What can be done for a vertically long chin after genioplasty? (Photo)

Question

It's been 2 years since my chin advancement of 6 mm. I like the projection but it is now way too long for my face vertically which causes mentalis strain when I close my lips. I have a steep jaw angle too but I want to correct my chin before implants. Is it possible to shorten my chin/ bring it upwards without make it recessed or too prominent? Will it cause chin pad sagging or muscle reattachment issues? I must add that I have a lot of fat on my chin too which is sagging. What are my options?

Jeffrey H. Spiegel, MD · Answer

Your genioplasty, as many do, is resulting in a lengthening stepoff. And, the bones is pointing somewhat down. We can shape the bone to improve this. It is a common procedure at my practice (two today alone).

Anthony Farole, DMD · Answer

Hello,If you are unhappy with your chin, it can be reduced vertically and set back just a little to decrease any prominence you are concerned about. Also if need be you can have a sub mental/cervicofacial liposuction. Dr. Farole

Barry L. Eppley, MD, DMD · Answer

Your original sliding genioplasty moved your chin forward and UP, in other words it actually shortened the bone length which is common when lag screw fixation is used for sliding geniplasties which are cut at an angle. The lengthening effect has occurred because of soft tissue chin pad rotation. Any correction is not going to come from further bone manipulation but from soft tissue reduction.

Csaba L. Magassy, MD (in memoriam) · Answer

The problem is Bone and/or soft-tissue the solution  might be slightly different. Very often it is a combination of factors that cause a vertical lengthened chin consequently trimming of the bone with genio plasty and order the soft-tissue may be  in order in order to give your cosmetically acceptable result. Please consult twith a  board-certified plastic surgeon that can give you more concrete answers after a personal examination.

What can be done for a vertically long chin after genioplasty? (Photo)

Answers (4)

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