Is it acceptable to have a Sliding Genioplasty about two years prior to Jaw Surgery?

Question

Hi doctors. I currently have a full wrap around custom jaw and chin implant. Unfortunately, the chin portion is asymmetrical and very uncomfortable so I would like to remove just the chin portion and replace with a sliding genioplasty. That said, I’m also currently prepping for possible jaw surgery in about 2 years time. My question is, is it okay to remove the chin implant and replace with a sliding genioplasty now if I will have possible jaw surgery in a year or two? Or would this interfere?

Timothy Osborn, MD · Answer

A genioplasty only takes a few months to heal, so it should not interfere with the surgery. However, when it comes to planning and placement of the jaw, make sure your provider knows and gets new imaging (assuming they have already done that). They will need to take the new movement into consideration when moving the jaw around (more so for aesthetic reasons). They may also want to take out the hardware at some point, whether that is before or during the jaw surgery. In the end, it should not effect the outcome of the jaw surgery, it may just need adjustments in the planning. Depending on the type of jaw surgery, you may not even need a genioplasty. Ask of the surgeon can morph photos for you, to see what the estimated outcome will look like. It may give you the definition you want without needing a genioplasty.

Michael P. Morrissette, DDS, FACS · Answer

The surgery can be performed to remove the chin portion of the implant and simultaneously perform the genioplasty. However, you should decide whether or not you will undergo corrective jaw surgery. Depending on the type of corrective jaw surgery, in some cases the mandible is advanced and your genioplasty may adversely affect the results or you may need to undergo a reduction genioplasty. Do you really need the jaw surgery? If the malocclusion is minimal and you are able to eat a diverse diet, you may not need corrective jaw surgery.

Is it acceptable to have a Sliding Genioplasty about two years prior to Jaw Surgery?

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