Will A Secondary Bimaxillary Procedure Provide Further Aesthetic Benefits?

Q: Dr. Eppley,I previously underwent orthognathic surgery with mandibular advancement and genioplasty. My primary concern is aesthetic rather than functional. I would like your opinion on whether a revision orthognathic procedure could provide a meaningful aesthetic improvement.

More specifically, I would like to know whether additional maxillary advancement could improve facial harmony, midface support and upper lip projection, and how it might affect the appearance of my nose (wider/larger versus more balanced and harmonious).

Based on the records provided, do you believe there is significant aesthetic potential for improvement through revision surgery?

Thank you for your time.

A:The simple answer is no. You have already obtained the most aesthetic benefits in what bimaxillary surgery with a genioplasty can do. Further aesthetic facial enhancement are going to come from adding on with other procedures to what you already have such as secondary chin augmentation, rhinoplasty, and midface implant augmentations.

Bimaxillary surgery rarely achieves all of any patient’s objectives because it is a dimensionally limited procedure with its his primary benefit in increasing facial projection. But there comes a point when more facial projection by  bone movement is not effective or even counterproductive.

Dr. Barry Eppley

Plastic Surgeon