ABSTRACT

To evaluate our outcomes of augmentation mentoplasty with solid silicone in patients with retrognathia.

In total, 17 patients (14 females, 3 males; average age 30.2 years; range 24-37 years) who underwent augmentation mentoplasty with solid silicone combined by septorhinoplasty were included in this study. Submental or gingivobuccal incision was performed in all the patients. The post-operative results of the augmentation mentoplasty were evaluated with reference to 3 criteria, i.e., patient satisfaction, physician aesthetic evaluation, and complications. The evaluation of the surgical results was formulated by adding scores from all 3 criteria.

The mean follow-up was 18.5 months with the shortest and the longest being 4 and 33 months, respectively. Gingivolabial incision was performed in 4 patients (23.5%) and submental incision was performed in 13 patients (76.5%), respectively. There were no permanent complications in any patient. Overall, 15 patients (88.2%) were extremely pleased with the procedure. In total, 16 patients (94.12%) showed a significant improvement after augmentation mentoplasty with solid silicone according to the aesthetic evaluation by the physician. Revision mentoplasty was not performed in any patient.

Augmentation mentoplasty with solid silicone is a safe and effective means of creating a beautiful and balanced facial profile by producing alterations in the chin morphology with excellent and stable long-term results. Increased experience in augmentation mentoplasty will contribute to the further development of this surgery.

Keywords: Augmentation, mentoplasty, submental