Is it possible to have the tissues on the chin lifted? 2 years post op (photos)

Question

Hello! I got genio done 2 yrs ago and I love my results but I feel the tissues on my chin look a little unnatural and I would like them to be a little higher. Is that possible? I do feel like my lower lip is smaller and lower than before. I did already go back to my surgeon and he tried to fix the issue and it looked better for a month by then went back. Does anyone have any knowledge on this? The tissues feel like they hang a little low and when I bring it up with my fingers it looks better.

Michael P. Morrissette, DDS, FACS · Answer

The tissue supporting the chin can sometimes drop following surgical procedures on the chin. There are several treatment options to improve this condition. In some cases, I prefer to place an endotine device on the front of the chin to re-support and suspend the soft tissue pad of the chin. In other cases, the tissue can be reduced by performing a chin "tuck" procedure. The chin is made of a fibrofatty tissue beneath the skin and I will sometimes reduce the size of the chin by dissolving this fibrofatty tissue. Multiple approaches are sometimes needed.

David Bell, DDS, MD · Answer

Good morning! The answer to your question is that this can indeed be improved upon. This is not an uncommon problem. In fact, I get consultations requests from around the world for revision surgery, and by far the most common reason why people request revision surgery is for problems related to genioplasties.
Frequently people will have the very valid concern that the chin seems to be drooping (sometimes unflattering known as a "witch's chin deformity"). This is not infrequently associated with a visual appearance associated with smiling and showing the bottom teeth but not the top teeth. 
Other associated features are the appearance of having a smaller lower lip as in your case. In reality, the lower lip is not smaller in terms of volume, it is just that it is "drooping" and this is typically associated with a overly deep "labiomental fold" which is often inappropriately treated with fillers. The angle of the labiomental fold (you can look that up on Google images) becomes too acute looking when it should be in a more obtuse angle.
Additional problems with genioplasties is that the design is not correct and that is another subject entirely. I have seen patients where the surgical plan seemed doomed to begin with, and patients then went on to have reversals or camouflage procedures which made matters even worse.
I hope that answers your question. We could talk for quite a long time about this subject. Whatever the case is, please be sure that you consult with, and are treated by, an expert surgeon. 
Sincerely,
David
David Bell, D.D.S., M.D.Diplomate of the American Board of Oral and Maxillofacial Surgery

Mats Hagstrom, MD (license on probation) · Answer

To make an assessment regarding the outcome of any plastic surgery procedure we generally always need to see a complete set of proper before and after pictures.
If you don’t have before, and after pictures and ask your surgeon to forward, the pictures they took.
It looks like your chin may have already been projecting before you had the procedure.
 We can’t really understand the outcome of your operation without knowing what you look like before.
Best,
Mats Hagstrom, MD

Is it possible to have the tissues on the chin lifted? 2 years post op (photos)

Answers (3)

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