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POSTED UNDER Genioplasty REVIEWS

Chin Reduction Surgery -- Review

ORIGINAL POST

My chin has always been slightly long; not crazy...

puptentjr
WORTH IT$14,000
My chin has always been slightly long; not crazy or distractingly so, but enough to annoy me. After several years I finally decided to jump in and have surgery, and found a maxillofacial surgeon who does many chin reduction surgeries. Although I never thought about my profile, during my consultation my doctor showed how advancing my chin forward very slightly (in addition to reducing the height) would improve my profile, and I agreed. He was very thorough and answered all my questions, went through all the possible risks/complications/side effects, and had me do an extensive set of facial X-rays (as well as a routine blood test) so he could see exactly what was possible. Chin reduction surgery involves disrupting nerves and detaching and reattaching facial muscles, so it is really important to choose a doctor who specializes in chin surgery.
My surgery was performed under general anesthesia and took less than 90 minutes. He went through an incision inside my mouth at the base of my lower teeth (so no visible scars), and cut and removed a 7mm-tall wedge from my chin. (Originally we thought he'd only be able to remove about 5mm, to avoid damaging the nerves, but once he made the incision he saw my nerves were quite short, so he was able to remove more.) He also advanced my chin very slightly forward, about 2-3mm, and I think shaved around the edges so as to maintain my tapered chin shape.
I woke up groggy but in little to no pain, and with a bandage covering my chin and jaw and a compression garment around my head like a giant headband. I went home after a couple of hours and really had very little pain. My doctor doesn't prescribe hydrocodone because it is so dangerously addictive, but the painkillers he gave me were just fine. For the first 5 days I was on a strict liquid diet (to avoid an infection from food particles getting into the incisions), but I found it to be no problem, as general anesthesia seems to depress the appetite for days.
My bandages came off after 5 days and I have to say, my chin length looked pretty unchanged because of the swelling. Additionally, my jaw was boxy-looking and square, as if I had suddenly developed jowls! All around my chin and lower lip was quite puffy and swollen, even underneath the chin in the neck area. Additionally, my bottom teeth were numb and my lower lip & chin were very stiff so I couldn't smile, talk, or laugh normally. The doctor had explained all of these side effects to me before surgery, but still part of me was worried, especially about the square, jowly look.
I am now about 6 weeks post-op. It took about 4 weeks for the squareness and jowls to go away, but they did. At about 3-4 weeks post-op I developed a stabbing pain & tenderness on the right side of my jawline after talking or chewing for a while, but this has subsided now. A little tenderness remains but not much. The tightness in my lower lip and chin has greatly subsided, so I can smile almost normally (not quite at 100% yet). I have most feeling back in my chin and lower lip, but my lower front 4 teeth are still numb. One weird side-effect starting at about 2-3 weeks was my lower lip felt like it was mildly burning, as though I had hot sauce on my lip, and I was constantly applying lip balm to alleviate the feeling. It didn't hurt, it was just annoying, but it seems to have subsided now.
As for how it looks -- at 6 weeks post-op, my chin looks slightly more prominent (in a good way) from the 3/4 profile (which is not reflected in the below photos). It also looks shorter, but it is still swollen and will be until I am at least 6 months post-op. My doctor removed 7mm so I know it is significantly shorter than it was, but because of the swelling I won't see the final result for another 4 months at least.
I think that with chin reductions, the changes are so gradual and therefore less noticeable off the bat. When the bandages first come off you look very similar to how you looked before surgery because of the swelling. So it's such a gradual change -- which is actually good because (1) you won't be shocked when the bandages come off and (2) nobody will be like, "Wow, did you have work done?" My greatest fear in having this surgery was that I would come out looking like a different person. That is not the case: I still look like me, only a bit better.
I'll continue to update as I recover and the swelling abates.

puptentjr's provider

Jordan Deschamps-Braly, MD, FACS

Jordan Deschamps-Braly, MD, FACS

Board Certified Plastic Surgeon

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Replies (8)

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December 8, 2016

Thanks for sharing your experience. If you're comfortable sharing progress photos, I'd love to see how your swelling subsides into your final result!

December 11, 2016
Looks good and will keep getting better. I had a sliding genoplasty and it took about ten months for all the swelling to disappear.
January 22, 2017
Beautiful difference! Did he reduce your tissue/muscle? Or, only bone?
January 28, 2017
Thank you. Only bone.
December 9, 2017
Who was your dr?
May 15, 2018
Oh my god I was desperately looking for reassurance 6 weeks after my operation and you have basically described my entire experience to the letter! I think your surgeon has given you more aftercare advice than mine and I had been worried about the swelling so it’s good to hear it’s very slow changing and I need to give it more time as currently it’s feeling very square and I was worried that was it. I still can’t feel my bottom teeth and had the lip and stabbing things too! I have quite a bit of discomfort to eat still do you? X
UPDATED FROM puptentjr
2 months post

Week 8.75 update

puptentjr
I'm almost 9 weeks post-op. The recovery is going smoothly, and I am glad I decided to have this surgery. The tenderness along my right jawline is all gone (unless I press really hard), I have all feeling back in my lower lip and chin, and probably about half of the feeling in my lower front gum. My lower front 4 teeth are still quite numb, but some feeling has definitely come back and I understand it takes 6-9 months for the tooth numbness to fully resolve. My lower lip and lower gum line (where the incision was made) still feel slightly tight when I smile, but that too is improving slowly but surely. I've attached a photo I just took today. Please feel free to message me or comment with any questions.

Replies (3)

November 15, 2017
I am interested in this procedure as well. I understand that it can be done but wither burring or sliding genioplasty, which one did you get done?
January 10, 2019
Can you post some more photos? I’m having so much trouble finding a surgeon where people have positive reviews about their surgery. A lot of people say intraoral there was no difference or there was complications.... the surgery itself seems quite expensive as well... so you think that your chin looks smaller but it will take 8 months to see that ?
September 2, 2021
Thanks for this, how long did it take for the swelling to go down?
UPDATED FROM puptentjr
2 months post

8.75 weeks post-op -- smiling photos

puptentjr

Replies (9)

December 20, 2016
These are before and afters taken while smiling. The photo on the left is before surgery (smiling), and the one on the right is 8.75 weeks post-op (smiling). I decided to post these because the chin often looks different while smiling.
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December 21, 2016

Thanks for sharing the difference when smiling. You don't typically think there will be a difference!

December 29, 2016
Looks fab! Is it still swollen? Do you have like a slight double chin? I am 5 months post op and still a bit swollen under my chin but i do love the change. Look forward to hearing from you thanks!
January 28, 2017
I don't have a double chin. My doc said I wouldn't see the final result until at least 6 months post-op, so I assume there is still some swelling.
February 19, 2017
Looks great!!!
July 21, 2017
Did Dr. Deschamps-Braly perform your surgery or did you end up using a maxillofacial surgeon? I am looking into jaw/chin surgery and am wondering on how to find a good maxillofacial surgeon. Thanks!
January 10, 2019
I think the shape was nicer before, now the chin is moved forward and looks protruding rather than just being a bit long, which is more feminine than protruding forwards
March 15, 2019
It doesnt look too protruding front the front at all looks nice