Should I Have Complete Or Partial Sliding Genioplasty Reversal?

Q: Dr. Eppley, I had a sliding genioplasty lengthen 7mm down and advanced forward 8mm. I also had lipo under the chin and buccal fat removal. I now deeply regret my decision and am extremely unhappy with my end result which has given me an Over projected chin, a chin and jawline that do not match, decreased lower lip size, constant tightness and pain, a chin that is off to one side and a more aged appearance.

My surgeon is making me wait over a year before he will revise and wants me to decide on a full reversal or a partial revision (setback 4-5mm). This is the part I am unsure of, as I was happy with my face before. But with the complications associated with the changes in the soft tissue I am unsure how much to revert the chin by. I also do not understand why I have to wait so long before I can have the revision.

A: I can not answer the the timing decision made by your surgeon. My approach is that when the patient has identified an aesthetic dissatisfaction after the swelling has resolved then one can proceed with a revision. I would be cautious about complete sliding genioplasty reversal as they are now going to to be some softt tissue redundancy issues.

Dr. Barry Eppley

Indianapolis, Indiana