Genioplasty Reversal Swelling

Q: Dr. Eppley, If possible I wanted to get your opinion on residual swelling post genioplasty reversal. I had the genioplasty reversal almost 3 months ago. I have a little swelling left and it’s been fluctuating- it went down a few weeks ago and then got more swollen this past week. This is only noticeable to me and my boyfriend- it’s not significant swelling but I just want to make sure it’s normal. Would the swelling fluctuations be caused by he increase in heat or using a sauna and hot tub? Will it go away on it’s own? 

Thank you so much for your time.

A:It can take up to six months or more for residual swelling and tissue changes to eventually settle out, particularly in the secondary chin surgery patient. This is particularly so in the geniplasty reversal patient where the soft tissue support from the bone has been reduced. There is more than just swelling involved but the eventual soft tissue contraction (shrink wrap effect) that also must occur.

I would wait a full year after the surgery to not only let all the swelling subside but to make sure you have fully accommodated to the new look.

Dr. Barry Eppley

Indianapolis, Indiana