Should My Jawline Irregularities After A BSSO Be Bone Grafted?

Q: Dr. Eppley, I had double jaw surgery with a bony genioplasty that has left me with some jawline irregularities and a chin that is ma bit too bulbous.

1) Would he advise doing a a bone graft into the boney gaps created by the BSSO to improve the indention in the jaw line?

2) Would he advise a genio set back of 2mm here to make the chin less bulbous and improve the chin fold and concavity above it?

A: Provided there is good bony union/healing bone grafts are not contouring materials as they have a high rate of resorption/irregularities. If the goal is a smoother jawline a custom implant design addresses those issues more  successfully. This is a common post double jaw/genioplasty problem that I see. (see attached picture)

For the chin all you can do is a 2 – 3mm setback (50% reduction) of the original advancement to make any major difference in its over projected shape or lessening of the deep labiomental fold.

Dr. Barry Eppley

World-Renowned Plastic Surgeon