Genioplasty revision risks? (Photo)

Question

I got a sliding genioplasty with a synthetic bone graft a year ago. The results are awful, I have a huge gap and step off in my labiomental fold. Along with the bad aesthetic results, I also have chin ptosis when I smile and have extreme tightness in my labiomental fold that’s unrelenting. I want a revision but I’m scared of lip ptosis due to my mentalis muscle being stretched out. Is this a real possibility? What are my risks?

Randal Haworth, MD, FACS · Answer

Revision surgeries, like a sliding genioplasty, carry risks, and potential complications can vary from person to person. Concerns about lip ptosis (drooping of the lower lip) are valid, especially when dealing with the mentalis muscle.

It’s essential to consult with an experienced oral and maxillofacial surgeon or a plastic surgeon specializing in facial procedures. They can assess your specific situation, discuss your concerns, and provide insights into the risks and benefits of a revision surgery.

Additionally, seeking a second opinion from another qualified professional may offer more perspectives on the potential outcomes and risks associated with a revision.

Best of luck !

Timothy Osborn, MD · Answer

Unfortunately that genioplasty brought your chin out way too far and has stretched your skin and tissue. There are potential risks for skin laxity and ptosis. With a revision however, your chin can be brought back behind your lips to restore facial balance to your profile. This would also reduce the angle/depth of your labiomental fold. You may consider submental lipo, which would reduce some of the fullness under your chin. There are steps that can be taken to reduce skin laxity if that becomes and issue. Our office provides in-person and virtual consultations if you would like to discuss options further!

Jeffrey H. Spiegel, MD · Answer

I see this kind of problem regularly.  We would go either inside your mouth, or in a small incision under the chin and contour the existing bone and graft to reduce it (it's too large now). Then we'd remove and contour the soft tissue in the area.  It takes about 90 minutes to do and a few weeks of swelling.

Mats Hagstrom, MD (license on probation) · Answer

I suggest you ask your provider what risks are involved. A lot depends on what they are going to do. 
Follow up with your provider or schedule in person second opinion consultation with other providers in your area. Based on what you describe you did not have a sliding genioplast but rather an implant. 
Best,
Mats Hagstrom MD

Genioplasty revision risks? (Photo)

Answers (4)

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