The need for mentoplasty following rhinoplasty.

OBJECTIVE: Rhinoplasty is the most common facial plastic surgery procedure. The appearance of the face must be considered as a whole to achieve the best results, but assessment of the chin is often overlooked. The aim of this paper was to determine the need for mentoplasty after rhinoplasty.

METHODS: Adobe Photoshop CS6 (Adobe Systems, San Jose, CA) was used to analyze 200 consecutive rhinoplasty patients, 170 of whom were included in this study. We used Silver and Agarwal's method for assessment of the chin.

RESULTS: A total of 170 profile photographs were analyzed. Of these patients, 58.2% (n = 99) had normal chins, 40% (n = 68) had small chins (microgenia), and 1.8% (n = 3) had over-projection. There were no statistically significant differences between men and women.

CONCLUSION: Chin projection is an important component of facial euphony. Approximately half of the rhinoplasty patients we assessed would also benefit from mentoplasty. Surgeons that perform rhinoplasty should discuss mentoplasty with their patients to achieve the best results.