Should The Step Off in a Sliding Genioplasty Be Bone Grafted or Not?

Q: Dr. Eppley, I have some sliding genioplasty and rhinoplasty questions:

1. Will the bone grafts merge with the chin or be replaced later by the body into natural bone? And is it recommended of not using bone grafts over not using them? 

2. Can a rhinoplasty on men be made more sharp and straight? I often see on rhinoplasty pictures that it round up near the nasion

How much will rhinoplasty and genioplasty like that would cost and what would be the recovery time to go back to work and how long until I can do intense sports again?


A:In answer to your questions:

1) If an autologous bone grafts is used it will; turn into natural bone. If allogeneic bone grafts are used that will become ingrown/overgrown with natural bone. Whether any form of a bone graft is needed in a sliding genioplasty depends on the amount of chin advancement that is done what the size of the step pr bone gap would be.

2) Every rhinoplasty result is going to be different and is highly influenced by what the anatomy of the nose initially is and what type of change the patient is seeking. Having no knowledge of your nose and your nose reshaping objectives are I can not say how this applies to any potential result in you.

3) I will have my assistant Camille pass along some general costs of the surgery to you later today.

Dr. Barry Eppley

Indianapolis, Indiana