Will The Stepoffs From A Sliding Genioplasty Reversal Go Away On Their Own?

Q: Dr. Eppley, Id like to ask about a step off after genioplasty. I had 2 step off sites right after my sliding genioplasty (6mm forward only) one side is worse than the other. I did a revision 7 weeks post-op to set the bone back to its original position but the step offs are still there. They are better but still there. I’m very stressed now. I thought that a revision would fix this problem. Could you please advise if these step off will go away with time or I need some sort of surgery to fix it? How to fix it please? I’m really stress about it and you seems to be the most knowledgeable doctor about genioplasty . Thank you very much in advance.

A: If you really wanted to know now, rather giving it months, to determine if the bony stepoffs willl go away or persist, you get a 3D CT scan which will provide the definitive answer. Such a visual assessment will also explain why they are there if they do persist.

The only reason they would persist is if the bone was not set back all the way. But A 3D CT scan will answer that supposition accurately.

Dr. Barry Eppley

World Renowned Plastic Surgeon