Q: Dr. Eppley, I had a sliding genioplasty several years ago after my chin implant had to be removed due to migration. I developed a deep line under my lip and the really tight feeling in my bottom teeth has never subsided. Can anything be done? I have learned to live with it but I am miserable. Thank you.
A: I suspect that you have a really tight and short vestibule after your genioplasty procedure. This will not only create a deeper labiomental sulcus but can make the lip feel like it is attached right to the gum tissue of the teeth. If I am correct, and there is no way for me to know that for sure based on this conversation, it can be improved. The vestibule needs to be released and the created tissue defect grafted with buccal mucosa. The best way for me to tell if this is the case is to see a picture of your lower lip pulled down so I can see your gums and the scarred vestibule.
Dr. Barry Eppley