How Can I Get A Wider Chin After A Shield Type Bony Genioplasty?

Q: Dr. Eppley, i had a chin shield type of genioplasty done approximately 8 months ago. This specialized cut made my face a bit more on a feminine side (34 year old male) , the cut still left both side of my chin deficient in horizontal forward and it did not achieve my desired goals which are broader chin and forward projection past my lower lips. I also noticed that my lower lip was also rolled in a tiny bit post procedure. Would it be possible for you to perform a revision genioplasty with this type of cut to accomplish a more masculine chin with more masculine chin with more forward projection? Based on the photos and x-rays, how many mm would you recommend for both horizontal and vertical ?  

A: That type of chin osteotomy is designed to make the chin more narrow not wider. So your chin narrowing result is no surprise. Once this type of chin osteotomy is done the ability to secondarily redo it with a more horizontal osteotomy pattern, which would help make it wider, is lost. All that can be done now is to design a custom chin implant that would fit over and around the bone to create your desired chin shape change.

Dr. Barry Eppley

World-Renowned Plastic Surgeon