Tissue laxity in my chin - Will a small genioplasty/implant fix this? (photos)

Question

I (23 female) had a 7 mm medpor implant removed due to not liking it. It has resulted in some tissue laxity in my chin (I am fully healed), which I would like to have tightened. It is mostly present when smiling/talking. I am not looking for chin projection, since I like my weak chin after having seen it larger. I could tolerate 2-3 mm of projection if it would tighten my chin tissues back up. Is it possible to do such a small advancement and would it be beneficial? Maybe a chin tuck is enough?

Randal Haworth, MD, FACS · Answer

Hello !

It looks like you could benefit from FaceTite, which is a procedure that helps to tighten the skin and diminish certain pockets of unwanted fat. It employs precisely targeted radiofrequency energy to liquefy fat and encourage the generation of collagen within the skin's underlying supportive tissues.

I hope this helps,
best of luck !

Mats Hagstrom, MD (license on probation) · Answer

Having had to previous operations, and considering that the contour and appearance, seems to be enforced by dynamic pull of the muscles of facial expression i’m not sold the re-augmenting your chin, which is what a sliding genioplasty does going to leave you happy with the outcome. There will always be some issues and the more operations someone’s head the more the tissues are distorted, and will behave unpredictably.
You could definitely use some projection of your chin, or augmentation of your mandible to some degree.
How to skin drapes may not simply be related to not having a chin implant, but can be related to scar tissues that formed after the implant removal.
Your situation is complex and having a sliding genioplasty of 2 mm is a lot of surgery to undergo to fix a skin contour issue, which has a high likelihood I’m not responding to the treatment.
There’s an expression in plastic surgery that all plastic surgeons are keenly aware of that goes “the enemy of good is perfect” some people use the expression “the enemy of good is better”.
Implication is the same.
A chance of anyone procedure giving you a result you’re happy with is low since you didn’t like the augmentation, and you didn’t like the explantation.
To make a quality assessment, we really need to see proper before and after pictures. If someone is at 91 operation and we need to see a proper before and after pictures for each operation, you’ve had in that area.
We generally do not use dynamic pictures or pictures with patient having facial expressions for making most assessments.
You now have the same facial skeletal issue you started with as an additional soft tissue problem. The fact that the soft tissue problem came from addressing the skeletal issue. It’s not mean that, addressing the skeletal issue will fix the soft tissue problem in a future procedure. 
Follow up with your surgeon or have a few in person consultations what level for certified plastic surgeon or oral surgeons in your community.
Best,
Mats Hagstrom MD

Tissue laxity in my chin - Will a small genioplasty/implant fix this? (photos)

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Everything you need to know about Genioplasty

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Tissue laxity in my chin - Will a small genioplasty/implant fix this? (photos)

Answers (2)

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Recommended reading

Everything you need to know about Genioplasty

Our mission is to create a world where every investment in modern beauty is Worth It.