Will A Reverse Sliding Genioplasty Fix My Chin Ptosis?
Q: Dr. Eppley, Here are two more chin surgery questions:
1. My chin is deviated 2mm to the left (as indicated on CT scan). I take it that can only be corrected via an SG reversal and not by burring with a submental approach?
2. Could you explain a little more why reversing the SG (in whole or in part) will be more effective here for correcting the ptosis than a submental tuck w/jaw implants? Your writings seem to suggest that the submental approach is more effective – or that sometimes both are needed simultaneously.
Thanks again for answering my numerous questions.
A:In answer to your sliding genioplasty questions:
1) An inferior border burring approach can be used to correct a chin asymmetry.
2) The submental approach is always more effective than any intraoral approach because it better manages the soft tissue redundancy/ptosis. But that also depends on the degree of chin ptosis that exists.
Dr. Barry Eppley