Why is mentalis resuspension unpredictable?

Question

What factors are in favour of success and which factors impede it? Is it possible to get a perfect result or will some fibers likely not get resuspended?

Earl Stephenson, Jr., MD, DDS, MBA · Answer

In my opinion, mentalis muscle resuspension Is  unpredictable because it's not a primary operation.   There are no measurable endpoints. It is a secondary procedure that occurs in conjunction with the primary  procedure such as a sliding genioplasty.

Francis R. Palmer, III, MD (retired) · Answer

Once the mental is has been transected with an intra-oral chin implant placement, for example, there's no fool proof method to re-attach the muscle to the bone.  This is why IMHO, chin implants should be placed through an incision under the chin and not through the mouth.

Gerald Wittenberg, MSc, DMD (retired) · Answer

There are many many factors, including the incision/approach of the original surgery. The height of the chin, the slope of the jawline, the ability to get lip closure originally, the thickness of the 'chin area bone', the slope of the front lower teeth etc etc. Consult a surgeon who deals with bony surgeries for the optimum opinion

Why is mentalis resuspension unpredictable?

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Why is mentalis resuspension unpredictable?

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