Will a Revision to reverse my chin augmentation cause skin sagging?

Question

Hello, about 1,5 Years ago I had a full chin wing surgery to advance my chin about 4mm. I’m unhappy with the results for several reasons and I would like to completely reverse it by the full 4mm, to get my old face/lower jaw back. My biggest fear is that this will cause additional skin sagging in the submental / lower jaw area, more than there was before the surgery. Is this true? I had heard this could be the case for reverse genioplasty surgerys. I am 27, in case this matters.

Michael P. Morrissette, DDS, FACS · Answer

A chin wing surgery of 4 mm is very minimal. It may be possible to reduce the advancement without repeating the osteotomy. In some cases. a 4 mm shaving will accomplish the same result without the need for the osteotomy. Again, 4 mm is very minimal and the soft tissue envelope may return to normal especially in a young patient.

Zoran Potparic, MD · Answer

Only on the basis of in person evaluation one could give you a more detailed answer. Considering your age and elasticity of facial soft tissue, it is very likely that you will have good retraction and no sagging. Nobody can guarantee that. Good luck.

Barry L. Eppley, MD, DMD · Answer

Reversing a chin wing osteotomy is no different than if it was a shorter traditional sliding genioplasty. There is always going to be a risk of skin sagging when the bone support is reduced...particularly after it has been previously stretched out. It may not happen but equally may also occur. No one can say for sure whether it will or won't regardless of your young age.

Will a Revision to reverse my chin augmentation cause skin sagging?

Answers (3)

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