Is Fat Grafting A Good Option To Treat Jawline Irregularities After Double Jaw Surgery?

Q: Dr. Eppley, Had orthognathic jaw surgery done for sleep apnea and recessed jaw. Unfortunately, my right side (weaker side) did not turn out as well as I would have liked. The jawline has an indentation in it, and the genioplasty I feel created an odd chin shape and chin fold from being advanced too far. Surgery involved a Lefort 1, BSSO with 9.7 degrees counterclockwise rotation and 18mm pogonion advancment (6mm) was from the genioplasty. Custom plates were used which probably adds 1.5-2mm to the pogonion as well. Should the genioplasty be set back 2-3mm to fix this and will that cause loose skin under the chin? And can fat grafting be done to improve the jawline and indentation?

A: In  answer to your jawline questions:

1) Setting back the genioplasty 2mms in a young patient will seem unlikely to cause  tissue sagging.

2) Correcting bony asymmetries/irregularities with fat injections is rarely an effective strategy.

Dr. Barry Eppley

World-Renowned Plastic Surgeon