How to fix loose skin and lack of jawline after chin surgery? (photos)

Question

I had a sliding genioplasty and some bone shaving on my chin as it used to be weak but I still wanted it to look v shaped three years ago. However it has left me with a weak jawline surrounded by loose skin, and some strange "double jawline" when I smile. I am over 30 should I get a lower face lift? How can I fix this and why did it happen/why does it look like this? All the after pictures are accurate, I am not pulling my head in and have proper tongue posture, it's just always saggy.

Lucian Ion, FRCS · Answer

Thank you for your inquiry and sharing your photographs and scans. It looks like the genioplasty has created a slight step in the mandible that is reflected in the contour of the chin. This could be addressed by either filling with soft tissue the area that is depressed or to some degree by tightening with a lower facelift. If you wish to achieve a more V-shape contour for the jawline, you could also discuss with a maxillofacial surgeon and find out about options for shaving down the mandibular bone further back beyond the level of the genioplasty cut. This can produce an overall thinner contour of the front half of the mandible. It is a procedure commonly carried out in Korea as part of interventions to narrow the lower face and jawline

How to fix loose skin and lack of jawline after chin surgery? (photos)

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