Birmingham Chin Surgery doctors
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Paul S. Howard, MD
Birmingham Plastic Surgeon
3401 Independence Drive, Suite 211 Suite 211, Birmingham |
2 answers | |
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William J. Hedden, MD
Birmingham Plastic Surgeon
140 Village Street Greystone Cosmetic Center, Suite 100, Birmingham |
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Daniel E. Rousso, MD
Birmingham Facial Plastic Surgeon
2700 Highway 280 S Ste 300W, Birmingham |
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Artemus J. Cox III, MD
Birmingham Facial Plastic Surgeon
1802 6th Avenue S, Birmingham |
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George R. Duquette, MD
Birmingham Plastic Surgeon
2022 Medical Center Dr. Suite 511, Birmingham |
Recent Answers
I had this done 3 months ago and I am not liking the results as my lower face looks fatter and my smile has changed for the worse plus my chin bulges out of my face and the right side of my chin has a notch. Also my face looks longer which I hate. My surgeon wants me to wait at the 5 month mark rather than make a hasty decision to reverse it. My question is will I look exactly the same prior to getting this surgery done if I get a reversal? What are the side effects? Best time to reverse it?
Genioplasty is an operation where the chin bone(or mentum) is cut and moved forward or in any direction and can be used to lengthen or shorten the face depending on how the bone was cut. This may sound extreme but it is the most elegant way to improve the lower facial contours with the added benefit of tightening the neck muscles. Three months is considered "early" post-op and very little can be determined regarding how it will look until 6 months post-op. I would hazard a guess that many of the problems you describe will resolve over the next 3 months including the lower lip numbness you did not describe but is also very common at this point in the healing process. Early re-operation is rarely indicated unless it is clear that the chin bone has shifted due to a loss of fixation. The best thing you can do for yourself at this point is to make sure your surgeon is aware of your concerns.
I have a vertically long & pointy chin & am wanting to save up to have a chin reduction. I have made up my mind that it is what I want but I have been told that I better run if someone wants to burr my chin. Why is this? An osteotomy can reduce the vertical height of the chin but what about the pointy-ness? I would think that I would have to have the tip of the chin rounded off with a burr but now I am confused after hearing from a doctor's assistant not to let anyone burr my chin.
For a long and pointed chin a genioplasty or osteotomy will be necessary. Burring would only be necessary if no osteotomy was planned; only minimal changes can be achieved with burring. The downside to either chin reduction procedure is loss of boney support for the soft tissues causing a "witches chin" deformity and premature aging of the lower face. This problem can be avoided if care is taken to resuspend the chin soft tissues and only conservative bone work is done.



