Is it possible to have a Lefort 1 procedure after a previous sliding genioplasty procedure?

Question

I had a sliding genioplasty in 2019 but still have a slight oral incompetence. I've still been doing research trying to figure out my options. I've done myofunctional therapy and have not seen improvement. I have been told do have a excess vertical maxillary. I recently heard of the LeFort 1 procedure. Is it possible to have a a Lefort 1 procedure AFTER a pevious sliding genioplasty procedure?I

David M. Kowalczyk, MD, MBA, FACS · Answer

Hi there! Yes, you can have a LeFort I procedure after a sliding genioplasty. The genioplasty changes the lower border of the mandible, but not the dentition. A LeFort I can be used to move the palate into a new position. What is most important is that the dentition will align with proper occlusion with movement. A BSSO is often combined with the LeFort I to accomplish this. An oral-maxillofacial surgeon would be a great starting point to determine how any change will effect your bite. Best of luck!

Is it possible to have a Lefort 1 procedure after a previous sliding genioplasty procedure?

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