PRS KOREA 2021
The Next Normal, A New Journey / 2021. 11. 12 Fri. – 14 Sun. / Virtual Conference / www.prskorea.org
2021년 11월 12일~14일까지 열린 PRS KOREA 2021 (대한성형외과학회 국제 컨퍼런스)에서 임종우 원장님이 "Personal Ideal Genioplasty Method" (개인별 맞춤 앞턱성형수술법, 비스포크 V라인수술)을 주제로 발표하였습니다.
Personal Ideal Genioplasty Method
One Percent Plastic Surgery Clinic Lim Jongwoo, M.D.
Chin deformities
Microgenia (small chin) / Retrogenia (posterior positioned) / Pseudoretrogenia (Retrognathia or Long face) / Macrogenia (large chin) / Pseudomacrogenia (excess soft ts.) — Ward JL, Garri JI, Wolfe SA. The osseous genioplasty. Clin Plast Surg. 2007;34:485–500.
Simplified Classification for Op. planning
Width, Height, Central border — Type 1: Wide / Normal / Flat · Type 2: Wide / Short / Flat or Bifid · Type 3: Wide / Long / Flat · Type 4: Narrow / Long / Pointed · Type 5: Wide / Long / Bifid
Individual preference matters
Present chin shape → Desired chin shape / Matching by customized genioplasty
Wide, normal Height chin (Type 1)
Narrowing genioplasty with T osteotomy (inverted V osteotomy)
Wide & Short chin (Type 2)
Narrowing & Lengthening genioplasty
Possible concerns ?
Wide & Long chin (Type 3)
Narrowing & Vertical reduction genioplasty (T+VR)
Wide & Long chin (Type 3)
If patient desire more pointed chin shape → Bow-tie osteotomy
Narrow & Long chin (Type 4)
If patient desire more round chin shape → Spade osteotomy
Wide, Long & Bifid chin (Type 5)
Narrowing, Reduction & Lengthening genioplasty (Combination)
Op. plan in each type
Op. — Type 1: T · Type 2: T+lengthening · Type 3: T+shortening · Type 4: Shortening main · Type 5: Combination (2&3)
Conclusion
Accurate evaluation of chin in three-dimensions is crucial. / Count on individual preference on chin shape. / Customized genioplasty according to both present shape and desired shape is important.
