Can Implant Be Placed In Front Of A Second Sliding Genioplasty?

Q: Dr. Eppley, I previously got a genioplasty but am considering getting another one. Would this second genioplasty involve removing the hardware/plate from the first genioplasty? Additionally, if I was to get an implant as well as the second genioplasty, could you perform both in one surgery or would they be separate procedures?

A: In answer to your secondary sliding genioplasty questions:

1) The hardware would need to be removed and replaced with a second genioplasty as it will be in the way of the osteotomy cut.

2) If the soft tissues will permit a chin implant can be done concurrently with the second sliding genioplasty.

Dr. Barry Eppley

World-Renowned Plastic Surgeon