Reverse genioplasty - should I find an oral maxillofacial surgeon or plastic surgeon? (Photos)

Question

I had a genioplasty in 2022 and I’m not happy with the results. I had a 6mm advancement and now my chin looks too prominent and the soft tissue looks like a ball. I want to get a reverse genioplasty. Where can I find a surgeon that specializes in chin surgery? Should I find an oral maxillary facial surgeon or plastic surgeon? Also is it possible to fix the soft tissue at my chin and not do a reverse genioplasty to make my chin appear smoother and more balanced?

Michael P. Morrissette, DDS, FACS · Answer

A sliding genioplasty can be reversed or modified through the same incision. The photos show a deep mentolabial fold which usually indicates a short chin in the vertical dimension. In similar cases, I recommend a slight reduction in the horizontal plane and a vertical increase in the length of the chin. A cone beam CT is very helpful in determining the amount of vertical increase needed.

Zoran Potparic, MD · Answer

It is possible to do genioplasty reversal when needed. Conservative reduction of chin soft tissues is also possible in the same procedure. Good luck.

Mats Hagstrom, MD (license on probation) · Answer

To make an assessment regarding the outcome of any plastic surgery operation we generally need to see a complete set of proper before and after pictures.
If you don’t have before and after pictures, then contact your previous provider and ask if they still have pictures available.
You should also get a copy of your operative report if possible.
These will all be very helpful to any new provider you consult with.
Bring both before and after pictures and a copy of your previous operative report to any second opinion consultation.
It looks like your deficit was not just in the mentalist region, but further back in your mandible and perhaps a mandibular advancement would’ve been a better procedure.It’s important to have a really thorough understanding of the problem before selecting providers.
On your profile picture, your upper lip has significantly more forward projection than the lower lip.
This tells me you probably have a significant overbite dental occlusion.
This is why I think The lack of projection is further back in your mandible. Advancing your chin, lacked the sides a bit hollow looking, and adding volume on the lateral aspects would help balance the outcome a bit.
This can be done with fillers or implant.
I agree that your projection is slightly overdone.
My experience has been that oral surgeons tend to do more of these procedures while plastic surgeons tend to lean more towards implants, but this is certainly not universal and some plastic surgeons have extensive experience with this sliding genioplasty procedure.
I would recommend you consult with providers from both specialties.
What you’re looking for is someone who is talented and has extensive experience.
To vet providers, bring pictures of your own face and ask providers to show you before and after pictures of previous patients who had similar facial characteristics and had similar revision type procedures. 
 Ask providers to show you their entire collection of before, and after pictures of previous patients who had similar characteristics.
Experienced providers should have lots and lots of pictures to show you. This is one of the most important variables when it comes to selecting a provider.
I would also recommend you have several consultations before selecting a provider and avoid virtual consultations and reliant in person consultations exclusively whenever possible.
For this kind of work, I think oral surgeons have an upper hand, but it’s not necessarily the training, but the amount of work and experience with this type of condition that really matters.
Consider having four or five consultations before selecting a provider.
Revision work is much more difficult and complex and primary procedures.
Best,
Mats Hagstrom MD

Reverse genioplasty - should I find an oral maxillofacial surgeon or plastic surgeon? (Photos)

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Reverse genioplasty - should I find an oral maxillofacial surgeon or plastic surgeon? (Photos)

Answers (3)

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Recommended reading

Everything you need to know about Genioplasty

Our mission is to create a world where every investment in modern beauty is Worth It.