Does A Chin Wing Osteotomy and A Custom Jawline Implant Achieve The Same Result?

Q: Dr. Eppley, I was looking into your custom made implants for both jaw and midface and had some questions. I saw from your RealSelf comments that you have experience with the chin-wing osteotomy. I was wondering in terms of chin-wing versus custom implants – would you say there is a trade off in terms of achieving angularity(given the difference between using bone versus silicone)? Also, in regards to midface implants, is it possible to have operations on the eye area following the midface implants (i.e sometime after, a year later or more)? Thank you for your time.

A: In answer to your questions:

1) A chin wing osteotomy is not remotely comparable to a custom jawline implant. A chin wing only provide horizontal and vertical projection of the chin but can not add any width to the jawline nor create any jaw angle definition. There are no comparable operations.

2) Operations on the ‘eye area’ can be performed anytime after midface implants. They are not restrictive to future surgery.

Dr. Barry Eppley
Indianapolis, Indiana