Dr. de Clermont-TonnerrePlastic Surgeon

Paris 16th & Pontoise (95)

Genioplasty

Chin surgery — Paris 16th & Pontoise

Genioplasty corrects chin anomalies to harmonise the facial profile. An underdeveloped chin (microgenia) or an overly prominent one unbalances the features and may be a source of self-consciousness. Performed in Paris 16th and Pontoise by Dr. de Clermont-Tonnerre, it uses a chin implant or osteotomy depending on the degree of correction required.

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Step by step

How the procedure works

01

Consultation and analysis

Morphological facial analysis, measurement of imbalances, choice of technique (implant or osteotomy). Profile simulation possible.

02

Pre-operative assessment

Blood tests, dental panoramic X-ray, anaesthetic consultation. Mandatory 15-day reflection period.

03

Procedure

General anaesthesia, duration 45 minutes to 2 hours. Intraoral incision (no skin scar). Implant placement or osteotomy with titanium screw fixation.

04

Immediate postoperative course

Soft diet for 3 weeks. Rigorous oral hygiene. Significant swelling of chin and cheeks for 2 to 4 weeks.

05

Follow-up

Consultations at day 15, 1 month, 3 months and 6 months. Definitive result visible at 6 months once swelling has completely resolved.

At a glance

Duration
45 min to 2 hours
Anaesthesia
General
Hospitalisation
Day case or 1 night
Time off work
7 to 14 days
Scar
Intraoral (invisible)
Definitive result
At 6 months

Advantages

  • Facial profile harmonisation
  • Invisible intraoral scar
  • Permanent results
  • Precise correction of imbalances
  • Can be combined with rhinoplasty
  • Significant boost to self-confidence

Risks

  • Haematoma or infection
  • Implant migration (rare)
  • Altered sensation of the chin and lower lip
  • Osteonecrosis (very rare, osteotomy)
  • Long-term bone resorption beneath the implant
  • Suboptimal result requiring revision

Insurance & Reimbursement

Aesthetic genioplasty is not reimbursed by French national health insurance. It remains entirely at the patient's expense. In cases of documented craniofacial malformations, coverage may be considered on specific medical indication.

Expected results

Genioplasty provides a natural harmonisation of the facial profile. The chin regains appropriate projection relative to the face morphology. The result is definitive and perceptible once the swelling resolves, with a final appearance at 6 months.

Before-and-after photographs available on request at the consultation.

Frequently asked questions

What is genioplasty?+
Genioplasty (or mentoplasty) is chin correction surgery. It can augment a receding chin (microgenia) using an implant or a genioplasty osteotomy, or reduce an overly prominent chin. It improves the facial profile and overall facial harmony.
What is the difference between a chin implant and an osteotomy genioplasty?+
A chin implant is a prosthesis placed in front of the chin bone. It is a simple, quick and reversible technique. Osteotomy genioplasty involves cutting and advancing (or setting back) the chin bone itself. More complex, it allows for larger corrections and three-dimensional modelling.
Is genioplasty painful?+
The procedure is performed under general anaesthesia and is painless. The postoperative course includes significant swelling of the chin and cheeks for 2 to 4 weeks, difficulty eating (soft diet), and mild to moderate pain well controlled by analgesics.
Can genioplasty be combined with rhinoplasty?+
Yes, genioplasty combined with rhinoplasty is common because these two structures define the facial profile. Correcting both simultaneously achieves optimal harmony. The surgeon assesses the overall facial balance at the consultation and recommends the most appropriate procedures.
Are genioplasty scars visible?+
Genioplasty is performed via an intraoral approach (incision inside the mouth), with no visible skin scar. This is an important advantage of the technique.
What is the difference between genioplasty and a chin implant?+
The two terms are sometimes confused. Mentoplasty broadly refers to any chin surgery, whether using an implant or an osteotomy. Osteotomy genioplasty moves the chin bone itself, offering three-dimensional freedom of correction (advancement, set-back, lowering, elevation) and permanent results without prosthetic material. A chin implant is a simpler alternative for moderate augmentations.
Is genioplasty covered by health insurance?+
Aesthetic genioplasty is not covered by French national health insurance. It remains entirely at the patient's expense. In rare cases of documented craniofacial malformations or severe dysmorphia with functional impact, partial coverage may be considered on the basis of a substantiated medical case. A detailed quote is provided at the consultation.
Can genioplasty be combined with rhinoplasty?+
Yes, the combination is particularly recommended when the imbalance concerns both the nose and the chin. These two elements together define the axis of the facial profile. Treating both in a single procedure allows for coherent planning and a harmonious result. Dr. de Clermont-Tonnerre performs a comprehensive profile analysis at the consultation to propose the combination best suited to each patient.
When is the definitive result of a genioplasty visible?+
An early result is perceptible once the swelling has resolved, approximately 3 to 4 weeks after the procedure. The result becomes progressively clearer over the following months as the residual swelling fully resolves. The definitive result is considered achieved at 6 months for an implant and may require up to 9 to 12 months for an osteotomy, due to bone remodelling.
What are the specific risks of genioplasty, in particular for the mental nerve?+
The mental nerve, which provides sensation to the lower lip and chin, may be irritated during the procedure. Temporary hypoaesthesia (reduced sensation) is common in the weeks following surgery and resolves spontaneously in the vast majority of cases. Permanent injury is very rare. Other risks include haematoma, infection, implant migration, or partial long-term bone resorption beneath the implant. Dr. de Clermont-Tonnerre discusses these risks in detail at the pre-operative consultation.

Patient testimonials

★★★★★

“My receding chin had given me a complex for a long time. The chin implant with Dr. de Clermont-Tonnerre harmonised my profile remarkably. The procedure was quick with no visible scar. I am very satisfied.”

Alexis

★★★★★

“I had genioplasty and rhinoplasty at the same time. The surgeon had planned everything for maximum harmony. The result on my profile is spectacular. I strongly recommend to anyone wishing to harmonise their face.”

Emma

★★★★★

“Operated on for significant microgenia by osteotomy. Recovery took 3 weeks but the result is permanent and natural. Dr. de Clermont-Tonnerre accompanied me every step of the way with great professionalism.”

Antoine

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See also

Face surgery — all proceduresRhinoplastyFaceliftBlepharoplastyOtoplasty — prominent earsChin liposuction
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