Can the step-off deformity caused due to sliding genioplasty be corrected by shaving and shaping the chin bone? (Photo)

Question

I had my sliding genioplasty in 2017. The doctor, undoubtedly, did a very poor job and now I am left with step-off deformity. The chin protrudes out from both sides, more prominently from right. It looks weird and abnormal. Moreover, from the front and the side, one can easily see that the chin does not align, at all, with the jawline. Can the bone of my chin be shaved and shaped to make it look normal and appealing? If yes, what kinda doctor should I consult? Need screws + plate removed.

Michael P. Morrissette, DDS, FACS · Answer

Following a genioplasty procedure, the step-off areas can be shaved and any deficient areas or voids can be filled with a type of bone putty or calcium hydroxyapatite. I prefer the bone putty. Why do the plate and screws need to be removed?  Your profile appearance looks good.

Gerald Wittenberg, MSc, DMD (retired) · Answer

the contour can be changed in differing ways dependent upon the overall review of the entire jawline and balance with the midface. Either 'smooth' down the bone or actually use strips of eg gortex to overlie the area and blend to the rest of the jawline. See a Maxillofacial surgeon

Can the step-off deformity caused due to sliding genioplasty be corrected by shaving and shaping the chin bone? (Photo)

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Can the step-off deformity caused due to sliding genioplasty be corrected by shaving and shaping the chin bone? (Photo)

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