Can My Jaw Be Restored After Over Aggressive V Line Surgery?

Q: Dr. Eppley, The procedure I had done was facial feminization surgery. I didn’t like the jaw and chin portion. I have post (initial plastic surgeon never gave me the before scans) CT scans of sliding genioplasty and Vline jaw contouring. The iover aggressive work left me with a sagging face along with chin ptosis. I went to another plastic surgeon who did a deep plane facelift to address the sagging. I’d like to see what can be done to correct over aggressive jaw and chin work.

A: Having seen a lot of V line surgery that is a very unusual angle in which the entire jaw angle was removed but the body of the mandible remains. In essence the bone cut was angled way back. So I would have expected significant soft tissue sagging and a disconnect between the angle, body and chin mandibular segments.

Restoration of some or part of the jaw angles and chin can be done and the restoration goal would be what makes the bone look more normal as opposed to what the original bone looked like since we will never known what that was.

Dr. Barry Eppley

World-Renowned Plastic Surgeon