Can My Sliding Genioplasty Be Revised?

Q: Dr. Eppley,I’m interested in exploring a revision for my genioplasty. I had the procedure five years ago and I feel like I’m not completely happy with the results. Specifically, I feel like my chin looks a bit too projected and masculine, and I especially notice it when I smile. I’d like to understand what options might be available for a revision, or whether a chin implant might be something to consider. I’d appreciate any guidance or next steps. Thank you

A:When it comes to a sliding genioplasty that has too strong of a chin augmentation effect one has to look at a reductive approach for which an implant would not be effective in that regard. This can either be done by setting back the sliding genioplasty a bit or using a submental approach from below to shave down the projection as well as narrow the sides and then remove any soft tissue chin pad excess that remains.

In looking at all of your pictures, even though I have no idea as to what you looked like originally, I think it is a tough decision in deciding to do anything. I see what you are seeing and I think the projection and masculine aspects of it are slight in their excess. As a result I think it is a hard decision to try to improve these concerns. I always worry about is the solution and a case like yours greater than that of the problems. As you have just learned from this sliding genioplasty every surgical procedure has its downsides and no procedure is perfect.

Dr. Barry Eppley

World-Renowned Plastic Surgeon