Will A Sliding Genioplasty Improve My Lip Ptosis
Q: Dr. Eppley I had a chin implant approx 20yrs ago hard silicone and had a bike accident about 5 yrs after the implant shifted and was removed. I had another one put in intraorally metaphor with no problems but my lower lip was saggy. (lip ptosis) I had a mentalis resuspension with 2 mitek screws. It held up for a long time but iI noticed my lower teeth are starting to show more and more at rest. Would a sliding genioplasty and a mentalis resuspension be a better option for this?
It looks like you have done quite a few and are experienced in this type of specific procedures.
A: Changing out a Medpor chin implant with mentalis suspension for a sliding genioplasty with suspension would certainly not be a sure thing when it comes to correction of lip ptosis. in addition the shape of your chin would be more narrow in the front view…which may or may not be considered an aesthetic disadvantage.
This answer may become more qualified if it was known how substantial the chin bone movement would be. In larger bone movements the potential for lip ptosis improvement increases.
Dr. Barry Eppley