Crooked lip/smile after sliding genioplasty (Photo)

Question

I got a sliding genioplasty just over 2 months ago. I have got full sensation back in my lip but have been left with a very crooked lip.my surgeon placed a gortex strip between my lower lip and chin to reduce the fold/crease. It is much higher and stiffer on the right hand side. There also seems to be more scar tissue on the raised side. Is this permenant or can it be corrected? Any information would be much appreciated!

P. Daniel Ward, MD · Answer

You appear to have some weakness of the marginal mandibular branch of the facial nerve. I recommend that you see a facial nerve specialist for evaluation. The UM has a great facial plastic surgeon named Jennifer Kim who specializes in facial nerve disorders. She will be able to give you a bunch of treatment options.

Ivo Gwanmesia, FRCS(Plast) · Answer

Thank you for your question.It seems you may have a marginal mandibular nerve injury on the left side. This is the 4th branch of the facial nerve. A nerve conduction study will help to first of all give a diagnosis and secondly monitor the progress of the injury. So I would suggest your surgeon refer you for a nerve conduction study.Kind regards.Ivo Gwanmesia, London Plastic Surgeon (UK)

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