Q: Dr. Eppley, I am interested in getting a bimaxillary advancement in due to sleep apnea and a receded chin/ midface.
After this i was hoping to get a custom jaw implant from your surgery. Would the sliding genioplasty as part of a maxillary-mandibular advancement effect the ability to design a custom implant?
A: The simple answer is no. It does not matter what the underlying bone shape is when it comes to computer designing a custom facial implant to lay over it. It is quite common in my experience to do custom jawline implants in patents who have had a prior sliding genioplasty. In fact it is also not rare to do a simultaneous sliding genioplasty with a custom jawline implant overlay.
Dr. Barry Eppley