Dynamic Chin Pad Ptosis after Sliding Genioplasty Setback

Q: Dr. Eppley, I am searching for a doctor well experienced in sliding genioplasty revision. I had a sliding genioplasty reduction 6 months ago as I wanted to reduce the protrusion of my chin when I smiled. I am happy w the results, the problem is the dynamic ptosis my chin manifests every time I smile. My chin also looks flat and without form when I smile on top of having the tissue/muscle pulled down. I am wonder if this is a matter of mentalis muscle resuspencion or if I can simply have my original surgeon move my chin more forward? Will that fix the hanging tissue or do I truly need a resuspension? 

A: Thank you for your inquiry. As expected when you slide the chin bone back for horizontal reduction you are going to develop dynamic chin pad ptosis. (and in some cases submental fullness as well) This occurs because a purely bone-based procedure does not account for the soft tissue excess that is also present. This problem is not going to be solved any any form of muscle suspension as it is a tissue excess probpenm. Your options are to either slide your chin back out to pick up the loose tissue or have a submental chin pad excision/tuck done.

Dr. Barry Eppley

Indianapolis, Indiana