Drooping muscle/skin after sliding genioplasty?

Question

The muscle and skin on my chin is drooping passed the chin/jawline. It is very obvious, asymmetric and distressing. Does this mean tendon was mistakenly cut between the muscle and bone at the bottom of my chin? Are there any sure-fire ways to correct this? Why would scar tissue form to adhere the muscle to the bone in another surgery?

J. Jason Wendel, MD, FACS · Answer

Thank you for your question about chin surgery. Before and after pictures would be helpful.

In general, it is customary to resuspend the mentalis muscle after sliding genioplasty.

To be sure what is going on with you, return to see your surgeon or see two or more experienced, board-certified Plastic Surgeons for a complete evaluation.

I hope this helps.

Barry L. Eppley, MD, DMD · Answer

What you are describing may be soft tissue sag from lack of adherence and adaptation back to the chin bone after surgery. But a more helpful answer would need seeing pictures of your concern and knowing what the direction of the genioplasty movements were.

Manolis Manolakakis, DMD, FACS · Answer

Anytime a sliding genioplasty is,performed there is a risk of have some soft tissue irregularities. This is due to the sharp dissection through the mentalis muscle. This sharp dissection is typically performed in a manner that allows it to be repaired prior to suturing the mucosa in the mouth. If you had a vertical reduction of the chin as well as forward advancement you run the risk of having excess tissue even if the muscle was repaired.the asymmetry and hanging chin can be treated with resuspension of the mentalis muscle. I also lime to inject Botox into the mentalis muscle  during the healing phase to reduce the tension of the the muscle until it's healed. If you upload photos I can give a better description

Drooping muscle/skin after sliding genioplasty?

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