Can A Sliding Genioplasty Be Made To Heal Without A Step Deformity?

Q: Dr. Eppley, I was wondering about sliding genioplasty. is it possible to get sliding genioplasty that will heal without a stair step? For example this video shows that after the bone heals there is a ‘stair step’ in the chin.

Finally, I am looking to fly in next year for surgeries. Is it possible to get hooded fat grafting, rhinoplasty, and genioplasty all at once?

A: In answer to your questions:

1) Every sliding genioplasty has a bone step deformity whose magnitude depends on how much the chin is advanced. The only way to make that heal so there is not a step is to bone graft it at the same time.

2) It is common to combine upper blepharoplasty, rhinoplasty and sliding genioplasty all during the same surgery.

Dr. Barry Eppley
Indianapolis, Indiana