When I was young my jaw was recessed during orthodontic work. I ended up having a genioplasty. While it went well, my doctor took the conservative route, I remember him saying he was going to do this, & I don't know why, but he only moved me 5 mm. Now I am still extremely unhappy with my appearance. I have always continued to have submental fullness under my chin, & it is not fat. It is extra skin, due to my small jaws that didn’t develop forward nor width wise, and potentially weak muscle tissue as well due to TMJ disorder I had in the past. It is extremely noticeable when I talk even from the front, and I hate my side profile. I am now 36 years old, 15 years later, & I want the metal hardware removed for many reasons. I am wondering if I'm going through with the procedure if I might as well have a revision genioplasty done as well. Is it MUCH riskier than just having the hardware out alone? Is it true that a revision genioplasty is much riskier than the 1st? I included pics w/ teeth apart & together as I look slightly more recessed here. Do you think I would benefit from having my chin moved a few more mm, would it lengthen my jawline enough to stretch out some of this soft tissue/ double chin I have? Or would my chin have to be moved so much in order to make a difference that it would be too projected then? Would I be better off with a neck lift? Or is there nothing to be done? (Not interested in filler or implants). I appreciate any insight!
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Answers (1)
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March 26, 2025
Answer: Would I be a candidate for a revision genioplasty or a neck lift?
I would recommend a reduction genioplasty to reduce the vertical length and position the chin forward to get better projection. The shaving procedure is better when only a small amount of bone requires shaving. When the bone is removed by shaving it can cause additional growth of the bone in the...
It is much safer to decrease volume and remove fillers HA fillers from chin using injection of enzyme. Surgical removal will require a scar(s) and may result in injury of muscles and nerves. In person consultation with a board certified plastic surgeon would help. Good luck.
1 mm is pretty irrelevant when it comes to the sliding genioplasty procedure. The bone and soft tissue response is not 1 : 1. For example, and advancement of 5 mm may only advance the soft tissue 3-4 mm. Based on the one profile photo that you submitted, I would recommend a 6-7 mm advancement.