Can I Get My Sliding Genioplasty Partially Reversed?

Q: Dr. Eppley, I am 27 trans-femme. When I was 23 and before I started transiting, I had a genioplasty (I believe 8mm), however this brought out the unevenness of my chin and created a step deformity. I am interested in feminizing my face by perhaps moving the genioplasty back a little, and resolving the step deformity so that my jaw/chine line is a smooth line.

A: Thank you for your inquiry and sending your pictures. Certainly setting back the chin can be done and usually to see enough of a difference the usual amount is 50% (4mms in your case) although that number can be any amount you so choose. (subtotal sliding genioplasty reversal) It would be helpful to see a simple panorex x-ray to determine what type of hardware was used in the original procedure. While bringing the chin back will help the notch deformity along the jawline it may not eliminate it 100%. So adding some bone chips to help fill it in can be helpful as well.

Dr. Barry Eppley

World-Renowned Plastic Surgeon