How Can I Solve Chin Ptosis After A Sliding Genioplasty Failed To Correct It?

Q: Dr. Eppley, I had reached out to you awhile ago regarding my chin issues. I have attached an x-ray imagine that I think shows my issues with the drooping chin tissue/ptosis. I’ve previously had some regrettable chin surgeries including a small implant and then the removal of that implant and a sliding genioplasty. If you have the time to give me some advice that would be awesome.  My main concern is that my chin looks too long and droopy when smiling especially. Thank you for your time. 

Kind regards,

A:In theory the sliding genioplasty after the removal of the chin implant was intended to solve the chin ptosis. But the amount of forward chin movement was so modest (albeit appropriate for your face) that I would not have expected that to provide improvement of the chin ptosis unless it was combined with mentalis muscle tightening/lift. (and even then it was not a guaranteed improvement as the bone movement is so small) At this point the only assured improvement of the soft tissue overhang is an excisional submental chin tuck.

Dr. Barry Eppley
Indianapolis, Indiana