Q: Dr. Eppley, I have underwent a lower jaw advancement plus a genioplasty few months ago. I think my chin could have been advanced a lot more and would appreciate feedback if such can be procedure can be performed once again. What would be a cost of such procedure given it would be a repeated genioplasty. Thank you.
A: Thank you for your inquiry and sending your pictures. Your chin certainly still appears short despite the recent combination of mandibular advancement and osseous genioplasty. Your chin needs to be brought forward at least 7mms if not more to bring your lower face into better balance. Whether that can or should be done by a repeat osteotomy or simply putting an implant in front of the osteotomy needs to be determined by a lateral cephalometric x-ray. That would show how far the chin as been brought forward by the first osteotomy and how thick the chin bone is to see how much further advancement can be done. It is not a problem technically to do the genioplasty again, you just want to know precisely how much advancement can be gained. It certainly appears that the original genioplasty was fairly conservative.
Dr. Barry Eppley