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thank you for your question. Onlay bone grafts have a high absorption rate over time. Interpostional bone grafts can be an option where it is anatomical feasibale. Chin surgery or orthognathic surgery and facial advancements might be another option for you as well. Some of theses surgeries can be quiet extensive. During your consultation your plastic surgeon will be able to discuss this with you. Best of luck
Cranial bone grafts can be used for interpositional cheekbone osteotomies/onlay cheek grafts and as an onlay grafts to the jaw angles. They will not create the same effect as fillers or actual implants and the differences in their aesthetic outcomes would need to be clearly understood. Bone grafts as onlays tend to undergo some resorption. For the chin rather than an onlay graft it would seem more effective to do a sliding genioplasty which does not have the resorption issue of onlay bone grafting to the face.
There are a variety of techniques that can be used to correct facial asymmetry. A more temporary approach includes dermal fillers (e.g., Sculptra, Voluma, and Radiesse), while fat grafting, use of permanent fillers (Aquamid, Bellafill ) and facial implants would offer a more permanent so...
A sliding genioplasty revision is no more risky than the original surgery and is the only way you are going to get a vertically shorter chin. Technically it has less risk than the original surgery since the bone cut line has already been established.
You have horizontal bony chin excess which becomes magnified when smiling as the chin tissues are pulled back against the prominent bone. Improvement can only come from managing both the bone and soft tissue chin pad excesses. This can only be effectively done through a submental approach and...
