Why Does My Chin Look Fat and Round After A Sliding Genioplasty Reversal?

Q: Dr. Eppley, I had a sliding genioplasty reversal 10 days ago of 5mms. I’m really worried that the chin area looks like a fat, round, fleshy block, and that it has no shape or contour . It is affecting my whole face shape, since now my lower face looks so rounded and has lost it’s V shape. Is there hope that the muscles and soft tissue will adhere to the bone? What are the possible treatments for this? Can I place a small implant to give the soft tissue the contour and support it needs.

A: The first concept to grasp is that at 10 days after surgery you certainly are far removed from the final result. It will take 3 to 4 months to see the true final outcome to let all the swelling resolve and the soft tissue wrap effect has occurred.

Secondly when you reduce the projection of the chin it is going to lose some of its tapered shape.

Third, should an increased tapered shape be desired after 4 months of healiong a V-shaped chin implant can be placed.

Dr. Barry Eppley

World-Renowned Plastic Surgeon