How Can I Fix My Chin Wing Bony Irregularities?

Q: Dr. Eppley, I had a L shaped malar osteotomy to widen the cheekbones and a chin wing osteotomy for my jawline 4 years ago.Both of these ostectomies have left me with visible bone gaps(depressions) on the bone as per pictures attached. What would be the best way to correct this issue? Would HA paste as a grafting on the bone be the best solution for this issue based on your experience?

A: These defects could be filled in/over with either bone chip paste or hydroxyapatite cement. Since you have undergone an autologous method of facial bone augmentation my assumption is that custom implant overlays would not work for you. (even though they would provide the best contouring method) 

In applying three types of putty like biomaterials their application is challenging in tight intraoral applications in terms of obtaining a smooth contour and getting a firm set.

Dr. Barry Eppley

World-Renowned Plastic Surgeon