Is it possible to do vertical jaw lengthening without implants? (photos)

This is something that is possible but I have never seen a good reason to do because there is usually a better option. I understand not wanting implants, and try to avoid where possible as well. What I see in that pic is basically a long back cut on a genioplasty. I don’t know if they are showing what I would predict as one of the problems of doing something like they show, which is the loss of bone at the angle. You are not going to have a good blood supply, it is going to be very difficult to get good fixation to support the back part because it will be very thin bone. I would recommend for someone with short vertical posterior face height jaw surgery and you can augment the angle with bone graft or modify your osteotomy to improve angle show. I would reinforce the propensity for bone growth with some BMP as well. I am always very wary of things that look complicated, push the boundaries of biology, and don’t have any good documented outcomes. But looking at the thought of what they are trying to do warrants some looking into it, so if I come up with anything I think that may be a way to make this predictable, we will post something on it.