Is it a good idea to get a sliding genioplasty revision from another doctor? (Photo)

Question

I had a sliding genioplasty in Korea 2 years ago. At the time, I was told the chin would be lowered 3mm, but during recovery my chin looked much longer. When I asked the staff about it they then told me weeks AFTER the doctor decided to add a total of 5-6mm. I fought with the clinic for a while but they insisted I looked fine and refused to revision… I feel like it’s so pointy and long, especially when I smile. I can’t even fully smile the same. Is a revision from another doctor a good idea?

Michael P. Morrissette, DDS, FACS · Answer

A sliding genioplasty revision can be performed by any surgeon who is experienced in the procedure. You should obtain the report from the first surgeon's office and bring it to the consultation so the new surgeon can determine the nature of the first surgery including the type and name of the plates and screws. A new CT would be advised as well.

Timothy Osborn, MD · Answer

I would not return to a surgeon who did not give you what you asked for, but instead did what they thought was better (especially if you have to make a trip all the way to Korea to have it done). Find a plastic surgeon you trust, and who works with you to get your desired results. We like to morph photos for patients, to see what the expected outcome is, then discuss likes vs dislikes so everyone is on the same page. I recommend asking a doctor if they can do that for you, before moving forward.

Zoran Potparic, MD · Answer

Considering that your result is after sliding genioplasty and you want chin reduction (to decrease over-projection), the most logical approach is to have sliding genioplasty reversal. You should find a board certified plastic or maxillofacial surgeon, expert in genioplasty, and discuss this issue. Good luck.

Barry L. Eppley, MD, DMD · Answer

A secondary sliding genioplasty can be done by another doctor if they have the experience in doing so.  It is likely that you had a t-shaped bony genioplasty to make the chin longer and more narrow which is a bit harder to change but can be done. What you need is postoperative x-rays so the surgeon can see exactly what was done the first time. But if the goal is to vertically shorten the chin by 3 or 4mms that should be straightforward to do.

Mats Hagstrom, MD (license on probation) · Answer

I suggest scheduling an in person consultations with local oral surgeons in your community to find out if somebody feels or wants to offer you a revision procedure.

I’m sure there’s plenty of doctors happy to take your money.

Standard pictures are better for assessing results. Your chin result  looks good even in the smiling position but in the end you were the one who has to make the decision if you want to have another procedure.

Best,

Mats Hagstrom MD

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