What Is The Cause of Chin Tightness After A Sliding Genioplasty That Got Worse After Working Out?
Q: Dr. Eppley, I had a genioplasty with you last summer. Since then I have had tightness in the right side of my chin. The tightness was mild and was progressively getting better each month.
A few weeks ago, the tightness was the worse it had been since I got the procedure. And almost every day it gets worse. Today is one of the worse days and the scarring is also more prominent. I also feel dryness in my lips as if I need to moisturize it.
This started the day I did a hard workout for the first time since the surgery. I don’t understand how a cardio workout would cause this so I don’t know if the two are related.
Is there any cause to be concerned?
A: Thank for what is now an eight month followup. Your description of symptoms (tightness) this delayed after surgery is not one I have heard before nor the correlation with a typical workout. Thus I can not say why you have it and whether it will persist. But what I do know is that much healing has occurred since your sliding geniopaosty surgery including bone healing and I would not have any concerns about any problems with the surgical site in terms of infection or some impairment of the complete healing process. I suspect this tightness will become a self-resolving problem in a matter of a few more weeks or months. If not let me know and we can always check an x-ray to see what it looks like on the inside. It is also possible to inject some steroid intraorally see if it will make it better.
Dr. Barry Eppley