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