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How risky is revision genioplasty?

GB82Jun 29, 2021
I had an 8 mm sliding genioplasty 3 years ago and I’m suffering from persistent tightness and discomfort. It’s affecting me a lot. My surgeon has offered a soft tissue release but I’m not sure this alone will work? Do you think it’s worth cutting the bone and reversing it 4mm or is it too risky?

Answers (1)

From board-certified doctors and trusted medical professionals
Dr. Barry L. Eppley, MD, DMD
Board Certified Plastic Surgeon
Answered on Jul 3, 2021
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Gerald Wittenberg, MSc, DMD (retired)

The key is often the 'density'/thickness' of the skin/soft tissue. Male tissue has more fullness/structure so one would not expect that type of change. Risk of course has to be accepted, but that is reasonable

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Mats Hagstrom, MD (license on probation)

100% of people have facial asymmetry as the norm. The human mind is accustomed to seeing facial asymmetry as normal and for that reason seeing a purely symmetrical face has an awkward strange and abnormal look. You can look at computer-generated symmetrical faces with a simple Internet search...

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Barry L. Eppley, MD, DMD

The tightness from a sliding genioplasty, which is almost always centered around the deep labiomental fold area, is scar contracture into the bony step off. This can be improved by one of two surgical techniques, 1) bony step off release and interpositional dermal-fat grafting, or 2) subtotal vs...

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