Can A Standard Vertical Lengthening Jaw Implant be Modified During Surgery For Asymmetry?

Q: Dr. Eppley, Due to my remote location (Australia) I won’t have access to a surgeon who works with custom/3d planned implants. I am in need of vertical augmentation, and i also have some asymmetry which means the implants have to differ somewhat. If need be, would it be possible for a surgeon with the vertical lengthening implant to shorten/cut down the vertical length of the implant on the spot, say from 11mm to 9mm lengthening, or would this be impossible?

A:I am bit uncertain as to the exact nature of your question as there are no standard vertical lengthening total jawline implants. You may be speaking in reference to the standard vertical lengthening jaw angle implants which can be intraoperatively modified. (reduced)