Sliding Genioplasty Was the Worst Thing I've Ever Done to Myself. -

Its good that u choose a chin implant from begininng at least its less invasve and can be removed, in plastic surgery its always better to stick with the minimal, i learned my lesson now, hopw u will like ur results

The doctor told me the swelling goes down in 8 weeks. It actually took almost a year . I have a cross bite that I think the doctor didn't take into consideration when he screwed on the chin, plus he put in the largest implant which was just plain wrong and exaggerated my face. I'm still hoping to some day figure out how things can be corrected . I'm hoping that in time my face will relax enough to get back my lower lip. I've considered fillers, but everything is do expensive.

I had sliding genioplasty, but was your implant put in via an intraoral or submental incision? Did you find out why your lip is smaller?

The way my post op visits would go is, I would walk in and the doctor would say how wonderful I looked. Then his nurse would say how wonderful I look. Then they would tell each other how wonderful I looked. Then they looked at me and I'd say that my mouth looked funny and they'd tell me I was wrong. After a while it got difficult to make appointments . Doctors have a way to get receptionists to make you feel very unwelcomed.

The implant went in under my chin.

To answer your wandering about computer imaging, I had computer imaging done for me initially but only for my profile and not my front. Not that it mattered, because he didn't follow his surgical plan anyway. Even if the side looks better, it doesn't justify the front making me look like someone undergoing sexual reassignment surgery when I'm a biological woman.

Lindanj2, can I ask what you mean by your crooked face and bend on either face? Do you have soft tissue drooping because of the implant removal?

I'm not sure if the drooping is because of the plant removal or because of a bad dental bite. I'm hoping that my dentist can open my bite and that will correct my problem

What's going on with your lower lip? Is it thinner and retrusive from the side like mine? Did you find out if it's from the scar tissue inside your mouth or if it's from the chin muscle being damaged?

Yes its thinner than before, i even have more lip incompetence, i dont think that the muscle were affected or that scar tissue, i read that when advancing the chin the lip roll inward to a more upright position, i wish i knew this before going for a surgery :(

By the way its good thing that your surgeon admitted his mistake and tried to correct it, thats why im afraid of over revision, and thinking of full reversal instead.

Let me know if you decide to do a reversal so we can share experiences!

I'd do a full reversal. Don't risk getting a revision because if you still don't like it, you'll be in my position... in need of a 3rd revision to reverse the entire thing. Did you have this done in Bahrain jeje?

When i decide sure i will share experience here

Really Thank you for advice, actually another surgeon suggested To do a revision for shortening the projection and make it 4mm, but i dont want to risk it again! And now i have indents because of the genio that i dont think another revision will solve.

Chia, I looked at your other post and I look very similar to you post surgery except I have additional soft tissue problems. So I really, really understand where you are coming from!!!! I'm looking to completely reverse the surgery. Are you?

God yes. I have an appt with a surgeon on Dec 29th to go over a plan to get this fixed. I've felt likea monster fora year anda half now. I wishi could show you what I looked like before all this, it was so much better. It makes me sick. I've wanted to kick the surgeon's ass that did this to me! He said he was proud of my face!

OMG vrina I could've written your post myself. I have had a SG and also want to completely reverse the surgery after +3 years. I don't think they turn out well on some people. I have actually had 2 revisions on it already and the soft tissue is all dimply and wobbled looking. It was actually like that from the very start though. I look like I have a chewed up limestone on the end of my face. I have read that Dr Barry Eppley does reversal genios. I would give him a call and get rid of it, perhaps a small implant and some botox will fix the soft tissue later on, but I would reverse the genio completely as I found that even if you shorten it, the chin still makes the face look longer.

why did you have 2 revisions? what happened?

I had 2 revisions due to the fact that the first one resulted in no detectable improvement. My second revision (with a different doctor) involved shortening the chin and setting it back more. However, it still looks pointy and makes my face look longer. Plus I have pain, and weird depressions underneath my mouth area, along with dimpling. I had a long face to begin with and now I look generally deformed. I have read about others being left with dimpling after genios. It probably means that the piece of bone is too big. Frankly, I want the screws out and the remaining chin reversed because it was initially cut too wide, so it looked like my face had fallen off at the front. But some of these doctors tend to go on about profile etc., which is not as important as the front of the face. The front of the face should never be sacrificed for a profile improvement unless your chin is literally in your neck and it looks bad from the front. in fact, my face in profile hardly looks different because I still have an overbite (recessed jaw).

