Wedge Osteotomy for Correction of Chin Asymmetry

Chin deviation is generally the visible reflex of a mandibular asymmetry. The difficulty in obtaining a symmetrical result exists, but it can be minimized with the appropriate surgical technique. This article reports the mentoplasty technique with wedge osteotomy performed in an individual with a right-sided chin deviation. Three osteotomies were performed vertically and equidistantly, forming a bone wedge on the contralateral side of the deviation. Horizontal repositioning associated with the rotation caused by the vertical impaction of the chin after bone wedge removal was effective in solving esthetic problems of facial asymmetry, meeting the patient's main complaint. Address correspondence and reprint requests to Pedro Jorge Cavalcante Costa, DDS, MSc, Centro Universitário Tiradentes, Av Comendador Gustavo Paiva, 5017, Cruz das Almas, Maceió AL 57038-000, Brazil; E-mail: pedrojorgeccosta@hotmail.com Received 28 July, 2017 Accepted 5 October, 2017 The authors report no conflicts of interest. © 2018 by Mutaz B. Habal, MD.

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