How Can My Sliding Genioplasty Defects Be Fixed?

Q: Dr. Eppley,  I had a sliding genioplasty 8 weeks ago and I have a significant step off on my right side and a smaller step off on my left. I also had endolift laser which gave me submental fibrosis. I would greatly appreciate help with this issue.  Both the endolift and sliding genioplasty were done two months ago. The endolift is just small wires. There is no incision under my chin.

A: The inferior border defects from the sliding genioplasty have to be filled in and be done so in a variety of ways from allogeneic bone chips to implants. It is just a question of what the patient prefers. The most effective method in my experience is thin sheets of ePTFE placed over tham through a submental incision.

Through this same submental incision the tissues need to be released and a thin layer of fat grafting done. I can’t speak yet as to whether the wires/threads that were placed need to be removed.

Dr. Barry Eppley

World-Renowned Plastic Surgeon