What is the best procedure for a chin reduction after double jaw surgery? (Photos)

Question

3 years ago I had double jaw surgery to fix an underbite. However, I didn't opt for any additional chin reduction at that time and now my lower jaw has moved into its proper place but my chin still sticks out considerably. There's also an extra flap of skin that is very noticeable when I smile. So am I a candidate for a chin reduction? And with the permanent metal in my face, would a plastic surgeon be hindered, or would I have to see another maxillofacial surgeon?

Michael P. Morrissette, DDS, FACS · Answer

It appears from your photos that you have excessive soft tissue overlying a pointed chin. The original photos before the double jaw surgery would be helpful. Since you lack a deep mentolabial fold, I would be reluctant to remove too much bone. In addition, I would recommend a submental approach to release the submental crease area and reduce the soft tissue of the chin. I would simultaneously perform a formal platysmaplasty and define the cervicomental angle by suturing the platysma muscle to the deep cervical fascia. Be aware that dynamic changes (like when you smile) are difficult to completely change.

Kenneth Hughes, MD · Answer

Hello, thank you for your question. It seems like you can benefit from a chin reduction. I recommend you to schedule an email. Skype or in-person consultation with a board certified plastic surgeon.

Chien C. Kat, MD · Answer

Thank you for your question and photos.You may have more excessive soft tissue or bone or a combination of both which will need to be reduced. Either a maxillofacial or a plastic surgeon who is experienced in this type of work can help you.

Barry L. Eppley, MD, DMD · Answer

You have a combination of excessive bone and soft tissue chin pad, the latter which is magnified when you smile. This will require a chin reduction procedure that can address both which has to be done using a submental technique. The existing hardware in your face is irrelevant since it is not at the chin site....and even if it either be worked around our just removed.

What is the best procedure for a chin reduction after double jaw surgery? (Photos)

Answers (4)

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