Genioplasty and Braces

Q: Dr. Eppley, I’m currently doing braces for a year. I am sure you can’t do a genioplasty or customized jaw implant just yet. However is it possible to make a customized jaw implant that is designed to make a thicker and protruding mandible angle completely outward to create a sharp jaw line and a square chin implant? Also I am interested in a revision otoplasty. 

A: Good to hear from you again. Being in active orthodontic care with braces in place is not a contraindication to any type of aesthetic jawline surgery albeit a sliding genioplasty or a custom jawline implant since the teeth are not being manipulated in the surgery. Many of my patients for such surgeries are in orthodontic appliances which do not pose intraoperative surgical restrictions nor influence the aesthetic outcome. They are merely metal or plastic applicants on the teeth. 

Dr. Barry Eppley

Indianapolis, Indiana