Can I Put An Implant On Top Of A Prior Sliding Genioplasty?

Q: Dr. Eppley, I have a few questions.

1. If I had a particularly large genioplasty movement (done over 2 procedures), would a VLC implant still be able to cover the step-off or would it be too far back?

2. Would such an implant make the bottom lip sag more?

3. If the implant gets infected down the line, say decades later, what should I do? Would it need to be surgically removed?

4. Is there such a thing as a custom fitting VLC implant?

A: With a large sliding genioplasty movement the soft tissue chin pad is going to be tight. Thus only a minimal chin implant overlay could be done regardless of the movement dimensions. But regardless of the dimensional movement only a custom designed chin implant could do so.

It would not cause a lower lip sag

Like all implant infections anywhere removal is the definitive treatment.

Dr. Barry Eppley

World-Renowned Plastic Surgeon