6 month ago I had a BSSO to bring my lower jaw inside, to correct my under-bite problem. My doctor recommended to do a sliding genioplasty (advancement) along with it because perfoming the BSSO only can make my chin appear too weak. So BSSO and genio were performed together. Now my chin & jaw are almost completely healed, and I don't like how my chin looks. It is sticking out even more than before the surgery. I'd like to reverse the genio. Will this be too risky?
Answers (2)
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Kilokahn,
Without having the full picture of what your clinical presentation is, it is very hard to give you an answer. I state that you have "deep bite." This may preclude you from having a BSSO. Typically patient that are undergoing orthognathic surgery, either one jaw or two jaw...
Bony changes and skin surface changes are not the same with sliding genioplasty. It is possible to advance the the bone over 10 mms but the skin surface changes are typically 1:1 up to 8mms then about 1:0.6 beyond 8mms advancement. Glad to help...RAS
This is a great question. Both chin implants and sliding genioplasty will typically improve the neckline. However, the improvement in some patients is inadequate. Thus, I will often perform liposuction of the chin/ jaw area to further refine the profile appearance. It is hard to say without...