Can I Have My Revision Genioplasty Done With Resorbable Plates and Screws?

Q: Dr. Eppley, I would like to have a small revision genioplasty as my chin was moved too far forward and down, but would not like titanium plates and screws to be in my body. I read that you did a paper on using reabsorbable polylactic-polyglycolic acid plates and screws, claiming they were an effective alternative. Would this be possible for a 2mm reduction genioplasty? I would be willing to have a consulation and procedure with you if possible. Please advise on the reabsorbable plates and screws in particular.

A: Thank you for your inquiry. I believe what you are specifically desiring is an intraoral secondary genioplasty where the titanium plate and screws are removed, an osteotomy is done to set the chin back by 2mms and the chin bone fixed into position by 2.5mm resorbable lag screws. (see attached) That can certainly be done.