Genioplasty Revision and Mentallis Suspension - Singapore, SG

I am a 30yo make who will be having a revision...

I am a 30yo make who will be having a revision genioplasty to correct lip incompetence and chin ptosis. The genioplasty will involve an asymmetric rotation as the left hand side of my chin is 2-3mm receeded than the right hand side.

Also when I talk my lower lip shows too much lower teeth and again is asymmetric and pulls more to the left hence making my chin look off-centre.

The mentallis muscle will be suspended higher and the chin bone will be advanced approx 2-3mm and rotated asymmetrically as well as changing the angle of the chin border slightly to allow the mentallis muscle to have a firm place to sit.

I have chosen Dr. Martin Huang as he is craniomaxillofacial surgeon as well as a plastic surgeon. The operation is expected to last 3-4 hours as scar tissue from the previous genioplasty will have to be removed.

Even though this is a revision I am extremely nervous about the result! Last time I had a genio was with a bimax to correct a class 2 overbite.

I am due for the procedure at 7:45am and will try to update this as soon as I can and also post pictures.

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Post Surgery

After arriving at the surgery at 8am and filling out all the paperwork and registration from the surgery commenced at 9am and last for 7 hours.

I was in my room which In which I would staying overnight at 5pm but extremely dozed out! My arms were really aching perhaps for the GA knocking me out for 7 hours and my throat was extremely sore and I could barely talk!

I asked one of the nurses if I could have a mirror - I was expecting the worse but besides a swollen lower lip I looked pretty much like myself which was a relief as I know once the swelling kicks in (as it did) I'd look totally different (which I presently do).

In the morning my Dr. came to see me and told me what had happened:

- chin advanced 4mm
- left rotated due asymmetry
- left side of chin contoured to match right

Surgery took 7 hours:

- bottom screw on precious plate extremely difficult to remove

- currently have two horizontal plates and 4mm stepped vertical plates. So makes one rectangular plate to support chin

- skin is very thin and therefore had to carefully dissent entire muscle from skin

- mentallis muscles had dropped or fallen right to the bottom of the chin when I had my accident and fell on my chin.

- reattached mentallis muscle with the stitches to rid lip ptsois after fall

- explained my skin is very right due to genetics.

I have a follow up appointment with Dr. Huang on Monday and hopefully will have my drain removed.

Yesterday I started to see my old face before I had fallen and hit my chin and lip drool had stopped so far it's looking pretty good minus all the tightness when I talk and the swelling.

I decided to go shopping and but some plain yoghurt, milo (milkshake) and a bottler of water. Later in the evening I met a friend who noticed I had something done and said when I spoke it sounded tight - or my mouth movements appeared right.

As I wasn't keen on anything too intense we went to see a film which was a good idea as it kept my find of the swelling and operation.

This morning (Sunday) I think the swelling has decreased and I removed approximately 20ml of fluid for the drain although I was unable to reattach it with a vacuum as instructed :-(

I'm going to go back to bed now and rest but feel free to ask any questions.

1 Comments

Hi, thanks for your post, by any chance do you have any before and after pictures? Thanks
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Dr. Martin Huang

I have had two consultations with Dr. Martin Huang and I believe he listened very careful and understood the concerns I raised in regards to my chin and lips. He took photos which I then morphed to show the result I am looking to achieve to ensure we are both on the same page? Fingers cross I get an amazing result and my lip incompetence and straining of the mentalis muscle is a thing of the pass and I don't ensure any further problems or complications. Dr. Huang did mention as I will be under general anaesthetic the soft tissue movement would be hard to predict until the swelling went down. It maybe likely I would need a touch via fillers etc to slightly augment the chin. I have read how difficult it can be to correct this condition so I will not keep my hopes to high.

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