic demands of patients and to avoid surgical revisions.
authors.affiliation: From the *DA Plastic Surgery Clinic, Seoul, Korea; and †Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul, Korea.
authors.forename: Sang Woo
authors.initials: SW
authors.lastname: Lee
authors.forename: Seung Hyun
authors.initials: SH
authors.lastname: Ahn
authors.forename: Yujin
authors.initials: Y
authors.lastname: Myung
mesh_terms: D000328:Adult; D044466:Asian People; D003357:Cosmetic Techniques; D004954:Esthetics; D005260:Female; D063172:Genioplasty / Q000379:methods*; D006801:Humans; D056948:Orthognathic Surgical Procedures; D017063:Outcome Assessment, Health Care; D017060:Patient Satisfaction; D012086:Reoperation