Can The Chin Ptosis After A Sliding Genioplasty Be Fixed?
Q: Dr. Eppley, I have quite severe chin ptosis following a sliding genioplasty I had. I would like to have this corrected.
I also have a misaligned jawbone following the surgery, my jaw on the left side is clearly broken and not I’m a straight line. I’d like to also have this corrected, although I could possibly have this done with my original surgeon.
It would be good to have an idea of the approximate costs for (1) the chin ptsois correction, and (2) both the ptsois and the jawbone alignment.
I do not need my bone to be altered at all. Already had the sliding Genioplasty and I’m happy with the shape.
A: Chin ptosis after a sliding genioplasty would be very uncommon since the soft tissue chin pad remains attached to the bone and the bone is moved forward. I would need to see pictures of your chin from different angles to determine the extent of the problem.
Fractures after a sliding genioplasty would be very rare. You may be referring to a disruption of the jawline by the backcut of the osteotomy which is very common after a sliding genioplasty. Based on the angle of the bone cut and the amount of horizontal movement this can create a step-off or an inverted V deformity. This is not a fracture but an aesthetic inferior border deformity. It would need to be filled and there are multiple techniques to do so. From bone grafts to implants) I have found ePTFE sheeting the most effective in my hands. But I would need to see they x-ray for a more qualified answer.
Dr. Barry Eppley