Age 19, will a reversed genioplasty cause skin sagging? (Photos)

Question

I am 3 months post op (7mm advancement) and I am really unsatisfied with the results. It looks huge, longer, prominent. It really affects my mental health and I want to get it reversed. I want to know if the risk of skin sagging is really high even for a young skin (19 in this case). Thank you

Mats Hagstrom, MD (license on probation) · Answer

A genioplasty can be revised including reversing.
Even though you’re unhappy with the outcome I suggest really taking your time and try to get a really good understanding of what would be an ideal outcome.
Your original facial bone structure was enough to motivate you to have the procedure so going back where you started may not be where you want to end up.
Perhaps reducing some of the vertical height with bringing the chin back just a little bit would be an ideal outcome.
It also takes time to get adjusted to changes in our bodies and especially our face.
To make an assessment on the outcome of a procedure we always have to see proper before and after pictures.
If you don’t have before and after pictures then ask your surgeon to forward the ones they took. For any future consultation or assessment always show the proper before and after pictures.
It’s very important for us to know what you look like before the procedure in order to make an assessment of what should be done next.
Revision work is always more complex than primary procedures.
In someways your surgeon has an obligation regarding the outcome of your procedure and sometimes there is a financial advantage to letting the surgeon who did the first procedure do revision work.
The work is going well and they delivered exactly what was agreed-upon then your provider may be the right person to talk to about doing revision work.
If you have any doubts about the persons experience or skill then consider consulting with other providers.
It’s also a good idea to simply get an assessment from other providers regarding basic cephalometric assessments.
In other words do either oral surgeons feel like your facial bone structure is correctly in balance and an ideal proportions.
The slower you move the better of a position you’ll be in. Reacting quickly to permanent changes is not a good idea.
The results are certainly not terrible and though they didn’t include before and after pictures it’s most likely a nice improvement.
Consider having A few second opinion consultations and talking to your provider.
When in doubt slow down and schedule more consultations.
Letting other oral surgeons review your before and after pictures can also shed inside in regards to how they feel about the outcome. Obviously you’re the person who has been live with the result but it can be helpful to know the procedure was done well or if it could’ve been done better.
Take your time to think things through. Don’t be in a hurry.
It’s unlikely your skin will have stretched out. Young people have amazing skin elasticity.
Best,
Mats Hagstrom MD

Age 19, will a reversed genioplasty cause skin sagging? (Photos)

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Age 19, will a reversed genioplasty cause skin sagging? (Photos)

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