8 years post-orthognathic surgery with concerns for lower facial harmony (Photo)

Question

I had surgery on my maxilla and a sliding genioplasty 8 years ago to correct an open bite. While this had significant benefits, there are a few things I feel are "off": -Lower lip incompetence with asymmetric chin dimpling--did not have dimpling prior to surgery. Could mentalis resuspension help? -Long philtrum -Deviated septum -Pronounced perioral fat mounds -Overall asymmetry between my chin, lips, dental midline, and nose Looking for the most effective way to address this, thanks!

Randal Haworth, MD, FACS · Answer

Based on your pictures, I think that you would benefit from a 3D/OOS lip lift, a lower V-Y and maybe a corner lip lift as well as a facial liposuccion and a rhinoplasty.

About the chin, I would do Botox first (to relax the mentalis muscle) as it offers really good results in that situation.

Zoran Potparic, MD · Answer

It is very difficult to correctly observe significant asymmetry on static photos.You, generaly speaking,  have a very nice result after jaw surgery;  small tune ups may be considered. It would be best to seek in person consultation with a board certified plastic surgeon for proper evaluation and to discuss your options. Good luck.

Mats Hagstrom, MD (license on probation) · Answer

100% of people have a symmetrical faces. not only is the face asymmetric entire body is including all organs. People are either left-handed or right handed. human body is not symmetrical.
Symmetry should not be an aesthetic ideal because symmetrical faces are not considered more attractive.
The only way to see a symmetrical face is through computer simulation.
Facial asymmetry is generally based on bone structure and that type of surgery is not indicated unless the asymmetry is severe to be noticed by others. yours is not.
Your degree of asymmetry is pretty typical or average.
There are no good procedures for any of the things you listed. Soft tissue manipulation to treat facial skeleton asymmetry typically only leads to a second asymmetry.
I suppose a long soldier could be treated with an upper lip reduction but this does not seem indicated in your case.
During embryological development the two sides of the face form independently of each other and eventually fused in the midline. 
I think overall the outcome of your procedure turned out well and sometimes leaving good enough alone it’s a good place to be.
A lot of plastic surgeons are found of the “term the enemy of good is perfect”
Best,
Mats Hagstrom MD

8 years post-orthognathic surgery with concerns for lower facial harmony (Photo)

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8 years post-orthognathic surgery with concerns for lower facial harmony (Photo)

Answers (3)

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Everything you need to know about Genioplasty

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