How Can I Improve My Double Chin After a Genioplasty Surgery?

Q: Dr. Eppley, I went to South Korea for a genioplasty because I wanted a more narrow face as I felt my face was very circular and doing so achieved a nice front look but made me lose my side profile and cause extra loose skin kinda around giving me a bulge and double chin effect.

Really would like to get my side profile that is more western back if possible. Tried a facelift but it just didn’t work that well on tightening the skin. 

A: The origin of the loose tissues around your chin is because the bone structure has been reduced and now there is too much soft tissue chin pad for the amount of bone that is there. This is not a real soft tissue excess, but an iatrogenic one, so it is no sjurprise that any form of a lower facelift could not improve the problem. (a very ill-conceived concept from the surgeon, that may help the jaw angle area but never the chin) The key to improvement is that some  chin support has to be built back to pick up the loose tissues. Whether that its best done by adding some form of an implant or moving the chin bone requires that I see your postop x-rays so I can see what the modified chin bone looks like.

Dr. Barry Eppley

World-Renowned Plastic Surgeon