Had genioplasty, still unhappy (Photo)

Question

Had genioplasty to move my chin forward 8mm, though I feel it is still weak. Any feedback would be great. Thanks

Nathan Eberle, MD, DDS, FACS · Answer

It appears you did have a reasonable outcome from your genioplasty. An 8mm genioplasty advancement is a fairly large advancement(around 10mm typically being the maximum for an osseous genio adv). I am guessing you did not have an isolated small chin, you likely were retrognathic and your entire mandible(lower jaw) was small also. Your teeth may not line up completely appropriately and a better surgery for you may have been a sagittal split adv of your mandible in addition to your sliding genio. I recommend discussing your dissatisfaction with your surgeon and see what he/she can offer to help you. If they cannot help you, seek a consultation with a properly trained Oral surgeon or plastic surgeon, in NYC I think there are even a couple of surgeons that are trained in both Oral surgery and plastic surgery.Good luck

Ivo Gwanmesia, FRCS(Plast) · Answer

Thank you for your query.I am sorry to hear you are still unhappy following your surgery. I would recommend you take this up with your surgeon. Your nose/upper lip/chin line shows an improvement.Kind regards.

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