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

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

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).

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.

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.