How is the feeling after two revisions? Do you have any nerve damage and teeth numbness? I have dimpling too, my surgeon told me the genio will solve! But its still exist and more obvious than before

Hi, it has been a difficult situation for me, and it really was life altering from the beginning. I will talk about the teeth numbness first. After the first genioplasty, which was combined with the BSSO, I did have tooth numbness, but it was only the bottom front four teeth. I would say that the numbness for the teeth was very sharp at first, but gradually lessened over a year or so, and then finally went away. This was much less bothersome to me then the chin and lip numbness, because even though it lessened, the numbness was always present on the left side of my chin and lip. The right side had the teeth numbness, but never had the chin or lip numbness. I have claustrophobia, so the numbness always made me feel trapped which took a long time to learn to cope with. There were two reasons that I decided to have the revision with the first being the chin position, and the second was the hope that by moving the chin back a full cm, it would lessen the stretch on the mental nerve and thus eventually eliminate the nerve damage. I knew going into the revision that the nerves would be slower to heal, and they are, but, I can tell that the numbness that was there is getting better. There is still a different kind of numbness that is there, but that is the numbness from the surgery, and not a stretched nerve. This is hard to convey in writing. I probably have done more research on surgeries, and have met with more oral surgeons then most people, and therefore I have a lot of insight into this. What I have found about this surgery is that it is much more invasive than most people think, myself included. I had no idea about the effects to the mentalis muscles, the notching in the bone, etc. There are certain aspects of the surgery that will take time to heal such as the swelling, nerve regeneration, etc. Tell me about the dimpling? Did you at all have this prior to your surgery? Did your surgeon do a straight horizontal move or was there a vertical component as well? You can ask him or look at an xray. Generally the dimpling will be helped if the genioplasty had a reduction in the vertical height, because that shortens the distance from the bottom of the chin and something called the labiomental fold. This fold is where the mentalis muscle is attached superiorly. Any questions, please let me know. Thanks

Thank you very much, now i have some hope that i could regain sensation even if it takes a long time, i was not informed of many things regarding post surgery complications and my surgeon was not honest at all, so i completely understand what you mean about having no idea of the side effects, i have a mentalis strain already that the surgeon said the genio will solve, but it didnt, and nowi have obvious indents in the jawlines, its a horizontal move that made the face looks like v shape, i wish if the dimpling was the only complain, but many things is bothering me now, and i wonder if a reversal could solve things and make me look like before! and i agree with you that its really an invasive surgery that i was definitly better off without it, hope people search more before going for a genio its really invasive and sometimes the side effects not worth it, many thanks

I am sure like you, I never really had any thoughts that my life would have been altered so much. It is not only a physical change, but it is the emotional changes for me of would I ever be normal again. People who have never gone through this will never understand just how much of a change it will be. That is why I hope that I can help you and anyone else who goes this procedure with unintended consequences, because there are not a lot of resources out there. My surgeon never explained to me what would happen, and all he said was that if I didn't have the genioplasty, I would not look normal, so I trusted him, and simply did what he suggested. The most important that you have to ask yourself about your surgeon now is "am I in the best hands that I can be"? There are several factors involved with the first being the aesthetics of the chin after the surgery vs prior to it. More than likely, the notches will remain as mine did, because any time the chin is cut an moved forward, the bone is much less likely to fill in. The other question that you have to ask is the mentalis muscle strain. If a move of the chin was mostly horizontal, the mentalis muscle strain will not likely improve, because the movement was out and not up. With regards to the nerve issue, is it primarily in the lower teeth or does it affect the chin and lip? As long as the cut is 1cm below the mental foramen, there should be no long term issue. I would ask your surgeon to see the xrays to see where the cut was made. If you were to reverse the genioplasty, I can tell you that the sooner you do this, the better off you will be and the closer you will get to where you were initially at. The longer you wait, the scarring takes place, the bone begins to remodel, and the soft tissue will follow. The key now is to ask yourself these questions, and then find a really competent surgeon. There are many that I have met, so I have a great idea of who is good. Let me know if I can help. Thanks

Im sure now that i was in the wrong hands from the beginning, and about the notch i consult four surgeons til now and they said it will not go, one of them told me it will be more obvious in the future, my surgeon said it will go in a year but now i dont trust him at all! The numbness is improving in the lip and chin, but gum and teeth is completely numb wich bother me so much, the cut is about 1 mm below the cut, i think the cut is too high,dunno if i have a long term issue? I just hope that nerve issue will not be worse after reversal, thank you ,your help is very appreciated

It's sad you can't trust these doctors. :-(

I think that most are compassionate, but because most of them have never had a sliding genioplasty done or in my case two of them, they have no idea of the physical and therefore emotional consequences that follow. I am convinced that most people should never even consider having this procedure done, and after they do it, they wish they never had it done. Even though my surgeon was considered very good, I still had many issues.

