Sliding genioplasty reversal. Will this cause sagging tissue and affect my breathing? (Photo)

Question

I had 8mm sliding genioplasty 3 years ago. I’m badly suffering from persistent tightness and discomfort. I plan on having a 4mm sliding genioplasty reversal ( half way back ) to see if symptoms improve. I was told this will cause sagging tissue in the chin and neck and my breathing would be affected because the air way wouldn’t be as open and it would cause sleep apnea when I get older. Is this true?

Barry L. Eppley, MD, DMD · Answer

Any time you set back the chin after advancement (implant removal or sliding genioplasty reversal) there is always the risk of some potential soft tissue chin pad sag. How significant that would be can not be predicted beforehand. That risk is less with a sliding genioplasty reversal than a chin implant removal because more soft tissue attachments have been preserved. If you did not have sleep apnea before this surgery then there would be no reason to presume it will occur after the chin is moved back nor that it has any future risks of causing such apnea either.

Gerald Wittenberg, MSc, DMD (retired) · Answer

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

Sliding genioplasty reversal. Will this cause sagging tissue and affect my breathing? (Photo)

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