Combined Rhinoplasty and Genioplasty

Abstract

Importance

Long-term follow-up reference for experienced clinicians dedicated to profileplasty.

Objective

To evaluate the long-term results and complications of combined rhinoplasty and genioplasty.

Design

Retrospective study including objective and subjective evaluation before and after 3 years of undergoing simultaneous open rhinoplasty and genioplasty among a cohort of 90 patients.

Setting

Academic medical center.

Patients

A total of 90 cases of combined rhinoplasty and genioplasty performed from January 2002 through January 2004 were reviewed to evaluate the stability of the esthetic result.

Main Outcome Measure

Long-term stability of the esthetic outcome of the simultaneous open rhinoplasty and genioplasty.

Results

Soft-tissue Pogonion projection to the true vertical line and mandibular height (mandibular incisor tip to menton) were recorded. As far as reduction genioplasty patients are concerned, 45.6% of the patient population had a 100% stability after 3 years (<0.25 mm resorption measured at the menton). On the other hand, if augmentation genioplasty patients are considered, 52.4% (22 patients with a vertical augmentation range from 4-6 mm; mean, 5.3 mm; and 25 patients with a sagittal augmentation from 6-8 mm; mean, 7.2 mm) had 100% stability after 3 years. The chin was stable with no more than 1 mm of recurrence.

Conclusions and Relevance

The results of the study indicate that the combined approach in correcting the facial profile is an effective procedure to achieve a more harmonic and consistent clinical outcome. The recurrence rate of less than 1 mm on the chin bone measurements is relevant to support this statement. An aesthetically proportionate face is strongly determined by the nasal-cervical relationship when observing the patient's profile. Even after a successful rhinoplasty, the patient's face can lack aesthetic attractiveness. Combined rhinoplasty-genioplasty is usually the best solution, particularly for patients with microgenia. It provides optimum patient satisfaction with a low incidence of recurrence.

Level of Evidence

4.

To evaluate the long-term results and complications of combined rhinoplasty and genioplasty Bertossi and colleagues retrospectively reviewed the esthetic result of 90 patients who underwent combined rhinoplasty and genioplasty from January 2002 through January 2004.