Regretting sliding genioplasty. Bottom lip is thinner and chin is longer than before, can this be reversed asap? (photo)

(2wks post op) Although I have swelling I am 100 % certain my chin is longer - I can feel the bone. There is minimal swelling horizontally, however, the optimum length of my chin is neither swollen nor bruised as I can feel the tight sharp edge of the bone. My smile is more masculine than before and if the bone and tissue heal like this I imagine there will be less of a chance to correct it? I am still wearing the bandage/mask in impossible hope suppressing the bone. Who should I contact at this time of year?

Doctor Answers 3

Be patient!

It will take several months for all of the swelling to go down.  The firmness you feel will likely also soften with time as the bone will remodel a bit.  Try to be patient with the healing process.

Atlanta Facial Plastic Surgeon
5.0 out of 5 stars 1 review

Early Sliding Geniplasty Concerns

The first thing to realize is that what you are seeing at just two weeks after surgery is not necessarily the final result. Because of swelling the shape of the chin may eventually be different than what you are seeing now. You may think what you are seeing is the final result but that does not necessarily make it so. It takes a full 6 to 12 weeks to see the true final result from any facial bone surgery. Your chin may or may not be actually longer with a sliding genioplasty based on the angle of the bone cut and how it was secured. Temporary changes in the smile and lip movement are very common after this procedure and those will be a self-solving issue with more healing time. Your genioplasty can always be reversed or adjusted, even after it is healed, it is just easier to do that in the first six weeks after the initial surgery.

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon
4.7 out of 5 stars 72 reviews

Talk to your surgeon

Best advice is to go and talk with your surgeon.  The surgeon that did the surgery may well be willing to reverse it with minimal cost to you (you will likely be asked to pay for OR and anesthesia).   Or your surgeon may suggest you wait for 6 to 36 weeks and you may grow to like the result.  Or assess week by week.  Often it takes time to appreciate the positive of plastic surgery.  Being patient may well be the best advice.  Go talk to your original surgeon.  My Best,  Dr C

George Commons, MD
Palo Alto Plastic Surgeon
4.5 out of 5 stars 36 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.