Aesthetic Plastic Surgery

, Volume 37, Issue 1, pp 139–143 | Cite as

Narrowing and Lengthening Genioplasty with Pedicled Bone Graft in Contouring of the Short and Wide Lower Face

  • Sangwoo Lee
  • Baek-kyu Kim
  • Rong-Min Baek
  • Jihyeon Han
Original Article Aesthetic



A short and wide lower face is perceived as unattractive and masculine. Simply contouring the mandibular body and angle is insufficient to make the lower face with short and wide features slimmer and more feminine. In many cases, vertical elongation of the chin together with a bone graft is necessary. This can cause infection, donor-site morbidity and height loss by resorption of the grafted bone. To prevent this problem, the authors performed a pedicled interpositional graft with the discarded bone from narrowing genioplasty, and the results were aesthetically satisfactory.


From March 2010 to September 2011, 32 patients who received chin narrowing and vertical lengthening surgery at the authors’ clinic were included in this study. For all the patients, the remnant mandibular bone at the stepoff from the site of the genioplasty to the mandibular angle was reduced concurrently.


No complications occurred, and all the patients were satisfied with their postoperative results.


Harmonizing the vertical length and transverse width of the chin is essential to acquiring more favorable results in mandibular contouring. The authors recommend pedicled interpositional bone grafting in narrowing genioplasty as a safe and useful method for aesthetic chin lengthening.

Level of Evidence IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors


Aesthetic chin lengthening Mandibular contouring Narrowing genioplasty Pedicled interpositional bone grafting genioplasty 


  1. 1.
    Park MC, Kang M, Lim H et al (2011) Mandibular tubercle resection: A means of maximizing the benefits of reduction mandibuloplasty. Plast Reconstr Surg 127:2076–2082PubMedCrossRefGoogle Scholar
  2. 2.
    Park S, Noh JH (2008) Importance of the chin in lower facial contour: Narrowing genioplasty to achieve a feminine and slim lower face. Plast Reconstr Surg 122:261–268PubMedCrossRefGoogle Scholar
  3. 3.
    Zhang Z, Tang R, Tang X et al (2010) The oblique mandibular chin–body osteotomy for the correction of broad chin. Ann Plast Surg 65:541–545PubMedCrossRefGoogle Scholar
  4. 4.
    Rosen HM: Aesthetic guidelines in genioplasty: The role of facial disproportion. Plast Reconstr Surg 95:463–469; discussion 470–462, 1995Google Scholar
  5. 5.
    Li J, Hsu Y, Khadka A et al (2011) Contouring of a square jaw on a short face by narrowing and sliding genioplasty combined with mandibular outer cortex ostectomy in orientals. Plast Reconstr Surg 127:2083–2092PubMedCrossRefGoogle Scholar
  6. 6.
    Baek RM, Han SB, Baek SM: Surgical correction of the face with the square jaw and weak chin: Angle-to-chin bone transfer. Plast Reconstr Surg 108:225–231; discussion 232, 2001Google Scholar
  7. 7.
    Rosen HM (1988) Surgical correction of the vertically deficient chin. Plast Reconstr Surg 82:247–256PubMedCrossRefGoogle Scholar
  8. 8.
    Frodel JL, Sykes JM, Jones JL (2004) Evaluation and treatment of vertical microgenia. Arch Facial Plast Surg 6:111–119PubMedCrossRefGoogle Scholar
  9. 9.
    Wolfe SA (1987) Shortening and lengthening the chin. J Craniomaxillofac Surg 15:223–230PubMedCrossRefGoogle Scholar
  10. 10.
    Kim GJ, Jung YS, Park HS et al (2005) Long-term results of vertical height augmentation genioplasty using autogenous iliac bone graft. Oral Surg Oral Med Oral Pathol Oral Radiol Endodontics 100:e51–e57CrossRefGoogle Scholar
  11. 11.
    Grime PD, Blenkinsopp PT (1990) Horizontal-T genioplasty: a modified technique for the broad or asymmetrical chin. Br J Oral Maxillofac Surg 28:215–221PubMedCrossRefGoogle Scholar
  12. 12.
    Jin H, Kim BG (2004) Mandibular angle reduction versus mandible reduction. Plast Reconstr Surg 114:1263–1269PubMedGoogle Scholar
  13. 13.
    Jin H (2005) Misconceptions about mandible reduction procedures. Aesthetic Plast Surg 29:317–324PubMedCrossRefGoogle Scholar
  14. 14.
    Satoh K (2004) Mandibular contouring surgery by angular contouring combined with genioplasty in orientals. Plast Reconstr Surg 113:425–430PubMedCrossRefGoogle Scholar
  15. 15.
    Rosen HM (1991) Aesthetic refinements in genioplasty: the role of the labiomental fold. Plast Reconstr Surg 88:760–767PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York and International Society of Aesthetic Plastic Surgery 2013

Authors and Affiliations

  • Sangwoo Lee
    • 1
  • Baek-kyu Kim
    • 2
  • Rong-Min Baek
    • 2
  • Jihyeon Han
    • 2
  1. 1.View Plastic Surgery ClinicSeoulKorea
  2. 2.Department of Plastic and Reconstructive SurgerySeoul National University College of Medicine, Seoul National University Bundang HospitalSungnam-siKorea

Personalised recommendations