From the Departments of Otolaryngology–Head and Neck Surgery, Geisinger Health System, Danville, Pa (Dr Frodel), and the University of California Davis, Sacramento, (Dr Sykes); and the Division of Otolaryngology, Plastic and Reconstructive Surgery, University of New Mexico Health Sciences Center, Albuquerque (Dr Jones).
Objective To evaluate treatment of vertical microgenia in patients with chin deformities.
Methods Twenty-one patients were included in this retrospective review. The 3 authors performed a lengthening genioplasty with or without interpositional grafting on each patient in either an academic or a private practice setting.
Results Subjective analysis suggests a substantial improvement of lower face aesthetics in all patients. The degree of subjective change depended on the type of deformity, whether there was vertical microgenia alone or in combination with a sagittal (horizontal) deficiency, and the morphologic characteristics of the labiomental sulcus. There were no significant complications.
Conclusion Vertical lengthening of the chin should be considered in patients with the combination of a vertically short lower facial height, deepened labiomental fold, recessive chin, and recessive and/or procumbent lower lip.
Frodel JL, Sykes JM, Jones JL. Evaluation and Treatment of Vertical Microgenia. Arch Facial Plast Surg. 2004;6(2):111-119. doi:10.1001/archfaci.6.2.111