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POSTED UNDER Jaw Surgery REVIEWS

Sliding Genioplasty!! WILL THIS ISSUE RESOLVE??

ORIGINAL POST

Hi everyone, sorry for the dramatic title but I...

Saramarielopez
$3,646

hi everyone,

sorry for the dramatic title but I really want to share my experience and see if anyone has experienced something similar so please comment if you can provide any insights! would greatly appreciate it.



I had sliding genioplasty, BSSO (moving jaw forward) and 4 wisdom teeth taken out earlier this summer. This was done to correct an overbite.



My biggest issue right now is I am finding it very uncomfortable to talk, chew or even move my lips. Everything feels so tight, stiff and heavy. I can open my mouth fine and wide, but when I go to close my lips, I notice a stiff resistance or pulling sensation that makes it uncomfortable to do so. Puckering my lips when saying "oo" or making kissing faces as well as pursing my lips is also very tight and uncomfortable. It feels like an elastic band being stretched. My lower lip and chin feel heavy, almost like cement. I only noticed this tightness and altered sensation after 3-4 months post-op. I was really numb right after the surgery so maybe I couldn't feel much but the past 3 months this sensation has been so bothersome! My chin and lower lip still feel fuzzy but I would say I've regained 85%-90% feeling and I have some altered sensation (i.e., if I scratch my bottom lip and area of my chin will also feel the scratching sensation, if I put a cold back to my lip then I will also feel coldness in my chin). I still get involuntary twitches, some itching etc which may seem that the nerves are still healing?? I also have a band of scar tissue across my genioplasty incision site.



Please please please let me know if anyone else has experienced this sensations following wisdom teeth extraction and/or BSSO and/or sliding genioplasty. Is it something that got better and was resolved with more time? I am so so so so scared that I might have to live like this forever. I am so depressed and sad all the time. You never really understand how much you take basic things like talking for granted until it becomes difficult and uncomfortable to do so. Is it just the scar tissue, muscles nerves adapting to their new position and with time things will start to settle and feel better? I'm so worried because on forums I see people who got other similar and more invasive jaw surgeries feel back to normal after 6-12 weeks.



I now know that cutting bones in the face is a very invasive procedure!! As far as my review goes I would not recommend orthognathic surgery or genioplasty for cosmetic reasons. The risk profile is simply too high and in my experience surgeons are not truthful about the frequency of complications. It may be worth it for severe functional issues like sleep apnea, TMJ pain etc...but for simply correcting a slight malocclusion, please reconsider....not worth!! Nerves are a scary thing to mess with!



Please comment similar experiences!! I'm praying that this is an issue with stiff/stubborn scar tissue and in a few months, maybe years, everything will settle and I will feel better. I'm so worried. I have been so antisocial in my bed all day just so I don't have to talk and feel uncomfortable. I keep thinking about how much straining to talk will effect my future career and personal life like helping my future kids with their homework. These past 2-3 months have been miserable!!

Saramarielopez's provider

Dr. Doe

Replies (7)

January 1, 2018
So sorry to hear. I've been thinking for months what I could do about my Jaw since a Dental situation. Any update? How do you feel now?
January 2, 2018
We just had a consultation about this procedure and they said that the recovery is quite long. Please don't give up, it's bound to get a lot better!! They said that permanent nerve damage is quite unusual. Best to you!!
August 16, 2019
I had a BSSO and a genioplasty a year ago and I’m finally almost back to normal. I had the tightness in the beginning, which got better after the fourth month. I was doing facial exercises to stretch the lower part of my face. I do not have scar tissue or at least I do not see. Everyone recovers differently but I was told that it takes up to a year. Although I’m fully recovered I have a bit of muscle tightness on one side but it does not cause any issues. Keep in mind that with time things will get better stay positive and also the bone structure has changed and it will feel a bit different than before.
August 16, 2019
its been 2.5 years unfortunately, its daily and it limits me tremendously. For example, I went on a date today and after 45 minutes I had to end it because talking causes so much pain in my lip and chin. I don't think its a time thing
March 18, 2022
Hi I’m no sorry his post was in 2017 but can I ask if things have improved. As I am suffering with the same problem
April 7, 2022
no :( bothers me everyday
February 26, 2025
did yours improved?
UPDATED FROM Saramarielopez
2 years post

Major Complications Following Genioplasty

Saramarielopez

I have a very very uncomfortable feeling of pulling, cramping and "stuck" feeling in my chin after my genioplasty 2 years ago! My main complaint is the extreme discomfort I feel when I speak. I haven't had one conversation where I wasn't in pain or discomfort. Did anyone have a similar complain, and how did you go about fixing it?

Thank you!

Replies (7)

August 21, 2019
Sounds like there are scar bands restricting movement. This can happen when the incision is placed too low in the vestibule. It can be treated using laser, cautery or sometimes a soft tissue graft.
December 6, 2021
I'm having the same problem, I'm having trouble eating as well. Did you manage to get it fixed?
December 7, 2021
no
December 17, 2021
I've just started having jaw physio on it, she gets stuck right into the lip, chin and step off and breaks up the scar tissue, it hurts like hell when she does it but it does seem to be loosening things up a bit, I ate solid food yesterday for the first time in ages without too much trouble. I got relief from an old shoulder injury by having a few sessions of physio breaking up the scar where it felt restricted and it pretty much got rid of the problem so I figured I'd give it a go for this.
May 9, 2022
Hey! Do you have any updates? How are things now?
May 9, 2022
Not good they are getting worse for me. I don’t no where to turn. I hate the cosmetic side of it too it looks awful.
February 26, 2025
how are you now