Skin sagging after mandible contouring and sliding genioplasty (Photo)

Question

I had a mandible contouring and sliding genioplasty a year ago but the skin on my cheek seems to be sagging after the surgery. Is it possible to reduce the sagging via laser tightening, even temporarily? Or do I need another surgery to fix it?

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Nelson Lee Novick, MD · Answer

Profile photos would have been helpful. But, in general, the skillful use of an appropriately robust HA filler injected properly along the jawline can contour and define the jawline, and eliminate or signficantly improve sagging and jowls there, as well. The hard science to support the use of expensive "bells and whistles" fraxel lasers and other hyped energy-based gizmos lags woefully behind the heavy marketing, advertising and social media hype to promote them. In a recent article in The Skin Cancer Foundation journal entitled the "The Dangers of Doctor Google," the authors stated, " there's also plenty of questionable and inaccurate info floating around out there. Even facts can be presented in a misleading way."  The article went on to say "The unregulated nature of social media means users can be vulnerable to unsubstantiated claims--there are no editors fact-checking posted content."  In another recent article , in the Journal of Drugs In Dermatology, entitled "HashtagLaser Surgery: How Lasers are Portrayed on Instagram,"  the authors commented, "...social media posts are unstandardized and carry a high risk of misinformation." and further went on to say, "....laser safety considerations and laser-induced complications were only discussed in a minority of posts..."  So, you would be wise to consult with an experienced, board certified cosmetic dermatologist and best of luck.

Camille Cash, MD · Answer

You may be a candidate for FaceTite which uses RF technology to tighten skin.  The treatment requires no general anesthesia.  The results can be enhanced by adding Morpheus8 treatments to improve overall skin tone and texture.  We also recommend using medical grade skin care products like Transform MD and wearing sunscreen every day.

Skin sagging after mandible contouring and sliding genioplasty (Photo)

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