How Can I Fix My Jaw Defects After A Sliding Genioplasty?

Q: Dr. Eppley, Hi, I had maxillofacial surgery twice to increase size of chin. There is something that is missing on the jawline. I was thinking that an implant may help

A:I believe what you are saying is that you have had two bony genioplasties to increase your chin projection. In so doing what often happens is that a bony stepoff develops at the back end of the osteotomy cut from the advanced bone. Such a bony stepoff becomes more evident the larger the chin advancement becomes. You are correct in that the management of the bony stepoffs requires implant coverage. The only question is how best to make an implant for both to do so. A custom implant design is always the most accurate way to do it. But before any treatment option is considered a 3D CT scan of your chin should be done to have a complete visual understanding of the jawline defects.

Dr. Barry Eppley

World-Renowned Plastic Surgeon