Can A Sliding Genioplasty and Injectable Fillers Be Used Instead Of A Custom Jawline Implant?
Q: Dr. Eppley, I have been considering few more options for my facial reshaping. Instead of the wraparound custom jawline implant, I would like to see if a genioplasty and injectable filler is something you can do. I already have a Lefort 1 and BSSO, hence the genioplasty/filler appears to be an ok option and I would not have the risk of infection from the implant.
A: While a bony genioplasty for the chin and injectable filler for the jaw angles can be used instead of a jawline implant, the aesthetic result would not be the same. While the bony genioplasty can create horizontal and vertical lengthening it does not provide any width increase. Injectable fillers would have to be used for the rest of the jawline and, while adding some volume, would not create any definition, just roundish volume.
In short, the bony genioplasty may be able to create similar changes to the chin as an implant the effects of the rest of the jawline by fillers would be far inferior to an implant.
It is not a question of whether this alternative approach to an implant can be done but whether the outcome would be aesthetically acceptable.
Dr. Barry Eppley