Sliding Genioplasty: Face Appears Long, Narrow, and Aged - San Angelo

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In July of 2009 I had reconstructive jaw surgery...

In July of 2009 I had reconstructive jaw surgery to correct my open bite. I was unable to close my mouth comfortably, grinded my teeth badly, snored badly, and had an overall unappealing look to my face due to my weak chin. I do not know the number of millimeters in regards to the repositioning of bone by my surgeon, but my bite comes together nicely, and I no longer have a gummy smile. In addition to this my surgeon also performed a sliding genioplasty. Weeks after surgery I was mildly dissatisfied with the way my larger/longer and seemingly pointier chin made my face look. I already have thin lips, and the new position of my chin made my lips frown. Hardly any of my top teeth show (mostly my bottom) giving me a more masculine, hardened look. As my swelling continued to go down my face appeared even longer and narrower. My labial facial folds are more pronounced and my skin seems to droop around my cheeks and mouth, giving me a very aged appearance. Although it has improved, I still have a mentalis strain when I close my mouth. I feel like I should rest on it since I'm only 22, but I can not stand my appearance. I feel my problems, medically, were corrected but the added aesthetic touch (the genioplasty) did nothing good for me. I've only brought it up to my doctor once at my most recent appointment with him (March 2010), and he suggested lip augmentation or jaw implants. He also said the fact that I had short hair made my face appear longer and thinner. I plan on making an initial consultation appointment with a surgeon where I live now, but I'm unsure if the problem is reconstructive or cosmetic. Researching the problems online, I've come across such procedures as a subnasal upper lip lift, a reverse sliding genioplasty, and I've even been suggested to having a face lift! An upper lip lift I am unsure about only because in my surgery my maxilla was shortened as to alleviate my gummy smile, but now none of my upper teeth show as I mentioned earlier. An upper lip lift also seems that it would help with the aged, frowning look of my lips and even with the labial facial folds. How risky is a reverse sliding genioplasty as well as an upper lip lift? Especially if I have already had work done on the area with screws in place? Should I consult with a plastic surgeon or a reconstructive surgeon? Are there any other procedures or solutions that may help me? I hope these problems can at least be alleviated. I'm only 22, and I feel I look rather old and so unlike my old self.

Name not provided

My doctor is amazing at what he does. The BSSO he performed went really well with no negative side effects (to my knowledge anyway). I trust him to help me with the issues I'm having now with the placement of my chin, but he is five hours from where I live.

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