In August, I attended a hospital for options to correct a moderately to severe retrognathia.
This was the third hospital I have attended for consultation in the past eighteen months. The previous two declined to help, as they thought my lower jaw was too fragile and a BSSO would likely create more problems.
I should say, this is for aesthetic reasons only. I'm also in my forties.
Unlike the previous two hospitals, the surgeon at the third hospital thought a two-tier genioplasty (using a hip graft) would make a "significant improvement" to my profile. Another option was a two-tier genioplasty with a Le Fort procedure but the surgeon thought the genioplasty would alone would make a massive improvement.
The first hospital declined a genioplasty saying I would have a witches chin but the third surgeon thought a two-tier approach would avoid this. I may now approach another surgeon for a third opinion.
I can't seem to find much information on a "two-tier" genioplasty. And of course you always think of more questions after the consultation. Has anyone here had such a procedure or does anyone know of any risks I should be aware of? I really want to avoid a witches chin and another concern is having my lower lip pulled down which I have heard stories about.
