I Feel Like my Sliding Genioplasty Was Not Enough Projection?

Question

I just had a sliding genioplasty but I feel like it was not enough projection. I had 6 mm advancement and although it looks better than before it is not where I want it to be. When I mentioned it to my doctor he said if he advanced it more it would make me look masculine. I don't know what to do at this point. It hurts me that I spent that money and its not where I want it to be. Suggestions please.

Thomas A. Lamperti, MD · Answer

You could consider a revision procedure to project your chin bone further.

	You 6 mm plate could be replaced with a longer one to give you additional chin projection. If done before your bone fragments heal back together the revision surgery would be a bit more straightforward compared with if you wait until after the bones fully heal.

	You can read more about sliding genioplasty at my web reference link below.

Barry L. Eppley, MD, DMD · Answer

While there are bone limitations as to how far a sliding genioplasty can be moved, 6mms has not reached that limit. If you feel that it is not enough then the simple answer is that it isn't. I would advise to go back in as soon as you can and move it out to 10 to 12mms which would be the limit of the bone edges and the step plate to do it. This is easy to do at this point as the bone is not healed and would be a relatively quick fix. The amount of chin movement you desired should have been worked out before surgery by computer imaging and x-ray measurements.

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I Feel Like my Sliding Genioplasty Was Not Enough Projection?

Answers (2)

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