Well I was lied to by my surgical team so I have a very different view on the whole situation.

The time frame for the bone to fill in on the outside of the cuts (notches) is two years. Most experts and my own research confirm that it has not filled in by then, it never will. The problem that these surgeons don't tell you is that if it doesn't fill in, and most do not, the skin will begin to drape over the notches and therefore create a loose skin appearance over time, and that is why I suggested reversing the genioplasty earlier rather than later should you decide that is the best option for you. I had the notches for 7.5 years, and even though the bone did not resorb, the appearance got worse, because the soft tissue began to adjust to the new home with the missing bone. There is a difference of opinion on how far below the mental foramen the cut should be, but the absolute minimum is 5mm or 1/2cm, but good surgeons make it a full 10mm or 1cm to be safe. The mental foramen are the exit points of the mental nerves and are above the cut line. One thing that I have taken away is the everyone heals differently. There are supplements that I have found which help me personally with the nerve healing, and one of them is ALA or alpha lipoic acid either the R or S form. There are different ideas on how much to take, but I was taking 100mg a day prior to any surgery just for anti aging. I would ask yourself what bothers you currently about your post op results, and let that guide you. My issues were chin position, notching, and the nerve issue from a stretched mental nerve. Most, but not nearly all of the swelling is subsided by 3 months, but the actually settling of soft tissues could be a year or more. The nerves are also a separate healing schedule.

That makes is so much worse to know that you were lied to, because the trauma of just having a bad result is terrible to begin with. What are your thoughts of trying to correct this, and it shows you are in the Southeast. Do you have a new surgeon that you are working with now? Through my own experience over eight years, I done so much research trying to correct my own issues, and that is why I am trying to help those who have gone through what I have gone through. There is a time clock that is running now to get things done, but I would not rush, but be patient and find the right team. I have seen surgeons across the country, and I have an idea who is really good.

Well even if takes two years for the bone to fill the gabs such a thing must be told to the patient before but not after the surgery! Doing nothing is also an option, instead of going through a surgery thats with long recovery time, i will accept the result if its only one complain, unfortunately, its many things bothering me now, the step off deformity made jaw line disfigured, the dimpling that became worse like there was no point of doing this surgery, and other issues that wasnt there before! Im taking b12 vit for the nerve healing, many thanks for sharing your info and experience and wish you find the best solution soon.

I agree completely you about surgeons telling you what they know would take place. I had no idea that gaps would be left on either side of the chin, as well as so many other things that have taken place such as the nerve damage, etc. If there was only complaint that you had, it would be a much easier decision, but because there are multiple things, going through another surgery might be a good solution. The most important factor is finding the next doctor who can really advise the best option. Are you near Atlanta?

No,Im not from the state, but i found two surgeons who agree to do a reversal if its really bothering me, and sure it is, and they discuss with me the soft tissue consideration, the issue now is if there will be more nerve damage, no one can guarantee that, i wish people read our comments here, so they think ten times before getting a genio!

what did the surgeons say about the soft tissue after reversal?

What kind of nerve damage have you experienced, and has it gotten better at all? I agree with you about thinking ten times before getting a genioplasty, because I had no idea what it was prior to the first surgery. I simply trusted my surgeon to do what was in my best interest. Your soft tissue issues shouldn't be too bad compared to the unknown with mine, because I reversed mine at 7.5 years. How far did the surgeon move your chin forward?

Sry for late replies, the surgeon told me that the first thing to consider is the mentalis muscle, must be reattached\resuspend, to prevent lower lip drooping, i dont remember exactly if he said it must be done in the same time of the reversal or in another separete surgery, also even if the bony segment was repositionedin its original place, it depend on how my soft tissue will heal so no guarantee to regain my old look 100% but close to it.

About the nerve issue i have complete numbness in the gum and lower front teeth, i feel sometimes like i dont have lower jaw and its annoying, im worrying because its not getting any better, the advancement was 6mm, its not much but i think the way of cutting and movement caused the indents, since you reversed it at 7.5 yrs i wish to know how things are going? do you think u regained your old look or at least close to it? Hope there is no complications regarding the reversal? Many thanks and best wishes

Is it hard getting a second surgeon to agree to do a full reversal? I would think they would try to talk you into just having a slight revision instead of going all the way back to a recessed chin.

Yes it is, first they want you to wait for 6 months or a year before taking a decision, and sure a slight revision and correction is mentioned at first, but as i see of peopls experience that a revisions sometimes can lead to undesired results again.

Well, I'm a year and a half post op so this thing hanging off my face isn't going to get any better.