Improving facial profile - would genioplasty be the right treatment for me? (Photo)

Once the bone has completely healed from the first surgery, it is possible to have a reduction genioplasty. However, being a revision, you are at a slightly higher risk for complications, and it may not be possible to get your chin 100% back to its original position. That being said, we can make...

A horizontal advancement genioplasty will always give the appearance of a longer face because a recessed chin gives the appearance of a short face. The step-offs usually resolve spontaneously but can be made smooth at 6 months.

This is never an easy problem to resolve and sometimes "better is the enemy of good enough" (Voltaire). I prefer Micro-Aire Endotines and and aggressive taping as opposed to Mitek screws. Sometimes a simultaneous vestibular reduction is helpful. The Mentalis strain would likely improve with botox.

A lot depends whether the reduction is only one direction or multiple directions. In cases where the reduction is performed with advancement of the chin, then the soft tissue pad will not need reduction. If the changes are only vertical, then a "chin tuck" may need to be performed from a...

You can see a lot more than 5mm below your nerves, below apices of teeth, and reasonable alveolar support. Depending on your goal you may be limited to 8-10mm of advancement, so in that scenario we always talk to people about doing further advancement in the future or possibly a small implant....