In vertical augmentation sliding genioplasty, since there's a space, the bones aren't touching, the bone is still able to grow back together? My Dr. said for vertical augmentation a bone graft is needed or it won't grow back together. I heard that's not true, and that it still is able to grow back together.
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Sometimes, it is counterproductive to use words like "more masculine appearance" because they could be misinterpreted.
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In my opinion, extrusion of a chin implant is very, very uncommon. I have actually never seen it occur. You might want to have your surgeon examine you, just to make sure there is no issue with your implant.